Iwamitsu Yumi, Shimoda Kazutaka, Abe Hajime, Tani Toru, Okawa Masako, Buck Ross
Department of Medical Psychology, Graduate School of Medical Sciences, Kitasato University, kanagawa, Japan.
Health Commun. 2005;18(3):201-15. doi: 10.1207/s15327027hc1803_1.
Our objective was to investigate differences in emotional distress between negative emotional suppression and expression patients in the progress of medical treatment, including the operation. We studied the differences in affective response between patients who suppress negative emotion and those who express negative emotion by using Profile of Mood States (McNair, Lorr, & Droppleman, 1971) at four sessions: (a) at the first visit to the clinic, (b) immediately after being told the diagnosis of breast cancer, (c) after the operation, and (d) at 3 months after discharge. Our results showed that emotional suppression patients tended to report more emotional distress (in particular, anxiety, depression, and anger) than did emotional expression patients on 3 sessions, the exception being after the operation. Also, patients who suppress anger and anxiety felt strong psychological distress. We suggest that it is essential to encourage suppressive patients to express both negative and positive emotion clearly and appropriately.
我们的目标是调查在包括手术在内的治疗过程中,负面情绪抑制型患者和情绪表达型患者在情绪困扰方面的差异。我们通过使用情绪状态剖面图(麦克奈尔、洛尔和德罗普尔曼,1971年),在四个阶段研究了抑制负面情绪的患者和表达负面情绪的患者在情感反应上的差异:(a)首次到诊所就诊时;(b)被告知患有乳腺癌后立即进行;(c)手术后;(d)出院后3个月。我们的结果表明,在三个阶段中,情绪抑制型患者往往比情绪表达型患者报告更多的情绪困扰(特别是焦虑、抑郁和愤怒),手术阶段除外。此外,抑制愤怒和焦虑的患者会感到强烈的心理困扰。我们建议,鼓励抑制型患者清晰、适当地表达负面和正面情绪至关重要。