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Analysis of the Mediating Effect of Psychological Flexibility on Death Anxiety and Quality of Life in Cancer Patients
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作者 Wei Wang Hamdan Mohd Salleh Ng Ming Yip 《Proceedings of Anticancer Research》 2025年第3期54-61,共8页
Objective:To analyze the mediating effect of psychological flexibility between death anxiety and quality of life in cancer patients.Methods:A convenience sampling method was used to select cancer patients who received... Objective:To analyze the mediating effect of psychological flexibility between death anxiety and quality of life in cancer patients.Methods:A convenience sampling method was used to select cancer patients who received treatment at our hospital from January 2022 to January 2024,by the inclusion and exclusion criteria.General information,psychological flexibility,death anxiety,and quality of life scores were collected for analysis.Result:The psychological flexibility and quality of life scores of cancer patients with an annual family income≤100,000 RMB were significantly lower than those of cancer patients with an annual family income>100,000 RMB(P<0.05),while the death anxiety scores were significantly lower for the former group as well(P<0.05).Cancer patients staged as Ⅰ-Ⅱ had significantly higher psychological flexibility and quality of life scores than those staged as Ⅲ-Ⅳ(P<0.05),while their death anxiety scores were significantly lower(P<0.05).Psychological flexibility in cancer patients was negatively correlated with death anxiety(r=-0.614,P<0.05)and positively correlated with quality of life(r=0.628,P<0.05),while death anxiety was negatively correlated with quality of life(r=-0.112,P<0.05).The direct effect of death anxiety on quality of life was-0.232,accounting for 58.32%of the total effect.The mediating effect of psychological flexibility between death anxiety and quality of life was-0.218,accounting for 41.83%of the total effect.Conclusion:Death anxiety can directly affect the quality of life of cancer patients,and it can also indirectly affect the quality of life through psychological flexibility.Clinicians should promptly address patients’death anxiety and provide interventions to enhance psychological flexibility,thereby improving the quality of life. 展开更多
关键词 psychological flexibility Cancer patients Death anxiety Quality of life Mediating effect
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Effects of different intervention methods on psychological flexibility,negative emotions and sleep quality in chronic hepatitis B 被引量:1
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作者 Ying Zheng Xiao-Wei Wang Chen-Xi Xia 《World Journal of Psychiatry》 SCIE 2023年第10期753-762,共10页
BACKGROUND Patients with chronic hepatitis B(CHB)experience various problems,including low psychological flexibility,negative emotions,and poor sleep quality.Therefore,effective nursing interventions are required to r... BACKGROUND Patients with chronic hepatitis B(CHB)experience various problems,including low psychological flexibility,negative emotions,and poor sleep quality.Therefore,effective nursing interventions are required to reduce adverse events.Acceptance and commitment therapy(ACT)combined with enabling cognitivebehavioral education(ECBE)can improve patients'psychological and sleep.Therefore,we speculate that this may also be effective in patients with CHB.AIM To investigate the effects of different intervention methods on psychological flexibility,negative emotions,and sleep quality in patients with CHB.METHODS This retrospective study examined clinical and evaluation data of 129 patients with CHB.Intervention methods were divided into a conventional group(routine nursing,n=69)and a combination group(ACT combined with ECBE,n=60).We observed changes in psychological flexibility,negative emotions,sleep quality,and self-care ability in both groups.Observation items were evaluated using the Acceptance and Action Questionnaire-2nd Edition(AAQ-II),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Pittsburgh Sleep Quality Index(PSQI),and Exercise of Self-Care Agency Scale(ESCA).RESULTS Compared with the conventional group,the AAQ-II score of the combined group was lower(F_(between-group effect)=8.548;F_(time effects)=25.020;F_(interaction effects)=52.930;all P<0.001),the SAS score(t=5.445)and SDS score(t=7.076)were lower(all P<0.001),as were the PSQI dimensions(tsleep quality=4.581,tfall sleep time=2.826,tsleep time=2.436,tsleep efficiency=5.787,tsleep disorder=5.008,thypnotic drugs=3.786,tdaytime dysfunction=4.812);all P<0.05).The ESCA scores for all dimensions were higher(thealth knowledge level=6.994,t self-concept=5.902,tself-responsibility=19.820,tself-care skills=8.470;all P<0.001).CONCLUSION ACT combined with ECBE in patients with CHB can improve psychological flexibility and sleep quality,alleviate negative emotions,and improve self-care. 展开更多
关键词 Acceptance and commitment therapy Empowerment cognitive-behavioral education Chronic hepatitis B psychological flexibility Negative emotion Sleep quality
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Psychological flexibility, occupational burnout and eating behavior among working women 被引量:1
