Spiegel D
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305-5718, USA.
J Psychosom Res. 2001 May;50(5):287-90. doi: 10.1016/s0022-3999(00)00200-2.
The idea that having an 'attitude' about cancer makes a difference in its course is a popular but controversial one. Most oncologists and surgeons believe that tumor type and stage, general health, and medical treatment are all that account for the variance in outcome. Many patients and their families believe that having the right attitude makes a difference in the course of disease. This leads us to two empirical questions: (1) Does coping make a difference in disease progression when medical prognostic variables are taken into account? and (2) What constitutes the 'right attitude'?
认为对癌症持有某种“态度”会对其病程产生影响，这一观点虽广为人知但颇具争议。大多数肿瘤学家和外科医生认为，肿瘤类型和分期、总体健康状况以及医疗治疗是决定预后差异的全部因素。许多患者及其家属认为，拥有正确的态度会对疾病进程产生影响。这就引出了两个实证问题：（1）在考虑医学预后变量的情况下，应对方式是否会对疾病进展产生影响？以及（2）什么构成“正确的态度”？
