Cordova M J, Cunningham L L, Carlson C R, Andrykowski M A
Department of Psychology, University of Kentucky, USA.
J Consult Clin Psychol. 2001 Aug;69(4):706-11.
This cross-sectional study of 70 breast cancer survivors examined relationships among social constraints, behavioral and self-report indicators of cognitive processing, depression, and well-being. On the basis of a social-cognitive processing (SCP) model, it was predicted that social constraints would inhibit cognitive processing of the cancer experience, leading to poorer adjustment. Constraints were positively associated with intrusions, avoidance, and linguistic uncertainty in cancer narratives. Greater uncertainty, intrusions, and avoidance, as well as less talking about cancer were associated with greater depression and less well-being. Intrusions partially mediated the positive constraints-depression relationship. Talking about cancer partially mediated the inverse avoidance-well-being relationship. Findings support the SCP model and the importance of using behavioral indicators of cognitive processing to predict positive and negative psychosocial outcomes of cancer.
这项针对70名乳腺癌幸存者的横断面研究考察了社会限制、认知加工的行为和自我报告指标、抑郁与幸福感之间的关系。基于社会认知加工（SCP）模型，研究预测社会限制会抑制对癌症经历的认知加工，导致适应能力较差。限制与癌症叙述中的侵入、回避和语言不确定性呈正相关。更大的不确定性、侵入和回避，以及更少谈论癌症，与更严重的抑郁和更低的幸福感相关。侵入部分介导了限制与抑郁之间的正向关系。谈论癌症部分介导了回避与幸福感之间的反向关系。研究结果支持了SCP模型，以及使用认知加工行为指标来预测癌症患者积极和消极心理社会结果的重要性。
