Models, Psychological

模型,心理
  • 文章类型: Journal Article
    以前关于强化学习的研究已经确定了三个突出的现象:(1)与健康受试者相比,焦虑或抑郁的个体表现出学习率降低;(2)在快速变化(即波动)或稳定的反馈条件的环境中,学习率可能会增加或减少。一种称为学习率适应的现象;(3)学习率适应降低与几种精神疾病有关。换句话说,在此灵活学习率(FLR)模型中,需要多个学习率参数来解释参与者人群和波动性环境之间的行为差异。这里,我们提出了另一种解释,这表明参与者人群和不稳定环境之间的行为差异是由于使用混合决策策略而产生的。为了检验这个假设,我们构建了混合策略(MOS)模型,并将其用于分析54名健康对照者和32名焦虑和抑郁患者在挥发性逆转学习任务中的行为.与FLR模型相比,MOS模型可以通过使用一组策略偏好参数来再现这三种经典现象,而不会引入任何学习率差异。此外,MOS模型可以成功地解释几个新的行为模式,不能用FLR模型解释。对不同策略的偏好也可以预测症状严重程度的个体差异。这些发现强调了在人类学习和决策中考虑混合策略使用的重要性,并建议非典型策略偏好作为精神疾病学习缺陷的潜在机制。
    Previous studies on reinforcement learning have identified three prominent phenomena: (1) individuals with anxiety or depression exhibit a reduced learning rate compared to healthy subjects; (2) learning rates may increase or decrease in environments with rapidly changing (i.e. volatile) or stable feedback conditions, a phenomenon termed learning rate adaptation; and (3) reduced learning rate adaptation is associated with several psychiatric disorders. In other words, multiple learning rate parameters are needed to account for behavioral differences across participant populations and volatility contexts in this flexible learning rate (FLR) model. Here, we propose an alternative explanation, suggesting that behavioral variation across participant populations and volatile contexts arises from the use of mixed decision strategies. To test this hypothesis, we constructed a mixture-of-strategies (MOS) model and used it to analyze the behaviors of 54 healthy controls and 32 patients with anxiety and depression in volatile reversal learning tasks. Compared to the FLR model, the MOS model can reproduce the three classic phenomena by using a single set of strategy preference parameters without introducing any learning rate differences. In addition, the MOS model can successfully account for several novel behavioral patterns that cannot be explained by the FLR model. Preferences for different strategies also predict individual variations in symptom severity. These findings underscore the importance of considering mixed strategy use in human learning and decision-making and suggest atypical strategy preference as a potential mechanism for learning deficits in psychiatric disorders.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:急迫性尿失禁(UUI)通常发生在老年女性患者中。信息-动机-行为技能(IMB)模型的应用研究已应用于各种治疗环境,但其在UUI管理中的应用研究有限。
    方法:选择确诊为UUI的老年女性患者作为研究对象,他们被分成两组。所有患者均给予盆底肌训练。对照组实施常规健康教育管理,观察组除常规教育外,还在IMB模式的基础上实施健康教育管理.治疗前后,使用1h尿垫试验评估尿失禁的严重程度。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者的焦虑和抑郁状况进行评估。尿失禁生活质量(I-QOL)用于评估患者的生活质量。
    结果:治疗后,泄漏量,两组SAS和SDS评分均显著降低(p<0.001),观察组的渗漏量明显较低,SAS,而SDS评分优于对照组(p<0.001)。两组I-QOL评分均升高(p<0.001),观察组评分明显高于对照组(p<0.001)。
    结论:基于IMB模式的健康教育干预措施可以改善老年女性UUI的尿漏,改善他们的负面情绪,使他们能够提高生活质量。
    BACKGROUND: Urge urinary incontinence (UUI) commonly occurs in elderly female patients. The application research of the Information-Motivation-Behavioural Skills (IMB) model has been applied in various therapeutic contexts, but research on its application in UUI management is limited.
    METHODS: Elderly female patients diagnosed with UUI were selected as the research subjects, and they were divided into two groups. All patients were given pelvic floor muscle training. The control group received routine health education management, whereas the observation group received health education management on the basis of the IMB model in addition to routine education. Before and after treatment, the severity of urinary incontinence was evaluated using a 1 h urine pad test. The anxiety and depression statuses were evaluated using Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). Incontinence Quality-of-Life (I-QOL) was used to evaluate the quality of life of patients.
