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情感表达性应对方式可预测乳腺癌患者的心理和生理适应情况。

Emotionally expressive coping predicts psychological and physical adjustment to breast cancer.

作者信息

Stanton A L, Danoff-Burg S, Cameron C L, Bishop M, Collins C A, Kirk S B, Sworowski L A, Twillman R

机构信息

Department of Psychology, University of Kansas, Lawrence 66045-2160, USA.

出版信息

J Consult Clin Psychol. 2000 Oct;68(5):875-82.

PMID:11068973
Abstract

This study tested the hypothesis that coping through emotional approach, which involves actively processing and expressing emotions, enhances adjustment and health status for breast cancer patients. Patients (n = 92) completed measures within 20 weeks following medical treatment and 3 months later. Women who, at study entry, coped through expressing emotions surrounding cancer had fewer medical appointments for cancer-related morbidities, enhanced physical health and vigor, and decreased distress during the next 3 months compared with those low in emotional expression, with age, other coping strategy scores, and initial levels on dependent variables (except medical visits) controlled statistically. Expressive coping also was related to improved quality of life for those who perceived their social contexts as highly receptive. Coping through emotional processing was related to one index of greater distress over time. Analyses including dispositional hope suggested that expressive coping may serve as a successful vehicle for goal pursuit.

摘要

本研究检验了以下假设

通过情绪应对方式(即积极处理和表达情绪)进行应对,可增强乳腺癌患者的适应能力和健康状况。92名患者在接受治疗后的20周内及3个月后完成了相关测量。与情绪表达较少的患者相比,在研究开始时通过表达与癌症相关情绪来应对的女性,在接下来的3个月中,因癌症相关疾病而进行的医疗预约较少,身体健康和活力增强,痛苦减轻,年龄、其他应对策略得分以及因变量的初始水平(医疗就诊除外)在统计上得到了控制。对于那些认为自己的社交环境高度接纳自己的人来说,表达性应对也与生活质量的提高有关。随着时间的推移,通过情绪处理进行应对与更高程度的痛苦的一个指标有关。包括特质希望在内的分析表明,表达性应对可能是追求目标的一种成功方式。

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