Roesch Scott C, Adams Linda, Hines Amanda, Palmores Alan, Vyas Pearlin, Tran Cindy, Pekin Shannon, Vaughn Allison A
Department of Psychology, San Diego State University, San Diego, CA 92182-4611, USA.
J Behav Med. 2005 Jun;28(3):281-93. doi: 10.1007/s10865-005-4664-z.
The present meta-analytic review assessed the relations between coping categories and indices of adjustment in men with prostate cancer. Relevant methodological and statistical information was extracted from 33 target studies (n = 3,133 men with prostate cancer). Men with prostate cancer who used approach, problem-focused, and emotion-focused coping were healthier both psychologically and physically, although the effect sizes for problem-focused coping and emotion-focused coping were more modest. For approach coping these effect sizes were particularly strong for measures of self-esteem, positive affect, depression, and anxiety. Conversely, men with prostate cancer who used avoidance coping experienced heightened negative psychological adjustment and physical health, and particularly for measures of positive mood and physical functioning. The findings of this study suggest that active approaches to coping with prostate cancer are beneficial psychologically, physically, and are positively associated with a return to pre-cancer activities.
本荟萃分析综述评估了前列腺癌男性患者应对方式类别与适应指标之间的关系。从33项目标研究（n = 3133名前列腺癌男性患者）中提取了相关的方法学和统计信息。采用积极应对、问题聚焦应对和情绪聚焦应对的前列腺癌男性患者在心理和生理上都更健康，尽管问题聚焦应对和情绪聚焦应对的效应量相对较小。对于积极应对，这些效应量在自尊、积极情绪、抑郁和焦虑测量方面尤为显著。相反，采用回避应对的前列腺癌男性患者心理适应和身体健康状况较差，尤其是在积极情绪和身体机能测量方面。本研究结果表明，积极应对前列腺癌的方式在心理和生理上都是有益的，并且与恢复癌症前的活动呈正相关。
