TY - JOUR AU - Batenburg, Anika AU - Das, Enny PY - 2014 DA - 2014/11/28 TI -乳腺癌患者情绪应对及在线同伴主导支持小组参与的影响:一项纵向研究JO - J Med Internet Res SP - e256 VL - 16 IS - 11 KW -互联网KW -乳腺肿瘤KW -自助团体KW -社会支持KW -在线系统KW -情绪AB -背景:之前关于在线同伴支持对癌症患者心理健康影响的研究显示了不同的结果。有必要进行纵向研究，解释在线同伴领导的支持团体是否有益，以及何时有益。患者如何应对癌症诊断带来的情绪可能会影响在线参与的有效性。情绪处理是一种包含有意识地使用情绪处理和情绪表达来努力管理不利环境的结构。目的:在本纵向研究中，我们假设先前研究的混合结果部分是由个体应对情绪的差异引起的，这可能会调节网络支持小组参与对患者幸福感的影响。方法:共有133名荷兰乳腺癌患者填写了一份基线(T0)和随访(T1, 6个月后)问卷，评估在线支持社区的在线参与程度、情绪处理(即积极处理和表达情绪)和心理健康(抑郁、情绪健康和乳腺癌相关担忧)。有109名患者在两个时间点都访问了在线支持社区。重复测量方差分析评估了幸福感随时间的变化。结果:时间、网络参与强度和情绪方式应对对情绪幸福感有三向交互作用(F1,89=4.232, P=。04， η2ρ=.045)和抑郁(F1,88=8.167, P=。005年,η2ρ= .085)。 Online support group participation increased emotional well-being over time for patients who scored low on emotional approach coping at T0, provided that they were highly active online. Patients who were highly active online with a high score on emotional approach coping reported no change in sense of well-being, but showed the highest score on well-being overall. Participating less frequently online was only beneficial for patients who scored high on emotional approach coping, showing an increase in well-being over time. Patients participating less frequently and with a low score on emotional approach coping reported no significant change in well-being over time. Conclusions: This study extends previous findings on the effects of online peer support in two ways: by testing changes in well-being as a function of intensity of online support group participation and by examining the role of individual differences in emotional coping styles. Findings showed no negative effects of intense support group participation. Participating frequently online was especially helpful for patients who approach their emotions less actively; their emotional well-being increased over time. In contrast, frequent online users who actively approach their emotions experienced no change in well-being, reporting highest levels of well-being overall. For patients who participate less intensively within the support community, coping style seems to outweigh effects of online participation; over time, patients who actively approached emotions experienced an increase in psychological well-being, whereas patients with a low score on emotional approach coping reported no change in depression and emotional well-being. SN - 1438-8871 UR - //www.mybigtv.com/2014/11/e256/ UR - https://doi.org/10.2196/jmir.3517 UR - http://www.ncbi.nlm.nih.gov/pubmed/25474819 DO - 10.2196/jmir.3517 ID - info:doi/10.2196/jmir.3517 ER -