Rowe Jennifer L, Montgomery Guy H, Duberstein Paul R, Bovbjerg Dana H
Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Behav Med. 2005 Spring;31(1):33-40. doi: 10.3200/BMED.31.1.33-42.
Although early detection is closely linked to survival of breast cancer, many women do not adhere to recommended screening guidelines. One of the most studied factors that contribute to women's screening behavior is their perceived risk of developing breast cancer. In this study, the authors examined contributions of general health locus of control and breast cancer-specific control to understanding perceived risk. Sixty-six healthy women with and without family histories of breast cancer participated in the study. The following were the central findings: (1) internal locus of control and breast cancer-specific control predicted perceived risk, as measured by the certainty of remaining free of breast cancer, and (2) breast cancer-specific control mediated the relationship between internal locus of control and perceived risk. Findings suggest that significant relations between health locus of control and perceived risk variables may be overlooked in the absence of situation-specific measures.
尽管早期检测与乳腺癌患者的生存率密切相关,但许多女性并未遵循推荐的筛查指南。众多研究的影响女性筛查行为的因素之一是她们对患乳腺癌风险的认知。在本研究中,作者考察了一般健康控制点和乳腺癌特异性控制点对理解感知风险的作用。66名有或无乳腺癌家族史的健康女性参与了该研究。主要发现如下:(1)内控点和乳腺癌特异性控制点可预测感知风险,通过保持无乳腺癌的确信度来衡量;(2)乳腺癌特异性控制点介导了内控点与感知风险之间的关系。研究结果表明,在缺乏特定情境测量的情况下,健康控制点与感知风险变量之间的显著关系可能会被忽视。