Department of Psychology, North Staffordshire Combined Healthcare NHS Trust, Bucknall Hospital, Stoke-on-Trent, UK.
Psychol Health. 2010 Jun;25(5):633-46. doi: 10.1080/08870440902811163.
This study examined associations between illness representation dimensions specified by the self-regulation model, coping and mood in recently diagnosed gynaecological cancer patients. Participants were 61 patients recruited from a specialist outpatient gynaecology clinic. Patients completed a survey measuring their cognitive illness representations (IPQ-R), coping strategies (COPE) and mood (POMS-SF). Consistent with research into other illnesses, the study found theoretically congruent cross-sectional associations between illness representations and mood disturbance. Support was found for a possible path whereby higher denial and avoidant coping might mediate the relationships between cyclical timeline and illness coherence representations and more negative mood. There were no mediational relationships for other coping strategies. Mediation of the relationship between illness representations and mood by avoidant coping has important theoretical and practical implications. These are discussed, as are direct relationships between illness representations and mood.
本研究考察了自我调节模型所指定的疾病表现维度、应对方式和情绪在最近诊断出的妇科癌症患者中的关联。参与者是从一家妇科专科门诊招募的 61 名患者。患者完成了一项测量他们认知疾病表现（IPQ-R）、应对策略（COPE）和情绪（POMS-SF）的调查。与其他疾病的研究一致，本研究发现疾病表现和情绪困扰之间存在理论上一致的横截面关联。有证据表明，较高的否认和回避应对可能在周期性时间线和疾病连贯性表现与更负面的情绪之间的关系中起中介作用。其他应对策略则没有中介关系。回避应对在疾病表现和情绪之间的关系中的中介作用具有重要的理论和实践意义。本文还讨论了疾病表现和情绪之间的直接关系。
