Chain mediating effect of anxiety, depression and metacognition between somatic symptoms and fear of disease progression among gynecological tumor patients
10.3760/cma.j.cn371468-20220502-00221
- VernacularTitle:妇科肿瘤患者负性情绪和元认知在躯体症状与恐惧疾病进展间的链式中介作用
- Author:
Liuhong ZHANG
1
;
Ting ZHOU
;
Zheng HUANG
;
Xian ZHANG
;
Caiyi ZHANG
Author Information
1. 中国科学院心理研究所，中国科学院心理健康重点实验室，北京 100101
- Keywords:
Gynecological tumor;
Fear of disease progression;
Metacognition;
Anxiety;
Depression;
Somatic symptoms
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2022;31(11):1002-1007
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the chain mediating effects of anxiety/depression and metacognition between somatic symptoms and fear of disease progression (FoP) in gynecological tumor patients.Methods:A total of 208 gynecological tumor patients were investigated by general demographic data, fear of progression questionnaire-short form(FoP-Q-SF), hospital anxiety and depression scale(HADS), metacognition questionnaire(MCQ) and somatic symptom scale(SSS). SPSS 25.0 was used for Pearson correlation analysis. The significance of mediating effect was tested by deviation corrected nonparametric percentile Bootstrap method using SPSS macro program PROCESS.Results:The scores of FoP-Q-SF, depression, anxiety, MCQ and SSS were (32.41±10.43), (6.43±4.17), (7.51±4.10), (68.44±16.04), (20.58±15.70) respectively. 48.56% of gynecological tumor patients had dysfunctional fear of disease progression. Correlation analysis showed that FoP was significantly positively correlated with somatic symptoms ( r=0.394, P<0.01), anxiety ( r=0.640, P<0.01), depression ( r=0.533, P<0.01) and metacognition ( r=0.489, P<0.01). Mediating effect test showed that anxiety, depression and metacognition played a complete chain mediating role between somatic symptoms and FoP in gynecological tumor patients.The total effect of somatic symptoms on FoP was 0.320. Somatic symptoms indirectly affected FoP by influencing anxiety and metacognition, and the intermediary effect value was 0.242. Somatic symptoms indirectly affected FoP by influencing depression and metacognition, and the intermediary effect value was 0.212. Conclusion:Somatic symptoms can indirectly affect FoP through the chain mediation of anxiety/depression and metacognition.
