Mediating effect of resilience in relationship between self-perceived burden and depression in patients with advanced non-small cell lung cancer
10. 3760/cma. j. issn. 1674-6554. 2019. 07. 005
- VernacularTitle:心理弹性在中晚期非小细胞肺癌患者自我感受负担与抑郁情绪间的中介作用
- Author:
Huiyuan LI
1
;
Jie ZHANG
;
Mengmeng LYU
;
Jingping ZHANG
Author Information
1. 中南大学湘雅护理学院护理心理学研究中心
- Keywords:
Non-small cell lung cancer;
Resilience;
Self-perceived burden;
Depression;
Mediating effect
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2019;28(7):597-602
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the present situation and characteristics of depression in patients with non-small cell lung cancer (NSCLC),and to analyze the mediating role of resilience in the relationship between self-perceived burden and depressive symptom,so as to provide evidence for improving depression in patients. Methods A total of 306 subjects from 5 tertiary hospitals in Changsha,Hunan Province were se-lected by simple random sampling method. Before their discharge from hospital,those subjects were investiga-ted by self-made social demographic questionnaire,Self-rating Depression Scale(SDS),Self-perceived Bur-den Scale of Lung Cancer(SPBS-LC) and Connor&Davidson Resilience Scale(CD-RISC). Pearson analysis was used to analyze the correlation among the variables,and Amos 7. 0 was used to establish the structural e-quation model and test the mediating effect. Results ( 1) The total score of depression was ( 59. 10 ± 8. 37). The total scores of resilience and self-perception burden were (52. 77±10. 12) and (49. 64±8. 55) in newly-diagnosed advanced non-small cell lung cancer patients. (2) Pearson analysis showed that the total score of depression was negatively correlated with the total score of resilience,optimism,self-improvement and tenacity (P<0. 05). The total score of depression was positively correlated with the total score of self-percep-tion burden, physical burden, emotional burden, disease symptoms, social and economic dimensions (P<0. 05). (3) Structural equation model analysis showed that resilience played a partial role in mediating be-tween self-perceived burden and depression and mediating effect accounted for 29. 8% of the total effect. Conclusion The depressive symptom of the NSCLC patients is at the mild to moderate level. Reducing their self-perceived burden and promoting the resilience of lung cancer patients could alleviate their depressive symptom.