    RESULTS: After treatment, the leakage volume, SAS and SDS scores of both groups significantly decreased (p < 0.001), with the observation group having significantly lower leakage volume, SAS, and SDS scores than the control group (p < 0.001). The I-QOL scores of both groups increased (p < 0.001), and the observation group had significantly higher scores than the control group (p < 0.001).
    CONCLUSIONS: Health education interventions based on the IMB model can improve urinary leakage in elderly women with UUI, improve their negative emotions and enable them to have an enhanced quality of life.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    增强现实(AR)提供了丰富的商业格式,方便的应用程序,巨大的工业潜力,和强大的商业利益。AR技术与网络购物的融合给电子商务带来了巨大的变化。技术接受模型(TAM)是评估消费者对新技术接受度的成熟模型,并将其应用于评估AR在线购物体验对消费者购买意愿的影响是一个迫切需要的研究领域。首先,回顾了AR在网络购物中的典型应用,总结了AR网络购物的内涵和经验。其次,使用五种类型的AR在线购物体验作为先行变量,将感知的易用性和感知的有用性作为中间变量,构建了一个理论模型来探讨AR网购体验对顾客购买意愿的影响,随后进行了实证研究。最后,提出了优化网购体验、提升购买意愿的建议。文章拓展了技术接受模型的应用场景,丰富了Metaverse电子商务中的消费者行为理论。
    Augmented Reality (AR) offers a rich business format, convenient applications, great industrial potential, and strong commercial benefits. The integration of AR technology with online shopping has brought tremendous changes to e-commerce. The Technology Acceptance Model (TAM) is a mature model for assessing consumer acceptance of new technologies, and applying it to evaluate the impact of AR online shopping experiences on consumer purchase intention is an urgently needed area of research. Firstly, the typical applications of AR in online shopping were reviewed, and the connotations and experiences of AR online shopping were summarized. Secondly, using the five types of AR online shopping experiences as antecedent variables, and perceived ease of use and perceived usefulness as intermediate variables, a theoretical model was constructed to explore the impact of AR online shopping experiences on customer purchase intentions, followed by an empirical study. Finally, suggestions were proposed for optimizing the online shopping experience to enhance purchase intentions. The article expands the application scenarios of the Technology Acceptance Model and enriches the theory of consumer behavior in Metaverse e-commerce.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:宫颈癌患者术后化疗经历焦虑,抑郁症,和癌症相关的疲劳,导致他们的生活质量下降,并对患者的康复构成挑战。因此,有必要探索有效的护理方法。本研究旨在探讨基于网络的积极心理护理模式对负性情绪的影响,癌症相关的疲劳,自我管理效能感,治疗依从性,宫颈癌术后化疗患者的生活质量。
    方法:这项回顾性研究包括2019年1月至2023年12月在我院接受手术干预的101例宫颈癌患者。接受常规护理模式的患者被纳入对照组(n=48),而那些接受基于网络的积极心理护理模式的人被纳入研究组(n=53)。对于所有研究对象,评估了各种评估指标,包括基线特征,治疗依从性,和汉密尔顿焦虑量表(HAMA),汉密尔顿抑郁量表(HAMD),修改Piper疲劳量表(RPFS)患者促进健康策略的中文版(C-SUPPH),和欧洲癌症研究和治疗组织的生活质量问卷-核心30(EORTCQLQ-C30)。此外,焦虑/抑郁,癌症相关的疲劳,自我管理效能感,治疗依从性,比较两组患者的生活质量。
    结果:干预后,HAMA得分,HAMD得分,与干预前相比,两组的RPFS评分均显着降低(p<0.05)。然而,C-SUPPH评分较干预前显著升高(p<0.05)。我们观察到HAMA,HAMD,干预后研究组RPFS评分明显低于对照组(p<0.05)。相比之下,C-SUPPH评分明显增高(p<0.05)。干预之后,研究组治疗依从性明显优于对照组.此外,EORTCQLQ-C30评分明显高于对照组(p<0.05)。
    结论:基于网络的积极心理护理模式可有效缓解宫颈癌术后化疗患者的负性情绪和癌因性疲乏。从而提高他们的生活质量。此外,这种模式提高了患者的自我管理效果和治疗依从性。这些发现为宫颈癌术后化疗患者的护理提供了新的见解。强调其临床意义。
    OBJECTIVE: Cervical cancer patients with post-operative chemotherapy experience anxiety, depression, and cancer-related fatigue, leading to a decline in their quality of life and posing challenges to the rehabilitation of patients. Therefore, it is necessary to explore effective nursing methods. This study aimed to investigate the effects of a web-based positive psychological nursing model on negative emotions, cancer-related fatigue, self-management efficacy, treatment compliance, and quality of life among cervical cancer patients with post-operative chemotherapy.
