Jarrett S R, Ramirez A J, Richards M A, Weinman J
Imperial Cancer Research Fund, Guy's Hospital, London, U.K.
J Psychosom Res. 1992 Sep;36(6):593-602. doi: 10.1016/0022-3999(92)90044-3.
The emotional distress associated with breast cancer varies between individual women. These variations may be accounted for by differences in cognitive and behavioural coping responses to diagnosis. This study has attempted to develop a reliable, situation-specific approach to the measurement of coping responses in women with breast cancer. It has adapted a general coping questionnaire and modified an interview-based schedule for coping with cancer. The strengths and weaknesses of the interview and self-report methods of assessment are highlighted. Consistent results from these complementary approaches have been obtained. Both indicate the extensive use of cognitive avoidance and positive reappraisal. It has been shown that the majority of patients use a wide repertoire of coping responses which challenges the notion of mutually exclusive coping styles. These measures may be employed to examine the relationship between women's thoughts and behaviours in response to the diagnosis and treatment of breast cancer and subsequent psychological outcome.
与乳腺癌相关的情绪困扰在不同女性个体之间存在差异。这些差异可能是由对诊断的认知和行为应对反应的不同所导致的。本研究试图开发一种可靠的、针对具体情况的方法来测量乳腺癌女性的应对反应。它改编了一份通用的应对问卷，并修改了一份基于访谈的应对癌症的时间表。突出了访谈和自我报告评估方法的优缺点。从这些互补方法中获得了一致的结果。两者都表明认知回避和积极重新评价的广泛使用。研究表明，大多数患者使用多种应对反应，这对相互排斥的应对方式这一概念提出了挑战。这些措施可用于研究女性在应对乳腺癌诊断和治疗及后续心理结果时的思维与行为之间的关系。