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作者 Nina Nevanpera Raimo Lappalainen +3 位作者 Eeva Kuosma Leila Hopsu Jukka Uitti Jaana Laitinen 《Open Journal of Preventive Medicine》 2013年第4期355-361,共7页
Background: Occupational burnout is associated with diminished psychological flexibility and higher emotional (EE) and uncontrolled eating (UE). Psychological flexibility could be a mediating factor between burnout an... Background: Occupational burnout is associated with diminished psychological flexibility and higher emotional (EE) and uncontrolled eating (UE). Psychological flexibility could be a mediating factor between burnout and eating behaviour. Objectives: To investigate differences in eating behaviour between those with different levels of psychological flexibility, and the association of the interaction between psychological flexibility and occupational burnout with eating behaviour. Design: The participants were working women (n = 263), who took part in the randomized controlled health intervention trial. Analyses were performed in a cross-sectional setting at baseline. Methods: Eating behaviour was measured using the Three Factor Eating Behaviour Questionnaire-18 [which evaluates EE, UE and cognitive restraint (CR)], psychological flexibility using Acceptance and Action Questionnaire-II and occupational burnout using Bergen Burnout Indicator-15. Participants were divided into four groups based on the quartile points of psychological flexibility. Results: The EE of those who were inflexible was higher than that of those whose flexibility was high moderate (p = 0.013) and who were flexible (p = 0.001). The UE of those who were inflexible was higher than the UE in the other groups with higher flexibility [low moderate (p = 0.034), high moderate (p een occupational burnout and EE and UE. Multivariate analysis of variances revealed that the combination of psychological flexibility and burnout had a stronger association with the variances of EE and UE than psychological flexibility alone. Conclusions: Persons who are psychologically inflexible have higher EE and UE. Future studies should investigate if increasing psychological flexibility helps decrease EE and UE. 展开更多
关键词 psychological flexibility Occupational Burnout Eating Behavior Emotional Eating Uncontrolled Eating Cognitive Restraint
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Dynamic nursing quality feedback model improves postoperative rehabilitation and psychological well-being in elderly colon cancer patients pres
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作者 Jiamei Wu Wenxiu Yang +2 位作者 Huiting Ji Yu Zhang Haotian Li 《Precision Nursing》 2025年第1期25-32,共8页
Objective:To investigate the impact of precise nursing care based on dynamic nursing quality feedback model on the postoperative recovery of elderly patients undergoing radical resection for colon cancer,with a partic... Objective:To investigate the impact of precise nursing care based on dynamic nursing quality feedback model on the postoperative recovery of elderly patients undergoing radical resection for colon cancer,with a particular focus on its effects on psychological flexibility.Methods:Medical records of 124 elderly patients undergoing radical resection for colon cancer at The First Affiliated Hospital of Baotou Medical College between January 2021 and May 2024 were retrospectively analyzed in this study.Based on the received nursing interventions,the patients were divided into a control group(standard nursing care)and an observation group(precise nursing care based on a dynamic nursing quality feedback model).Results:The observation group exhibited significantly higher levels of hemoglobin,prealbumin,and albumin compared to the control group.Additionally,the observation group had lower scores in somatization,interpersonal sensitivity,depression,anxiety,obsessions-compulsions,hostility,phobic anxiety,psychoticism,and paranoid ideation.The observation group also demonstrated higher scores in active coping,self-efficacy,and the management of emotions,life,and symptoms.Improvements were also observed in nursing quality,perioperative intervention,satisfaction with rehabilitation guidance,and awareness of regular reexaminations,diet intervention,and complication prevention(all with P<0.05).Conclusion:Precise nursing based on a dynamic nursing quality feedback model can improve nutritional status and medical coping style,reduce psychological issues,and enhance self-management abilities in elderly patients following radical resection of colon cancer.Additionally,it increases nursing satisfaction and raises awareness regarding the importance of regular reexaminations and complication prevention. 展开更多
关键词 Dynamic nursing quality feedback model accurate nursing radical resection of colon cancer in the elderly nutritional status psychological flexibility
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Deconstructive meditations and psychotherapy:Transforming the perception of the self
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作者 Paulina Lamas-Morales Rinchen Hijar-Aguinaga Javier Garcia-Campayo 《World Journal of Psychiatry》 2025年第6期67-78,共12页