    METHODS: This retrospective study included 101 cervical cancer patients who underwent surgical intervention at our hospital between January 2019 and December 2023. Patients who received the usual mode of care were included in the control group (n = 48), while those who received the web-based positive psychological care mode were included in the study group (n = 53). For all study subjects, various assessment indices were evaluated, including baseline characteristics, treatment adherence, and the Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Revised Piper Fatigue Scale (RPFS), the Chinese version of the Strategies Used by Patients to Promote Health (C-SUPPH), and European Organization for Research and Treatment of Cancer Quality of Life questionnaire -Core 30 (EORTC QLQ-C30). Additionally, anxiety/depression, cancer-related fatigue, self-management efficacy, treatment compliance, and quality of life were compared between the two groups.
    RESULTS: After the intervention, the HAMA score, HAMD score, and RPFS score were significantly decreased for both groups compared to before intervention (p < 0.05). However, the C-SUPPH score was significantly increased than before intervention (p < 0.05). We observed that HAMA, HAMD, and RPFS scores were substantially lower in the study group than those in the control group after intervention (p < 0.05). In contrast, C-SUPPH scores were significantly higher (p < 0.05). After the intervention, treatment compliance was significantly better in the study group compared to the control group. Furthermore, the EORTC QLQ-C30 score was substantially higher than that of the control group (p < 0.05).
    CONCLUSIONS: The network-based positive psychological nursing model can effectively alleviate negative emotions and cancer-related fatigue in cervical cancer patients who have undergone post-operative chemotherapy, thereby improving their quality of life. Additionally, this model improves patients\' self-management effectiveness and treatment compliance. These findings provide novel insights into the nursing of cervical cancer patients with post-operative chemotherapy, underscoring its clinical significance.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    绑定问题是工作记忆(WM)研究中的关键问题,并且仍然是各种WM模型之间争论的中心话题。在过去的十年里,我们已经探索了WM中的特征绑定,由分层绑定模型(HBM)指导。该模型表明WM绑定分两个阶段发生:初始隐式绑定涉及快速,粗特征处理,然后是明确的绑定,其中集中注意力通过折返过程来完善这些功能。我们发现,内隐结合与感知阶段特征的注意处理密切相关。通过分散注意力可以快速、粗加工并行的基本特征随目标特征一起被不由自主地提取到WM中,形成一个粗略的绑定表示。对于显式绑定,我们研究了注意力在WM中保持明确结合的作用,强调折返在HBM中的独特作用。我们的发现表明,WM结合需要通过折返过程对物体进行额外的关注。这些结果表明,隐式和显式结合都是WM不可或缺的,并且HBM在阐明WM内的结合机制方面是有效的。
    The binding problem is a crucial issue in the study of working memory (WM) and remains a central topic of debate among various WM models. Over the past decade, we have explored feature binding within WM, guided by the Hierarchical Binding Model (HBM). This model suggests that WM binding occurs in two stages: an initial implicit binding involving rapid, coarse feature processing, followed by explicit binding where focused attention refines these features via a reentry process. We found that implicit binding is closely related to the attentional processing of features during the perceptual stage. Basic features that can be rapidly and coarsely processed in parallel through spread attention are involuntarily extracted into WM along with the target features, forming a rough bound representation. For explicit binding, we examined the role of attention in retaining explicit binding in WM, emphasizing the unique role of reentry in the HBM. Our findings indicate that WM binding requires additional object attention through the reentry process. These results demonstrate that both implicit and explicit bindings are integral to WM and that the HBM is effective in elucidating the binding mechanisms within WM.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:关于心理健康双因素模型(DFM)的新兴研究领域凸显了其意义,然而,DFM在军事人员中的适用性及其与不同生活意义维度的纵向关系仍不清楚。本研究旨在阐明DFM对军事人员的适用性,并调查心理健康双重因素(负面因素,积极因素)和生活中意义的两个维度(意义的存在,在军事人员中搜索含义)。
    方法:在本研究中,数据是分两波(2023年4月和8月)收集的,来自227名中国军事人员。构建了以抑郁为负面因素、主观幸福感为正面因素的双因素模型,我们将其与单因素模型进行了比较,以确定DFM是否可以应用于军事人员。我们还构建了一个交叉滞后模型来研究抑郁症之间的纵向关系,主观幸福感,意义的存在,寻找意义。
    结果:根据调查结果,军事人员与DFM的拟合度比与单因素模型的拟合度更好。交叉滞后分析结果表明,意义的存在和对意义的寻找都负面地预测了抑郁,而正面地预测了主观幸福感。
    结论:DFM在军事人员中具有良好的适用性。意义的存在和对意义的追求都可以改善军事心理健康,这表明生命意义的两个维度都可能是改善军事心理健康的潜在目标。
    BACKGROUND: The burgeoning field of research on the dual-factor model of mental health (DFM) has highlighted its significance, yet the applicability of the DFM in military personnel and its longitudinal relationships with different dimensions of meaning in life remains unclear. This study aimed to clarify the applicability of the DFM for military personnel and to investigate longitudinal relationships between the dual factors of mental health (negative factor, positive factor) and the two dimensions of meaning in life (presence of meaning, search for meaning) in military personnel.
