Volume 21 Issue 1
Jan.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(1): 154-158
XIE Chang-hua, DAI Yu, ZHOU Li-hua, WANG Xin-yan. Relationship between forgiveness and general well-being in patients with thyroid cancer: multiple mediating effects of hope and positive coping[J]. Chinese Journal of General Practice, 2023, 21(1): 154-158. doi: 10.16766/j.cnki.issn.1674-4152.002834
Citation: XIE Chang-hua, DAI Yu, ZHOU Li-hua, WANG Xin-yan. Relationship between forgiveness and general well-being in patients with thyroid cancer: multiple mediating effects of hope and positive coping[J]. Chinese Journal of General Practice, 2023, 21(1): 154-158. doi: 10.16766/j.cnki.issn.1674-4152.002834
shu

Relationship between forgiveness and general well-being in patients with thyroid cancer: multiple mediating effects of hope and positive coping

doi: 10.16766/j.cnki.issn.1674-4152.002834
  • 1.

    Third Department of General Surgery of Suzhou Hospital Affiliated to Anhui Medical University, Suzhou, Anhui 234000, China

Funds:

 KJ2017A828

 宿科技[2020]65号

  • Received Date: 2021-07-11
    Abstract
  •   Objective   To explore the relationship among hope, positive coping, forgiveness and subjective well-being of thyroid cancer patients, and to test the multiple mediating effect of hope and positive coping between forgiveness and general well-being, so as to provide scientific basis for formulating intervention programs to improve the level of general well-being of thyroid cancer patients.  Methods   A total of 177 patients with thyroid cancer in the Third Department of Gneral Surgery of Suzhou Hospital Affiliated to Anhui Medical University from May 2019 to March 2021 were selected. They were surveyed by simple coping style scale (SCSS), general well-being scale (GWB), Herth hope index (HHI), and Heartland forgiveness scale (HFS). The structural equation model was established, and the mediation effect test was performed by Bootstrapping method.  Results   (1) The scores of forgiveness, hope, positive coping and general well-being of patients with thyroid cancer were (103.97±20.45), (34.76±3.78), (15.38±5.78) and (57.50±10.10) points respectively. (2) Forgiveness was positively correlated with hope, positive coping and general well-being (r=0.229, 0.513, 0.480, all P < 0.01); hope was positively correlated with positive coping and general well-being (r=0.278, 0.390, all P < 0.01); positive coping was positively correlated with general well-being (r=0.508, P < 0.01). (3) Multiple mediation effect model analysis showed that the level of forgiveness had a significant direct effect on the general well-being of patients with thyroid cancer. Hope and positive coping style had concurrent multiple mediating effect between forgiveness and general well-being (95% CI: 0.132-0.409). The total effect was 0.62; the direct effect was 0.35, and the total mediation effect was 0.27. The mediating effect accounts for 43.5% of the total effect.  Conclusion   Forgiveness can directly affect the general well-being. It can also influence the general well-being through hope and positive coping style indirectly. Results of this study can provide a theoretical basis for the formulation of mental health intervention programs for patients with thyroid cancer.

     

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