Avoidant coping as mediator of the relationship between rumination and mental health among family caregivers of Chinese breast cancer patients
Introduction Family caregivers of cancer patients were often referred to the ‘forgotten patients’, yet little researches have been conducted on their mental health. Rumination might put family caregivers at risk for psychological distress during the caregiving, such as stress and anxiety. The aim of...
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| Veröffentlicht in: | European journal of cancer care 2022-01, Vol.31 (1), p.e13523-n/a |
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| creator | Tan, Xing An, Yuanyuan Chen, Chen |
| description | Introduction
Family caregivers of cancer patients were often referred to the ‘forgotten patients’, yet little researches have been conducted on their mental health. Rumination might put family caregivers at risk for psychological distress during the caregiving, such as stress and anxiety. The aim of the present study was to explore the relationship between rumination, stress and anxiety among family caregivers of breast cancer patients in China and examine the mediating role of avoidant coping in this relationship.
Methods
Face‐to‐face questionnaire interviews were conducted with a sample of 99 caregivers from the public oncology hospital. They were assessed with stress, anxiety, rumination and avoidant coping by Chinese Perceived Stress Scale, Zung's Self‐Rating Anxiety Scale, Ruminative Responses Scale and Coping Strategy Indicator. Structural equation modelling was applied to assess the mediation analysis.
Results
The reporting scores of participants indicated the incidence of anxiety was 17.2%. Rumination could directly predict stress (β = 0.58, p |
| doi_str_mv | 10.1111/ecc.13523 |
| format | Article |
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Family caregivers of cancer patients were often referred to the ‘forgotten patients’, yet little researches have been conducted on their mental health. Rumination might put family caregivers at risk for psychological distress during the caregiving, such as stress and anxiety. The aim of the present study was to explore the relationship between rumination, stress and anxiety among family caregivers of breast cancer patients in China and examine the mediating role of avoidant coping in this relationship.
Methods
Face‐to‐face questionnaire interviews were conducted with a sample of 99 caregivers from the public oncology hospital. They were assessed with stress, anxiety, rumination and avoidant coping by Chinese Perceived Stress Scale, Zung's Self‐Rating Anxiety Scale, Ruminative Responses Scale and Coping Strategy Indicator. Structural equation modelling was applied to assess the mediation analysis.
Results
The reporting scores of participants indicated the incidence of anxiety was 17.2%. Rumination could directly predict stress (β = 0.58, p < 0.01) and anxiety (β = 0.46, p < 0.01) and also predict stress and anxiety via the mediator of avoidant coping (stress: β = 0.087, p < 0.01; anxiety: β = 0.109, p < 0.01).
Conclusions
The important role played by family caregivers in supporting breast cancer patients is well recognised. The findings suggested that rumination and avoidant coping may be two critical risk factors for family caregivers of breast cancer developing stress and anxiety. This study highlights the importance of preventing avoidant coping, which plays a critical role for developing interventions for this vulnerable group.</description><identifier>ISSN: 0961-5423</identifier><identifier>EISSN: 1365-2354</identifier><identifier>DOI: 10.1111/ecc.13523</identifier><identifier>PMID: 34658090</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Adaptation, Psychological ; Anxiety ; avoidant coping ; Breast cancer ; Breast Neoplasms ; Caregivers ; Coping ; family caregivers ; Female ; Humans ; Mental Health ; Multivariate statistical analysis ; Patients ; Psychological stress ; Risk analysis ; Risk factors ; Rumination ; Stress ; Stress, Psychological - epidemiology</subject><ispartof>European journal of cancer care, 2022-01, Vol.31 (1), p.e13523-n/a</ispartof><rights>2021 John Wiley & Sons Ltd.</rights><rights>2022 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3883-f9dbe3a1bdf254788e7de8624bffd686e4b876afccc7b57002ae14f1b7175d913</citedby><cites>FETCH-LOGICAL-c3883-f9dbe3a1bdf254788e7de8624bffd686e4b876afccc7b57002ae14f1b7175d913</cites><orcidid>0000-0002-5673-9416</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fecc.13523$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fecc.13523$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34658090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, Xing</creatorcontrib><creatorcontrib>An, Yuanyuan</creatorcontrib><creatorcontrib>Chen, Chen</creatorcontrib><title>Avoidant coping as mediator of the relationship between rumination and mental health among family caregivers of Chinese breast cancer patients</title><title>European journal of cancer care</title><addtitle>Eur J Cancer Care (Engl)</addtitle><description>Introduction
Family caregivers of cancer patients were often referred to the ‘forgotten patients’, yet little researches have been conducted on their mental health. Rumination might put family caregivers at risk for psychological distress during the caregiving, such as stress and anxiety. The aim of the present study was to explore the relationship between rumination, stress and anxiety among family caregivers of breast cancer patients in China and examine the mediating role of avoidant coping in this relationship.
Methods
Face‐to‐face questionnaire interviews were conducted with a sample of 99 caregivers from the public oncology hospital. They were assessed with stress, anxiety, rumination and avoidant coping by Chinese Perceived Stress Scale, Zung's Self‐Rating Anxiety Scale, Ruminative Responses Scale and Coping Strategy Indicator. Structural equation modelling was applied to assess the mediation analysis.
Results
The reporting scores of participants indicated the incidence of anxiety was 17.2%. Rumination could directly predict stress (β = 0.58, p < 0.01) and anxiety (β = 0.46, p < 0.01) and also predict stress and anxiety via the mediator of avoidant coping (stress: β = 0.087, p < 0.01; anxiety: β = 0.109, p < 0.01).