    METHODS: In this study, data were collected in two waves (April and August 2023) from 227 Chinese military personnel. We constructed a dual-factor model with depression as the negative factor and subjective well-being as the positive factor, and we compared it with a single-factor model to determine if DFM could be applied to military personnel. We also constructed a cross-lagged model to investigate longitudinal relationships between depression, subjective well-being, presence of meaning, and search for meaning.
    RESULTS: According to the findings, military personnel fit better with the DFM than with the single-factor model. Cross-lagged analysis results revealed that both the presence of meaning and the search for meaning negatively predicted depression and positively predicted subjective well-being.
    CONCLUSIONS: The DFM had good applicability among military personnel. Both the presence of meaning and the search for meaning could improve military mental health, suggesting that both dimensions of meaning in life may be potential targets for improving military mental health.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    人工智能生成内容法在2023年得到了广泛推广;因此,发现影响人们行为意图的因素以遵守人工智能生成内容法至关重要。本研究扩展了计划行为理论,以探讨影响中国人遵循AI生成内容法的因素。除了TPB模型中的因素外,比如一个人的态度因素,规范因素,和感知的行为控制,我们增加了另一个因素——道德义务来扩展计划行为模型的理论。我们使用了方便的采样,有效样本为712个。使用统计软件Amos17.0,结果表明,主观规范,感知的行为控制和道德义务都对遵循人工智能生成内容法的意图有积极影响。
    AI Generated Content Law was extensively promoted in 2023; hence, it is crucial to uncover factors influencing people\'s behavioral intentions to comply with the AI Generated Content Law. This study extends the theory of planned behavior to explore the factors influencing people to follow AI Generated Content Law in China. In addition to the factors in TPB model, such as one\'s attitudinal factors, normative factors, and perceived behavioral control, we add another factor-moral obligation to extend the theory of planned behavior model. We used convenient sampling and there were 712 effective samples. Using the statistical software Amos17.0, the result shows that attitude, subjective norms, perceived behavioral control and moral obligation all have positive effects on intentions to follow AI Generated Content Law.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    自从学术工作环境中幸福感的社会认知模型被提出以来,越来越多的研究支持其有效性。然而,大多数研究未能检验其与个人职业发展相关的核心变量的时间优先级。因此,我们旨在从纵向角度在1512名中国大学生中测试该模型。他们完成了与职业相关的父母支持清单,职业探索与决策自我效能感-简要决策量表,职业承诺制作量表,多重幸福问卷三次是四个月的间隔。结果表明,与职业相关的父母支持之间存在更多的正预测关联,职业决策自我效能感(CDSE),职业承诺,和幸福。此外,纵向调解分析表明,T1职业相关的父母支持通过T2职业承诺与T3幸福感相关联,T1CDSE通过T2职业承诺与T3幸福感相关。这些发现对进一步研究的意义,实践,和政策制定进行了讨论。
    Since the social cognitive model of well-being in academic\\work settings was proposed, more and more studies have supported its validity. Nevertheless, most studies failed to test the temporal precedence of its core variables related to individual career development. Thus, we aimed to test this model among 1512 Chinese college students with a longitudinal perspective. They completed the Career-related Parental Support Inventory, Career Exploration and Decision Self-Efficacy-Brief Decision Scale, Career Commitment Making Scale, and Multiple Happiness Questionnaire three times being a four-month interval. The result indicated that there were more positive predicting associations between career-related parental support, career decision self-efficacy (CDSE), career commitment making, and well-being. Moreover, the longitudinal mediation analyses indicated that T1 career-related parental support was linked to T3 well-being via T2 career commitment making, and that T1 CDSE was linked to T3 well-being via T2 career commitment making. The implications of these findings for further research, practices, and policy-making were discussed.