رابطه علی استرس ادراک شده، حمایت اجتماعی ادراک شده و تاب آوری با سازگاری عاطفی با میانجی گری رضایت از زندگی بیماران مبتلا به سرطان پستان

Abstract

Background and Objective: Cancer as a negative stress factor will have a severe impact on patients' mental and physical health. The aim of this study was to investigate the causal relationship between perceived stress, perceived social support, and resilience with emotional adjustment mediated by life satisfaction among breast cancer patients. Materials and Methods: In this descriptive-correlational study, this study's statistical population was 420 patients with cancer patients referred to Tehran hospitals from October to December 2017. By purposeful sampling method, 200 people were selected as the sample through Cochran's formula. The instruments used in this study were the Perceived Stress Scale, Perceived Social Support, Resilience, Emotional Adjustment, and Life Satisfaction Questionnaire. The evaluation of the proposed model was performed using the path analysis method. Correlation tests such as the Pearson correlation coefficient and regression test were used to test the relationships. Correlation tests such as the Pearson correlation coefficient and structural equation modeling were used to test the relationships using SPSS software version 23 and AMOS software version 23. Results: With increasing perceived stress with a mean (SD) of 24.2 (8.7), emotional adjustment with a mean (SD) decreased by 14.9 (4.8), P<0.01. With increasing perceived social support with a mean (SD) of 61.5 (17.9), emotional adjustment increases, P<0.01. With increasing resilience with a mean (SD) of 60.3 (17.3), emotional adjustment increases, P<0.01. With increasing perceived stress, life satisfaction decreases with a mean (SD) of 20.6 (6.9), P<0.01. With the increase of perceived social support, life satisfaction increases, P<0.01. With increasing resilience, life satisfaction increases, P<0.01. With increasing life satisfaction, emotional adjustment increases, P<0.01. Life satisfaction played a mediating role in the relationship between perceived social support, perceived stress, and resilience with life satisfaction, so that emotional adjustment increased with the direct effect of perceived social support (β=0.23) and resilience (β=0.14) and the inverse effect of perceived stress (β=-0.28) on life satisfaction. Conclusion: The study showed that with increasing perceived social support and resilience, emotional adjustment increased. Also, emotional adjustment decreased with increasing perceived stress. Life satisfaction played a mediating role in the relationship between perceived social support, perceived stress, and resilience with life satisfaction so that emotional adjustment increased with the direct effect of perceived social support and resilience and the inverse effect of perceived stress on life satisfaction.