Selfishness,understood as excessive focus on the self,appears to be a predominant feature of contemporary culture.While the degree of self-focus is adaptive for survival and decision-making,self-rigidity has been asso... Selfishness,understood as excessive focus on the self,appears to be a predominant feature of contemporary culture.While the degree of self-focus is adaptive for survival and decision-making,self-rigidity has been associated with significant psychological,interpersonal,and social costs.Throughout history,philosophers,religious leaders,and social activists have promoted a“hypo-egoic”way of being,characterized by reduced self-fixation and greater openness to others.However,a key question arises:How can one cultivate a more flexible and interdependent perspective on the self?Deconstructive meditations are a group of contemplative practices that aim to dismantle self-rigidity by exploring perception,cognition,and emotion.Their central mechanism is self-inquiry,an experiential process that involves directly observing patterns of the self,questioning the solidity of identity,and developing new ways to relate to experience.From the perspective of contemplative neuroscience,these practices have been shown to reduce selfnarrative identification and promote psychological flexibility.Despite their potential,empirical research on deconstructive meditations remains limited and requires further investigation.This article reviews the essential findings on practices,their connection to psychotherapy,and their potential therapeutic applications.Finally,their clinical implications are discussed along with future research directions to validate their impact on mental health. 展开更多
关键词 Deconstructive meditations PSYCHOTHERAPY SELF-IDENTITY Ego dissolution psychological flexibility Enactive cognition Buddhist psychology Self-referential processing Nondual awareness Contemplative neuroscience
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Pain Catastrophizing Related to Psychological Inflexibility, Self‑Reported Injuries and Perfectionism in Soccer Referees
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作者 Félix Arbinaga 《Journal of Science in Sport and Exercise》 2025年第1期84-96,共13页
Purpose This study aimed to analyze how psychological flexibility,perfectionism,and reported injuries are related to pain catastrophizing in soccer referees.Methods Design:This was a descriptive cross-sectional study.... Purpose This study aimed to analyze how psychological flexibility,perfectionism,and reported injuries are related to pain catastrophizing in soccer referees.Methods Design:This was a descriptive cross-sectional study.Setting:Data were collected online from 199 soccer referees.Pain catastrophizing was assessed with the Pain Catastrophizing Scale,psychological inflexibility with the Acceptance and Action Questionnaire,and perfectionism with the Frost Multidimensional Perfectionism Scale.Data were also gathered on other injury-related variables.Results Referees with medium–high scores on psychological inflexibility showed greater pain catastrophizing(t=5.322,P<0.001),rumination(t=4.004,P<0.001),helplessness(t=5.023,P<0.001)and magnification(t=5.590,P<0.001)than those with low scores.Psychological inflexibility emerged as a significant predictor of catastrophizing(β=0.313,P=0.006).A slight relationship was found between perfectionism and catastrophizing.For all subscales,the referees who reported mild–moderate injuries in the last three seasons showed greater pain catastrophizing,while those with severe injuries obtained higher scores on all dimensions of catastrophizing except magnification.Finally,those who reported severe injuries only obtained higher scores on rumination and helplessness.Conclusion These results provide a better understanding of the variables that influence pain perception.Possible interventions are suggested based on the observation that greater psychological flexibility was associated with lower pain catastrophizing,with the specific features of the latter depending on the presence and severity of the injury. 展开更多
关键词 FOOTBALL REFEREE PERFECTIONISM Pain catastrophizing INJURIES psychological flexibility
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Psychometric Properties of the Shortened Committed Action Questionnaire(CAQ-8):Evidence from Classical Test Theory and Network Analysis
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作者 Haiyan Hu Shuanghu Fang +1 位作者 Qilin Zheng Dongyan Ding 《International Journal of Mental Health Promotion》 2025年第1期65-76,共12页
Objectives:This study aimed to assess the reliability and validity of the abbreviated Committed Action Questionnaire(CAQ-8)in a cohort of 1635 Chinese university students.Methods:Participants completed the Chinese ver... Objectives:This study aimed to assess the reliability and validity of the abbreviated Committed Action Questionnaire(CAQ-8)in a cohort of 1635 Chinese university students.Methods:Participants completed the Chinese version of the CAQ-8 along with other standardized measures,including the Acceptance and Action Questionnaire-II(AAQ-II),the Valuing Questionnaire(VQ),the Satisfaction with Life Scale(SWLS),the Depression Anxiety Stress Scales(DASS-21),and the World Health Organization Fiveitem Well-Being Index(WHO-5).A retest was conducted one month later with 300 valid responses.Results:Exploratory factor analysis(n=818)identified a 2-factor structure,confirmed through validated factor analysis(n=817),showing good fit indices(CFI=0.990,RMSEA=0.040).Measurement equivalence across genders was established.The CAQ-8 showed significant positive correlations with life satisfaction,mental health,and values,and negative correlations with depression,anxiety,stress,and experiential avoidance.The scale demonstrated good internal consistency(Cronbach’sα=0.76)and retest reliability(ICC=0.70).Network analysis confirmed the robustness of the 2-factor model,with item 4 in CAQ-8 identified as a core item.Conclusion:The CAQ-8 is a reliable and valid tool for measuring committed action within the psychological flexibility model in Chinese populations. 展开更多