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    不真实学生的心理健康受到多方面因素的影响,需要进一步调查以评估其现状和决定因素。本研究旨在通过针对中国大学生并采用心理弹性动态系统模型来解决这一差距。通过问卷调查,本研究试图探讨心理健康状况及影响因素。最终,本研究旨在为大学生心理健康干预策略的制定提供理论基础和量身定制的实践指导。
    基于心理弹性动态系统模型,采用分层抽样的原则,结合大学的地域分布和学科多样性,对15所大学的3390名中国大学生的心理健康状况进行了实证调查。使用的问卷包括凯斯勒心理困扰量表,心理弹性量表,积极心理资本量表,家庭坚韧不拔指数和社会支持量表。在参与者中,男性占47.85%,女性占52.15%。关于起源,42.89%的学生来自农村地区,57.11%来自城市地区。
    揭示了主要发现:(1)在学生中,24.54%的患病率具有不良的心理健康,18.70%和5.84%,分别,(2)大学生心理健康得分与9个关键因素呈显著负相关(p<0.01),包括心理弹性,自我效能感,乐观,希望,弹性,家庭韧性,客观支持,主观支持,和支持利用率;(3)八个因素,包括等级,家庭经济状况,心理韧性,自我效能感,乐观,家庭韧性,客观支持,和支持利用率,成为大学生心理健康的重要预测因子(p<0.001),共同阐明心理健康总方差的57.9%。
    上述研究成果,大学生心理健康的影响因素主要包括四个方面。这些因素包括个人人口因素,如年级和家庭经济状况,积极的心理资本因素,如心理韧性,自我效能感,乐观,希望,和韧性,家庭复原力因素,包括责任,control,挑战,和社会支持因素,包括客观支持,主观支持,并支持利用。基于此,本文重点提出了四点建议:充分发挥高校在心理健康教育和压力干预中的主导作用,增强积极家庭理想和榜样的教育力量,建立积极的社会氛围和心理咨询支持系统,提高大学生心理韧性和积极心理资本的自我塑造能力。这些建议旨在更好地促进大学生的心理健康,为心理问题干预提供力量储备。
    UNASSIGNED: The mental health of unverisity students is influenced by diverse factorsis multifaceted, requiring further investigation to evaluate its current status and determinants. The present study aims to address this gap by targeting Chinese university students and employing the Psychological Resilience Dynamic System model. Through a questionnaire survey, this research endeavors to explore the mental health status and influencing factors. Ultimately, the findings of this study aim to provide a theoretical basis and tailored practical guidance for the development of mental health intervention strategies for university students.
    UNASSIGNED: Based on the Psychological Resilience Dynamic System Model, the mental health status of 3,390 Chinese university students from 15 universities was empirically investigated with the principle of stratified sampling and the geographical distribution and disciplinary diversity of universities. The questionnaires used included Kessler psychological distress scale, psychological resilience scale,positive psychological capital scale, family hardiness index and social support scale. Among the participants, 47.85% were male and 52.15% were female. Regarding the origin, 42.89% of the students were from rural areas, while 57.11% were from urban areas.
    UNASSIGNED: Key findings unveil: (1) A prevalence of 24.54% in students has suboptimal mental health, with 18.70 and 5.84%, respectively, representing those with poor and relatively poor mental health conditions; (2) A noteworthy negative correlation (p < 0.01) between mental health scores of university students and nine pivotal factors, including psychological resilience, self-efficacy, optimism, hope, resilience, family resilience, objective support, subjective support, and support utilization; (3) Eight factors, including grade, family economic status, psychological resilience, self-efficacy, optimism, family resilience, objective support, and support utilization, emerge as significant predictors of university students\' mental health (p <0.001), collectively elucidating 57.9% of the total variance in mental health.
