Optimism and resilience in patients with breast cancer: chain mediating effect of mastery and self-efficacy
10.3760/cma.j.issn.1674-6554.2018.03.014
- VernacularTitle:掌控感和自我效能感在乳腺癌患者乐观与心理韧性间的链式中介作用
- Author:
Xiaoxiao JIANG
1
;
Huiping LI
;
Ting ZHANG
;
Qin SHEN
;
Xiaotong DING
;
Ting XIAO
;
Maomao ZHANG
Author Information
1. 安徽医科大学护理学院
- Keywords:
Optimism;
Mastery;
Self-efficacy;
Resilience
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2018;27(3):256-260
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the chain mediating effect of mastery and self-efficacy between optimism and resilience of breast cancer patients.Methods Totally 262 breast cancer patients were investigated with general information questionnaire,resilience scale (RS-14),mastery scale for Chinese version (MSC),general self-efficacy scale (GSES) and revised life orientation test (LOT-R).Causual steps and Bootstrap method were used to test the chain mediating effect of mastery and self-efficacy between optimism and resilience.Results The media score of the participants was 18 for optimism,and the average score of the participants was 27.1±4.6 for mastery,26.0±5.9 for self-efficacy,76.6± 13.9 for resilience.There existed a significant difference in RS-14 scores among the patients with different family relationships,family income,and form of payment (all P＜0.05).Correlation analysis showed that optimism,mastery,self-efficacy,and resilience were positively correlated with each other(r=0.57-0.74,all P＜ 0.01).Mediation modeling analysis showed that optimism had a direct effect on resilience.The effect value was 0.361,and the effect was 49.7％.Mastery and self-efficacy mediation effect value were 0.123 and 0.162,and the mediation effect were 16.9％ and 22.3％.While chain mediating effect of mastery-self-effcacy was also significant,and the mediation effect value was 0.081 and the mediation effect was 11.1％.Conclusion Optimism influences breast cancer patients' resilience,not only through the direct path,but also through the indirect path of mastery and self-efficacy,as well as the chain mediating path between these two variables.
