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癌症诊断与治疗后的心理调适:对积极和消极情绪表达的调节作用的考察

Psychological adjustment following diagnosis and treatment of cancer: an examination of the moderating role of positive and negative emotional expressivity.

作者信息

Quartana Phillip J, Laubmeier Kimberly K, Zakowski Sandra G

机构信息

Department of Psychology, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Road, North Chicago, Illinois 60064, USA.

出版信息

J Behav Med. 2006 Oct;29(5):487-98. doi: 10.1007/s10865-006-9069-0. Epub 2006 Aug 8.

DOI:10.1007/s10865-006-9069-0
PMID:16958005
Abstract

In support of cognitive processing models, emotional expression appears to reduce associations between intrusions and psychological distress. Past research has focused primarily on the role of the expression of negative emotion, or emotion in general, in cognitive processing and adjustment. In the present study, we examined the role of both positive and negative emotional expressivity on relations between intrusions and both distress and avoidance among 93 individuals diagnosed with and treated for cancer. We hypothesized stronger negative associations between intrusive thoughts and both distress and avoidance for those individuals lower in positive or negative expressivity. Results generally supported hypotheses with regard to relations of intrusions and distress in association with positive expressivity. Negative expressivity, however, moderated relations between intrusions and distress, but not intrusions and avoidance. These findings underscore the importance of examining the impact of individual differences in negative, as well as positive, emotional expression on cognitive processing and psychological adjustment.

摘要

为支持认知加工模型,情绪表达似乎会减少侵入性思维与心理困扰之间的关联。过去的研究主要聚焦于负面情绪表达或一般情绪表达在认知加工与调适过程中的作用。在本研究中,我们考察了93名被诊断患有癌症并接受治疗的个体中,积极和消极情绪表达能力对侵入性思维与困扰及回避行为之间关系的影响。我们假设,对于积极或消极表达能力较低的个体,侵入性思维与困扰及回避行为之间的负相关更强。结果总体上支持了关于侵入性思维与困扰之间关系以及积极表达能力的假设。然而,消极表达能力调节了侵入性思维与困扰之间的关系,但未调节侵入性思维与回避行为之间的关系。这些发现凸显了考察个体在消极和积极情绪表达方面的差异对认知加工和心理调适影响的重要性。

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