The mediating role of goal adjustment in the burden and psychological distress in caregivers of prostate cancer survivors
Objective To explore effective intervention strategies by studying the potential moderating effect of goal adjustment in the burden and psychological distress in caregivers of prostate cancer survivors.Methods A total of 139 prostate cancer survivors admitted to Guangzhou First People's Hospital from January 2019 to February 2021 and their caregivers were selected as the study objects.Achievement goals scale(AGS),Zarit burden interview(ZBI),and short form of the profile of mood states(POMS-SF)were used to evaluate the caregivers of prostate cancer survivors,and correlation analysis and structural equation model analysis were performed.Results The scores of AGS-goal disengagement(GD),AGS-re-engagement scale(RS),ZBI,and POMS-SF scales were(3.60±1.18),(3.13±1.25),(34.76±8.12),and(40.48±5.68)points,respectively.In the POMS-SF pathway regulated by ZBI,the model fitting index of AGS-GD(x2=35.568,P<0.05)and AGS-RS(x2=24.688,P<0.05)was different between partial mediation models and complete mediation models,with statistically significance,and their regulatory effects were all partial mediation effect.Conclusions The abilities to detach and reset goals play an important role in the burden and psychological distress regulation mechanisms in caregivers of prostate cancer survivors.Therefore,intervention strategies based on goal adjustment can reduce caregivers'burden and psychological distress.