接受化疗的癌症患者的认知评估和抑郁症:通过感知压力和自我有效性的调解
Ying Liu1, Shuang-Shuang Wen1, Ying Chen1
1School of Nursing, Fujian Medical University, Fuzhou, China.
概括
接受化疗的癌症患者经历抑郁症,受认知评估的影响. 感知到的压力和自我效能显著调解了这种关系,为干预提供了目标.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 接受化疗的癌症患者经常患有抑郁症,影响他们的生活质量.
- 将癌症与抑郁症联系在一起的精确机制需要进一步阐明.
研究的目的:
- 研究感知压力和自我效能在接受化疗的癌症患者认知评估和抑郁症之间的关系中的调解作用.
主要方法:
- 在接受化疗的421名癌症患者中进行了横截面调查.
- 标准化尺度测量了认知评估,感知压力,自我效能和抑郁.
- 使用路径分析来检查调解效应.
主要成果:
- 对癌症的认知评估对抑郁症有直接和间接的影响.
- 感知到的压力和自我效能显著调解了认知评估和抑郁症之间的关联.
- 通过自我有效性观察到感知压力的连续调解效应.
结论:
- 医疗保健提供者可以通过提高自我效能和减少感知压力来减轻化疗患者的抑郁症.
- 针对自我效能和压力等心理因素对于管理癌症护理中的抑郁症至关重要.
相关概念视频
Lazarus's Cognitive Appraisal Theory
265
Cognitive psychologist Richard Lazarus proposed the cognitive-mediational theory of emotions, which emphasizes how individuals' assessments of stressors significantly affect their experience of stress. According to Lazarus, the stress response is determined by a two-step appraisal process: primary appraisal and secondary appraisal. These cognitive appraisals help individuals evaluate the potential impact of a stressor and determine the adequacy of their coping resources.
Primary Appraisal:...
Primary Appraisal:...
265
Psychological Responses to Stress
63
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
63
Cognitive Theories: Lazarus Mediational Theory of Emotion
909
Richard Lazarus' cognitive mediational theory highlights the pivotal role of cognitive appraisal in shaping emotional responses. According to this theory, the evaluation of a stimulus — based on personal values, goals, beliefs, and expectations — mediates the emotional response. This appraisal process is immediate and often occurs unconsciously, influencing the intensity and nature of the resulting emotion.
Cognitive Appraisal and Emotional Response
Lazarus proposed that...
Cognitive Appraisal and Emotional Response
Lazarus proposed that...
909
Cognitive Therapy
159
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
159
Psychoneuroimmunology: Diabetes and Cancer
38
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
38
Stress Prevention and Stress Management Techniques I
68
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
68


