应对方式在食管癌患者心理一致感与主观幸福感间的中介作用

目的 探讨食管癌患者心理一致感、应对方式和主观幸福感的关系。方法 便利抽取安徽省2所三甲医院的280名住院食管癌患者，采用心理一致感量表、简易应对方式问卷、总体幸福感量表及一般资料调查表进行调查，运用Amos 17.0和SPSS 17.0 软件对数据进行统计分析。结果 食管癌患者主观幸福感与心理一致感、积极应对呈正相关（r = 0.486、0.406，P＜0.01），与消极应对呈负相关（r = - 0.297，P＜0.01）。线性回归和结构方程分析显示，心理一致感和积极应对均正向预测主观幸福感（β = 0.307，β = 0.248，P＜0.05）；消极应对负向预测主观幸福感（β = - 0.236，P＜0.05），应对方式在心理一致感和主观幸福感之间起部分中介作用，中介效应占总效应的25.00%。结论 心理一致感可直接影响主观幸福感，也可通过应对方式对其产生间接影响。

Coping style as a mediator between sense of coherence and subjective well-being in patients with esophageal cancer

Objective To examine the relationships among coping style, sense of coherence and subjective well-being in patients with esophageal cancer. Methods Totally 280 esophageal cancer patients were selected in Anhui province. They were investigated with SCSQ, SOC-13, General Well-Being and the general information questionnaires. The results were statistically analyzed using Amos 17.0 software and SPSS 17.0 software. Results The GWB total scores positively correlated with SOC and positive response(r=0.486, 0.406, P<0.01), and negatively correlated with negative response (r=-0.297, P<0.01). Multiple linear regression and structural equation model analysis showed that sense of coherence and positive response positively predicted subjective well-being(b=0.307, b=0.248, P<0.05). Negative response negatively predicted subjective well-being(b=-0.236, P<0.05). Coping style was the mediator between sense of coherence and subjective well-being, and the mediating effect accounts for 25% of the total effect. Conclusion Sense of coherence can directly affect subjective well-being, and it can also have indirect effects through coping style.