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[控制点在女性生殖器癌疾病适应过程中的重要性]

[Importance of locus of control in the disease adjustment process in women with genital cancer].

作者信息

Hofwartner B, Egger J, Greimel E, Freidl W, Lahousen M

机构信息

Universitätsklinik für Medizinische Psychologie und Psychotherapie, Graz.

出版信息

Wien Klin Wochenschr. 1992;104(13):391-5.

PMID:1636262
Abstract

This study deals with psychological aspects of coping observed in gynecological cancer patients--on the one hand with behavioral, emotional and cognitive reactions to the disease and on the other hand with the efficiency value of these mechanisms in handling the disease. As one important aspect, the attitude towards control of the disease should be correlated with the coping process. Accordingly, the results demonstrate a correlation between high self-responsibility and positive appraisal of the disease: Women who believe they are in control of the disease try harder to fight the disease and interpret their own situation more positively than women with a fatalistic attitude and this enables them to make more sense of the disease; they experience more positive changes in their own lifestyle due to the disease. Furthermore, women who ascribe responsibility for the course of the disease to other interpret their situation in a more positive light. They actively search for social support and obviously experience this trust in the power of other people as a helpful measure. A fatalistic attitude to the disease is combined with rumination and social withdrawal.

摘要

本研究探讨了妇科癌症患者应对疾病的心理层面——一方面是对疾病的行为、情感和认知反应,另一方面是这些应对机制在应对疾病方面的效能值。作为一个重要方面,对疾病控制的态度应与应对过程相关联。相应地,研究结果表明高度的自我责任感与对疾病的积极评价之间存在关联:认为自己能够控制疾病的女性比持宿命论态度的女性更努力地与疾病作斗争,并且对自己的处境有更积极的解读,这使她们能更好地理解疾病;由于疾病,她们在自身生活方式上经历了更多积极的改变。此外,将疾病进程的责任归咎于他人的女性对自身处境的解读更为积极。她们积极寻求社会支持,显然将这种对他人力量的信任视为一种有益的措施。对疾病持宿命论态度则与反复思考和社交退缩相关联。

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