关键词 Acceptance and commitment therapy psychological flexibility committed action network analysis RELIABILITY validity
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Efficacy of “Acceptance and Commitment Therapy” Psychological Nursing in a Stroke Patient
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作者 Xinyu Wang Yune Liu +1 位作者 Fang Peng Jie Chen 《Yangtze Medicine》 2020年第4期293-301,共9页
<strong>Objective:</strong> To summarize 1 case of ACT (Acceptance and Commitment Therapy, as “ACT”) psychological nursing clinical experience. <strong>Method:</strong> ACT Application for ps... <strong>Objective:</strong> To summarize 1 case of ACT (Acceptance and Commitment Therapy, as “ACT”) psychological nursing clinical experience. <strong>Method:</strong> ACT Application for psychological nursing, provides detailed program guidance for psychological care. <strong>Results:</strong> Sleep quality, psychological flexibility and self-management ability of the patient have been improved. <strong>Conclusion:</strong> It’s the first time to apply ACT to the psychological nursing for a stroke patient, which has achieved good results;it provides a detailed clinical experience as guidance for the development of psychological nursing;it also provides a clinical basis for the follow-up exploration of psychological nursing technology model. 展开更多
关键词 STROKE psychological Nursing Acceptance and Commitment Therapy Sleep Quality psychological flexibility Self-Management Ability
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Effect of KAP Intervention Model on Resilience and Cancer-related Fatigue in Patients with Colorectal Cancer Undergoing Chemotherapy 被引量:1
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作者 Hui Zhang 《Journal of Clinical and Nursing Research》 2021年第1期94-96,共3页
Objective:To explore the effect of KAP intervention mode on resilience and cancer-related fatigue in patients with colorectal cancer undergoing chemotherapy.Methods:A prospective randomized trial was conducted.55 pati... Objective:To explore the effect of KAP intervention mode on resilience and cancer-related fatigue in patients with colorectal cancer undergoing chemotherapy.Methods:A prospective randomized trial was conducted.55 patients with colorectal cancer who received routine nursing from February 2018 to February 2019 were included in the control group,and 55 patients who received routine nursing+KAP intervention from March 2019 to March 2020 were included in the observation group.The scores of Resilience Scale and cancer-related fatigue scale(CFS)before and 6 months after intervention were compared between the two groups.Results:After 6 months of intervention,the score of resilience of the two groups was higher than that before intervention,and that of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05);The CFS score of the two groups was lower than that before intervention,and that of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:KAP intervention model can improve the resilience of patients with colorectal cancer chemotherapy,reduce cancerrelated fatigue. 展开更多
关键词 Colorectal cancer Knowledge attitude and practice model psychological flexibility Cancer related fatigue
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Application progress of Acceptance and Commitment Therapy in patients with permanent enterostomy 被引量:1
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作者 Zhao Wang Yue Wang +2 位作者 Zhang-Yi Wang Chao-Kai He Xiao-Li Pang 《TMR Non-Drug Therapy》 2022年第1期14-18,共5页
The psychosocial disorder of patients with enterostomy is still a huge challenge for the health systems.Acceptance and Commitment Therapy(ACT)has shown good results in permanent enterostomy in recent years.This paper ... The psychosocial disorder of patients with enterostomy is still a huge challenge for the health systems.Acceptance and Commitment Therapy(ACT)has shown good results in permanent enterostomy in recent years.This paper explores the current status regarding ACT for patients with enterostomy in recent years through a literature review approach.The findings can provide scientific evidence for researchers,clinical practitioners and policy makers in this field.The study concludes that as a new psychological intervention method,ACT can significantly reduce the negative emotions and complications of patients with enterostomy,and improve their psychological flexibility,stoma acceptance,psychosocial adaptability,self-care ability and quality of life. 展开更多
关键词 Acceptance and Commitment Therapy permanent enterostomy cognitive behavioral therapy psychological flexibility PSYCHOTHERAPY
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