家庭韧性在肝癌患者前摄型人格与心理痛苦之间的调节效应
The moderating effect of family resilience between prosopagnosic personality and psychological distress in liver cancer patients
杨剑 1吉洪海 1沙菲菲 1胡琳 1徐慧1
作者信息
- 1. 盐城市第一人民医院介入科(江苏省盐城市,224000)
- 折叠
摘要
目的 分析家庭韧性在肝癌患者前摄型人格与心理痛苦之间的调节效应.方法 选取2021年1月—2022 年 1 月医院介入科收治的肝癌患者 224 例作为调查对象,选择一般资料问卷、家庭韧性评估量表(FRAS)、前摄型人格量表(PPS)和Orbach&Mikulincer心理痛苦量表(OMMP)进行评估.Pearson相关性和分层线性回归分析家庭韧性在肝癌患者前摄型人格与心理痛苦之间的调节效应.简单斜率检验分析高和低家庭韧性下前摄型人格对心理痛苦预测斜率.Johnson-Neyman技术分析家庭韧性对肝癌患者前摄型人格与心理痛苦之间的调节效应临界值.结果 收回有效问卷 204 份.肝癌患者家庭韧性得分为130.92±41.04 分,前摄型人格得分为18.06±4.24 分,心理痛苦得分为139.72±26.89 分.Pearson相关性分析结果表明,肝癌患者家庭韧性、前摄型人格与心理痛苦呈负相关(P<0.001),肝癌患者家庭韧性与前摄型人格之间呈正相关(P<0.001).通过简单斜率检验可得,高家庭韧性下前摄型人格对心理痛苦预测斜率有统计学意义(β=-0.372,P=0.002),低家庭韧性下前摄型人格对心理痛苦预测斜率无统计学意义(β=-0.104,P=0.094).Johnson-Neyman技术分析可得家庭韧性≥105 时,其对肝癌患者前摄型人格与心理痛苦之间的调节效应逐渐增强.结论 肝癌患者心理痛苦水平较高,其前摄型人格能直接或间接通过家庭韧性影响其心理痛苦水平,临床医护人员应评估肝癌患者家庭韧性水平和启发其前摄型人格,从而降低其心理痛苦.
Abstract
Objective To analyze the moderating effect of family resilience on the relationship between prosopagnosia and psychological distress in hepatocellular carcinoma patients.Methods 224 hepatocellular carcinoma patients admitted to the Interventional Department of the hospital from January 2021 to January 2022 were selected as the survey subjects,general information questionnaires,Family Resilience Assessment Scale(FRAS),Prosopagnosic Personality Scale(PPS)and Orbach&Mikulincer Psychological Distress Scale(OMMP)were chosen for assessment.Pearson correlation and stratified linear regression were used to analyze the moderating effect of family resilience between prosopagnosia and psychological distress in liver cancer patients.Simple slope test was used to analyze the slopes of the prediction of psychological distress by prosopagnosia at high and low family toughness.Johnson-Neyman technique was used to analyze the critical value of the moderating effect of family toughness on the relationship between prosopagnosia and psychological distress in hepatocellular carcinoma patients.Results 204 valid questionnaires were collected.Family resilience score of hepatocellular carcinoma patients was 130.92±41.04 points,prosopagnosic personality score was 18.06±4.24 points,and psychological distress score was 139.72±26.89 points.The results of Pearson's correlation analysis showed a negative correlation between family resilience,prosopagnosic personality,and psychological distress in hepatocellular carcinoma patients(P<0.001),and a positive correlation between family resilience and prosopagnosic personality in hepatocellular carcinoma patients were positively correlated with each other(P<0.001).The simple slope test showed that the predictive slope of psychological distress was statistically significant for preoccupied personality with high family toughness(β=-0.372,P=0.002),and the predictive slope of psychological distress was not statistically significant for preoccupied personality with low family toughness(β=-0.104,P=0.094).The Johnson-Neyman technique analysis showed that when family toughness was≥105,the moderating effect on the moderating effect between prosopagnosic personality and psychological distress in liver cancer patients gradually increased.Conclusion Liver cancer patients have higher levels of psychological distress,and their prosopagnosic personality could directly or indirectly affect their psychological distress through family toughness.Clinical staffshould assess the level of family toughness of liver cancer patients and inspire their prosopagnosic personality,so as to reduce their psychological distress.
关键词
肝癌患者/家庭韧性/前摄型人格/心理痛苦/调节效应Key words
Liver cancer patients/Family resilience/Preoccupied personality/Psychological distress/Moderating effect引用本文复制引用
出版年
2024
NETL
NSTL
万方数据