The Effect of Breast Cancer Survivors’ Body Image on Posttraumatic Stress Disorder and Posttraumatic Growth: The Mediating Effect of Rumination

Abstract

Abstract: This study aimed to explore the potential mediating role of rumination in the relationship between body image and post-traumatic stress disorder (PTSD) and posttraumatic growth (PTG) among Chinese breast cancer survivors. We used the Body Image Scale (BIS), the Cognitive Emotion Regulation Questionnaire-Chinese Version (CERQ-C), the PTSD Symptom Scale (PSS), and the Posttraumatic Growth Inventory (PTGI) to explore the possible mediation linkage. One hundred and fifty postoperative breast cancer patients were recruited in this study. The results showed that: 1) the body image positively predicted PTSD and PTG; 2) the rumination played a mediating role in the association between body image and intrusive symptoms and avoidance symptoms of PTSD, but the rumination did not mediate the relation of body image and PTG. The results demonstrate that body image could not only positively predict the PTSD and PTG of breast cancer survivors, but also influence PTSD through the possible mediating effect of rumination.

Key words: posttraumatic stress disorder, posttraumatic growth, body image, rumination, breast cancer survivor

摘要： 为探讨乳腺癌患者反刍这一认知情绪调节方式在体象和创伤后应激障碍（PTSD）、创伤后成长（PTG）之间的中介作用，采用体象量表（BIS）、认知情绪调节问卷中文版（CERQ-C）、创伤后应激障碍量表（PSS）和创伤后成长问卷（PTGI）对150名乳腺癌术后患者进行研究。结果发现：（1）乳腺癌患者的体象可以正向预测PTSD和PTG；（2）乳腺癌患者的反刍在体象和PTSD的闯入性症状、回避性症状中起中介作用，在体象与PTG中的中介作用不显著。结果表明，体象既可以正向预测乳腺癌患者的PTSD和PTG，也可以通过反刍的中介作用影响PTSD。

关键词: 创伤后应激障碍, 创伤后成长, 体象, 反刍, 乳腺癌患者

CLC Number:

B849

SUN Xiaoran, ZHAO Yue, LI Wenhao, AN Yuanyuan. The Effect of Breast Cancer Survivors’ Body Image on Posttraumatic Stress Disorder and Posttraumatic Growth: The Mediating Effect of Rumination[J]. Studies of Psychology and Behavior, 2020, 18(5): 693-699.

孙小然, 赵悦, 李文浩, 安媛媛. 术后乳腺癌患者体象对创伤后应激障碍和创伤后成长的影响：反刍的中介作用[J]. 心理与行为研究, 2020, 18(5): 693-699.

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