Open AccessRelationship between Mindfulness and Psychological Distress in Patients with Hepatocellular Carcinoma: The Mediation Effect of Self-regulation
Author(s) -
Zengxia Liu,
Min Li,
Yong Jia,
Shuo Wang,
Cong Wang,
Li Chen
Publication year - 2021
Publication title -
american journal of health behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.591
H-Index - 68
eISSN - 1945-7359
pISSN - 1087-3244
DOI - 10.5993/ajhb.45.6.8
Subject(s) - mindfulness , mediation , clinical psychology , psychology , distress , moderated mediation , psychological distress , facet (psychology) , anxiety , structural equation modeling , multilevel model , psychiatry , personality , big five personality traits , social psychology , statistics , mathematics , machine learning , political science , computer science , law
Objectives: In this study, we examine the relationship among mindfulness, psychological distress, and self-regulation, to determine whether self-regulation plays a mediating role in the relationship between mindfulness and psychological distress among patients with hepatocellular carcinoma (HCC). Methods:Participants completed questionnaires including the Hospital Anxiety and Depression Scale (HADS), the Five-facet Mindfulness Questionnaire (FFMQ), and the Self-regulation Scale (SRS). We used structural equation modeling to analyze the relationships among psychological distress, mindfulness, and self-regulation, with self-regulation as a mediator. Results:We found that psychological distress is negatively associated with both mindfulness (r = -0.687, p < .001) and self-regulation (r = -0.629, p < .001), and mindfulness is positively associated with self-regulation (r = 0.534, p < .001). The model indicates that mindfulness has direct impact on self-regulation (β = 0.570, p < .001) and psychological distress (β = -0.685, p < .001). Self-regulation asserts a certain mediation effect on the relationship between mindfulness and psychological distress. A bootstrap test suggests perceived stress has a mediation effect on mindfulness and psychological distress (95% CI: -0.299, -0.134, p < .001), accounting for 23.6% of total effect. Conclusions: Psychological distress is common in HCC patients. The mediation effect of self-regulation provides a reference for discussing possible correlations between mindfulness and psychological distress.