扭转局面：癌症手术后的获益发现

Turning the tide: benefit finding after cancer surgery.

作者信息

Schulz Ute, Mohamed Nihal E

机构信息

Freie Universität, Berlin, Germany.

出版信息

Soc Sci Med. 2004 Aug;59(3):653-62. doi: 10.1016/j.socscimed.2003.11.019.

DOI:10.1016/j.socscimed.2003.11.019

PMID:15144772

Abstract

Post-traumatic growth and benefit finding after adverse life events are emerging topics in stress and coping research. This study examined personal and social resources of cancer patients and their perception of positive life changes as a consequence of illness. In addition, the mediating role of coping strategies (acceptance and social comparison) was investigated. One month after tumor surgery, 105 cancer patients completed measures of social support and self-efficacy. Coping was assessed half a year after surgery, while benefit finding was examined 12 months post-surgery. Correlational and path analyses showed a link between personal resources (self-efficacy) as well as social resources (received social support) and benefit finding. The effect of self-efficacy disappeared when coping was specified as a mediator between the resources and benefit finding. Social support retained a direct effect on benefit finding. The results emphasize the predictive quality of resources for recovery and adjustment after surgery and the mediating role of coping. Findings are discussed with regard to recent developments in the study of post-traumatic growth.

摘要

创伤后成长以及在经历不良生活事件后发现益处是压力与应对研究中新兴的课题。本研究考察了癌症患者的个人资源和社会资源，以及他们对疾病所致积极生活变化的认知。此外，还探究了应对策略（接受和社会比较）的中介作用。肿瘤手术后一个月，105名癌症患者完成了社会支持和自我效能的测量。应对情况在术后半年进行评估，而发现益处则在术后12个月进行考察。相关分析和路径分析表明，个人资源（自我效能）以及社会资源（获得的社会支持）与发现益处之间存在联系。当将应对作为资源与发现益处之间的中介时，自我效能的影响消失了。社会支持对发现益处仍具有直接影响。研究结果强调了资源对术后恢复和调整的预测作用以及应对的中介作用。结合创伤后成长研究的最新进展对研究结果进行了讨论。