    UNASSIGNED: The aforementioned research results, indicate that the influencing factors on the mental health of university students encompass four main aspects. These include individual demographic factors such as grade and family economic status, positive psychological capital factors such as psychological resilience, self-efficacy, optimism, hope, and resilience, family resilience factors including responsibility, control, and challenge, and societal support factors including objective support, subjective support, and support utilization. Based on this, this paper focuses on four recommendations: giving full play to the leading role of universities in mental health education and stress intervention, strengthening the educational power of positive family ideals and role modeling, building a support system for positive social atmosphere and psychological counseling, and improving the self-shaping ability of university students\' psychological resilience and positive psychological capital. These recommendations aspire to better promote the mental health of university students and provide a strength reserve for psychological problem intervention.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:随着乳腺癌患者患病率的增加和生存率的提高,人们对了解这些患者的心理社会适应水平越来越感兴趣。该研究旨在描述乳腺癌患者及其配偶的疾病感知和心理社会适应水平,使用演员-伴侣相互依存模型(APIM)来澄清配偶之间的演员-伴侣关系,并探讨在夫妻双方的联合行动中,疾病感知对疾病心理社会适应的影响。
    方法:共有216名女性乳腺癌患者及其配偶参与了这项研究。他们是从广东省的两家三级医院中挑选出来的,中国从2022年10月到2023年5月使用便利抽样方法。使用简短的疾病感知问卷和疾病心理社会适应量表对参与者进行评估,以检查疾病感知与心理社会适应之间的关系。使用AMOS24.0对演员-伴侣相互依存模型进行了检验和分析。
    结果:患者的疾病感知得分(57.75±10.91)略高于配偶(57.10±11.00),心理社会适应得分(64.67±6.33)略低于配偶(64.76±7.49)。参与者-伴侣相互依存模型的结果表明,乳腺癌患者与配偶之间存在夫妻伴侣:配偶的疾病感知显着影响患者的心理社会适应(β=0.095,p=0.015);患者的疾病感知也显着影响配偶的心理社会适应(β=0.106,p=0.033)。其中,发现患者的心理社会适应与患者的疾病可理解性或疾病的连贯性有关(β=0.433,p=0.009),配偶的情绪疾病代表(β=0.218,p=0.037),和配偶的疾病可理解性或疾病的连贯性(β=0.416,p=0.007),而配偶的心理社会适应仅与配偶的疾病可理解性或疾病的连贯性有关(β=0.528,p=0.007)。
    结论:乳腺癌患者的心理社会适应受自己和配偶的疾病感知的影响。因此,在未来,医护人员可以对诊断为乳腺癌的患者及其配偶实施早期心理干预,以促进他们的心理社会适应。
    OBJECTIVE: With the increase in the prevalence rate and improvements in the survival of breast cancer patients, there is a growing interest in understanding the level of psychosocial adjustment in these patients. The study aimed to describe the illness perception and psychosocial adjustment levels of both breast cancer patients and their spouses, to use the Actor-Partner Interdependence Model (APIM) to clarify the actor-partner relationships between spouses, and to explore the impact of illness perception on psychosocial adjustment to the disease within the joint actions of both spouses.
    METHODS: A total of 216 female patients with breast cancer and their spouses participated in the study. They were selected from two tertiary hospitals in Guangdong Province, China from October 2022 to May 2023 using a convenience sampling method. The participants were assessed using the Brief Illness Perception Questionnaire and the Psychosocial Adjustment to Illness Scale to examine the relationship between illness perception and psychosocial adjustment. AMOS24.0 was used to test and analyze the actor-partner interdependence model.
    RESULTS: The illness perception score (57.75 ± 10.91) was slightly higher than that of the spouse (57.10 ± 11.00), and the psychosocial adjustment score (64.67 ± 6.33) was slightly lower than that of the spouse (64.76 ± 7.49). The results of the actor-partner interdependence model indicated that there was a couple partner between breast cancer patients and their spouses: the spouse\'s illness perception significantly affected the patient\'s psychosocial adjustment (β = 0.095, p = 0.015); the patient\'s illness perception also significantly affected the spouse\'s psychosocial adjustment (β = 0.106, p = 0.033). Among them, the patient\'s psychosocial adjustment was found to be related to the patient\'s illness comprehensibility or coherence of illness (β = 0.433, p = 0.009), the spouse\'s emotional illness representation (β = 0.218, p = 0.037), and the spouse\'s illness comprehensibility or coherence of illness (β = 0.416, p = 0.007), while the spouse\'s psychosocial adjustment was only related to the spouse\'s illness comprehensibility or coherence of illness (β = 0.528, p = 0.007).
    CONCLUSIONS: The psychosocial adjustment of breast cancer patients is affected by both their own and spouse\'s illness perception. Therefore, in the future, the healthcare staff can implement early psychological interventions for patients diagnosed with breast cancer and their spouses as a unit to promote the psychosocial adjustment of them.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号