Carver Charles S, Smith Roselyn G, Antoni Michael H, Petronis Vida M, Weiss Sharlene, Derhagopian Robert P
Department of PsychologyUniversity of Miami, Miami, FL 33124-2070, USA.
Health Psychol. 2005 Sep;24(5):508-16. doi: 10.1037/0278-6133.24.5.508.
In considering well-being among survivors of life-threatening illnesses such as breast cancer, 2 important questions are whether there is continuity between initial adjustment and longer term adjustment and what role personality plays in long-term adjustment. In this research, a sample of 163 early stage breast cancer patients whose psychosocial adjustment was first assessed during the year after surgery completed the same measures 5-13 years after surgery. Initial reports of well-being were relatively strong predictors of follow-up well-being on the same measures. Initial optimism and marital status also predicted follow-up adjustment, even controlling for earlier adjustment, which exerted a substantial unique effect in multivariate analyses. In contrast, initial medical variables played virtually no predictive role. There is substantial continuity of subjective well-being across many years among survivors of breast cancer, rooted partly in personality and social connection.
在考虑诸如乳腺癌等危及生命疾病幸存者的幸福感时，有两个重要问题：一是初始调整与长期调整之间是否存在连续性，二是个性在长期调整中扮演何种角色。在本研究中，163名早期乳腺癌患者样本在术后一年内首次接受心理社会调整评估，术后5至13年再次完成相同测量。幸福感的初始报告是同一测量中随访幸福感的相对有力预测指标。初始乐观情绪和婚姻状况也能预测随访调整情况，即使在控制了早期调整因素后依然如此，早期调整因素在多变量分析中具有显著独特作用。相比之下，初始医学变量几乎没有预测作用。乳腺癌幸存者多年来主观幸福感存在显著连续性，部分源于个性和社会联系。
