Relationship between fear of disease progression and post-traumatic growth: analysis of chain mediating effect
10.3760/cma.j.cn115682-20200426-03026
- VernacularTitle:恐惧疾病进展与创伤后成长的关系：链式中介效应分析
- Author:
Dongmei WANG
1
;
Yiwen CHEN
;
Yuting ZHANG
;
Chengying ZHANG
;
Hong YUAN
Author Information
1. 中国科学院行为科学重点实验室，中国科学院心理研究所，北京 100101；中国科学院大学心理学系，北京 100049；解放军总医院第三医学中心肾脏病科，北京 100039
- Keywords:
Kidney disease;
Chronic kidney disease;
Fear of disease progression;
Invasive rumination;
Active rumination;
Post-traumatic growth
- From:
Chinese Journal of Modern Nursing
2020;26(33):4660-4664
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate relationships between fear of disease progression, invasive rumination, active rumination and post-traumatic growth in patients with chronic kidney disease (CKD) , so as to provide reference for carrying out physical and mental care in clinical nursing and improve the mental health level of patients with chronic kidney disease.Methods:From September 2019 to February 2020, 204 patients with stage 1 to 5 CKD were selected from Department of Nephrology in the Third Medical Center of PLA General Hospital by convenient sampling. They were investigated using a general data survey, the Short Form of the Fear of Progression Questionnaire (FoP-Q-SF) , Event Related Rumination Inventory (ERRI) and Posttraumatic Growth Inventory (PTGI) . Pearson product-moment correlation was used to analyze the correlations between fear of disease progression, ruminant thinking and post-traumatic growth. PROCESS 3.0 plug-in was used to analyze the mediating effect of the data, and Boopstrap was used to test the mediating effect.Results:The total scores of fears of disease progression, invasive rumination, active rumination and post-traumatic growth for CKD patients were respectively (29.40±11.85) , (21.17±8.37) , (23.54±8.44) and (51.68±27.18) . The results of correlation analysis showed that fear of disease progression, invasive rumination, and active rumination were positively correlated with post-traumatic growth ( P<0.01) . Analysis of mediating effect results showed that fear of disease progression could not directly affect post-traumatic growth of patients, but the chain mediating effect of invasive rumination and active rumination had an effect on post-traumatic growth of patients. And the chain mediating effect of invasive rumination and active rumination was statistically significant, which played a complete mediating effect. Conclusions:Fear of disease progression can indirectly affect post-traumatic growth through the chain mediating effect of invasive rumination and active rumination. Maintaining a moderate fear of disease progression and a reflective attitude is conducive to post-traumatic growth.