Conclusions
The important role played by family caregivers in supporting breast cancer patients is well recognised. The findings suggested that rumination and avoidant coping may be two critical risk factors for family caregivers of breast cancer developing stress and anxiety. This study highlights the importance of preventing avoidant coping, which plays a critical role for developing interventions for this vulnerable group.</description><subject>Adaptation, Psychological</subject><subject>Anxiety</subject><subject>avoidant coping</subject><subject>Breast cancer</subject><subject>Breast Neoplasms</subject><subject>Caregivers</subject><subject>Coping</subject><subject>family caregivers</subject><subject>Female</subject><subject>Humans</subject><subject>Mental Health</subject><subject>Multivariate statistical analysis</subject><subject>Patients</subject><subject>Psychological stress</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Rumination</subject><subject>Stress</subject><subject>Stress, Psychological - epidemiology</subject><issn>0961-5423</issn><issn>1365-2354</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1q3TAQRkVpaW6TLvoCRdBNsnCiH8uWl8EkaSHQTbMWkjyKFWzJleyE-xJ95iq5aReFajMgzpwZ5kPoEyXntLwLsPaccsH4G7SjvBEV46J-i3aka2glasaP0IecHwihnHb1e3TE60ZI0pEd-nX5GP2gw4ptXHy4xzrjGQav15hwdHgdASeY9OpjyKNfsIH1CSDgtM0-vHxjHYbSE1Y94RH0tI5Yz7GonJ79tMdWJ7j3j5Dys7AffYAM2CTQuUzVwULCSzEVQz5B75yeMnx8rcfo7vrqR_-1uv1-862_vK0sl5JXrhsMcE3N4JioWymhHUA2rDbODY1soDaybbSz1rZGtIQwDbR21LS0FUNH-TE6PXiXFH9ukFc1-2xhmnSAuGXFhOSc0a6VBf3yD_oQtxTKdoo1jDHOW8ELdXagbIo5J3BqSX7Waa8oUc8hqRKSegmpsJ9fjZspt_5L_kmlABcH4MlPsP-_SV31_UH5G0iAna4</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Tan, Xing</creator><creator>An, Yuanyuan</creator><creator>Chen, Chen</creator><general>Hindawi Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>ASE</scope><scope>FPQ</scope><scope>FR3</scope><scope>K6X</scope><scope>K9.</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5673-9416</orcidid></search><sort><creationdate>202201</creationdate><title>Avoidant coping as mediator of the relationship between rumination and mental health among family caregivers of Chinese breast cancer patients</title><author>Tan, Xing ; An, Yuanyuan ; Chen, Chen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3883-f9dbe3a1bdf254788e7de8624bffd686e4b876afccc7b57002ae14f1b7175d913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adaptation, Psychological</topic><topic>Anxiety</topic><topic>avoidant coping</topic><topic>Breast cancer</topic><topic>Breast Neoplasms</topic><topic>Caregivers</topic><topic>Coping</topic><topic>family caregivers</topic><topic>Female</topic><topic>Humans</topic><topic>Mental Health</topic><topic>Multivariate statistical analysis</topic><topic>Patients</topic><topic>Psychological stress</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Rumination</topic><topic>Stress</topic><topic>Stress, Psychological - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tan, Xing</creatorcontrib><creatorcontrib>An, Yuanyuan</creatorcontrib><creatorcontrib>Chen, Chen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Engineering Research Database</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cancer care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, Xing</au><au>An, Yuanyuan</au><au>Chen, Chen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Avoidant coping as mediator of the relationship between rumination and mental health among family caregivers of Chinese breast cancer patients</atitle><jtitle>European journal of cancer care</jtitle><addtitle>Eur J Cancer Care (Engl)</addtitle><date>2022-01</date><risdate>2022</risdate><volume>31</volume><issue>1</issue><spage>e13523</spage><epage>n/a</epage><pages>e13523-n/a</pages><issn>0961-5423</issn><eissn>1365-2354</eissn><abstract>Introduction
Family caregivers of cancer patients were often referred to the ‘forgotten patients’, yet little researches have been conducted on their mental health. Rumination might put family caregivers at risk for psychological distress during the caregiving, such as stress and anxiety. The aim of the present study was to explore the relationship between rumination, stress and anxiety among family caregivers of breast cancer patients in China and examine the mediating role of avoidant coping in this relationship.
Methods
Face‐to‐face questionnaire interviews were conducted with a sample of 99 caregivers from the public oncology hospital. They were assessed with stress, anxiety, rumination and avoidant coping by Chinese Perceived Stress Scale, Zung's Self‐Rating Anxiety Scale, Ruminative Responses Scale and Coping Strategy Indicator. Structural equation modelling was applied to assess the mediation analysis.
Results
The reporting scores of participants indicated the incidence of anxiety was 17.2%. Rumination could directly predict stress (β = 0.58, p < 0.01) and anxiety (β = 0.46, p < 0.01) and also predict stress and anxiety via the mediator of avoidant coping (stress: β = 0.087, p < 0.01; anxiety: β = 0.109, p < 0.01).
Conclusions
The important role played by family caregivers in supporting breast cancer patients is well recognised. The findings suggested that rumination and avoidant coping may be two critical risk factors for family caregivers of breast cancer developing stress and anxiety. This study highlights the importance of preventing avoidant coping, which plays a critical role for developing interventions for this vulnerable group.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>34658090</pmid><doi>10.1111/ecc.13523</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5673-9416</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adaptation, Psychological Anxiety avoidant coping Breast cancer Breast Neoplasms Caregivers Coping family caregivers Female Humans Mental Health Multivariate statistical analysis Patients Psychological stress Risk analysis Risk factors Rumination Stress Stress, Psychological - epidemiology |
| title | Avoidant coping as mediator of the relationship between rumination and mental health among family caregivers of Chinese breast cancer patients |
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