Dowling Jacqueline S, Hockenberry Marilyn, Gregory Richard L
University of Massachusetts Lowell Department of Nursing, Lowell, MA 01854-5126, USA.
J Pediatr Oncol Nurs. 2003 Nov-Dec;20(6):271-92. doi: 10.1177/1043454203254046.
The diagnosis, treatment, and side effects of childhood cancer have been described as extremely stressful experiences in the life of a child. Anecdotally, children report that a sense of humor helps them cope with the daily experiences of living with cancer; however, no research has examined sense of humor and childhood cancer stressors. This study investigated the effect of sense of humor on the relationship between cancer stressors and children's psychosocial adjustment to cancer, immune function, and infection using Lazarus and Folkman's theory of stress, appraisal, and coping. A direct relationship was observed between sense of humor and psychosocial adjustment to cancer, such that children with a high sense of humor had greater psychological adjustment, regardless of the amount of cancer stressors. A moderating effect was observed for incidence of infection. As childhood cancer stressors increase, children with high coping humor scores reported fewer incidences of infection than low scorers.
儿童癌症的诊断、治疗及副作用被描述为儿童生活中极具压力的经历。据传闻，孩子们表示幽默感有助于他们应对患癌后的日常经历；然而，尚无研究探讨幽默感与儿童癌症应激源之间的关系。本研究运用拉扎勒斯和福克曼的压力、评估及应对理论，调查了幽默感对癌症应激源与儿童癌症心理社会适应、免疫功能及感染之间关系的影响。研究观察到幽默感与癌症心理社会适应之间存在直接关系，即幽默感较强的儿童心理调适更好，无论癌症应激源的数量多少。对于感染发生率观察到了调节效应。随着儿童癌症应激源的增加，应对幽默得分高的儿童报告的感染发生率低于得分低的儿童。
