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[应对结肠癌的性别差异——特别考虑宗教应对方式的实证研究结果]

[Gender specific differences in coping with colon cancer--empirical findings with special consideration of religious coping].

作者信息

Murken S, Namini S, Gross S, Körber J

机构信息

Arbeitsgruppe Religionspsychologie des Forschungszentrums für Psychobiologie und Psychosomatik der Universität Trier, Bad Kreuznach.

出版信息

Rehabilitation (Stuttg). 2010 Apr;49(2):95-104. doi: 10.1055/s-0030-1249029. Epub 2010 May 5.

DOI:10.1055/s-0030-1249029
PMID:20446192
Abstract

The present study investigated whether women and men differ with regard to non-religious and religious coping with cancer, here: colon cancer--a question on which only little research has been done so far. 341 patients filled in a questionnaire during inpatient oncological rehabilitation. Statistical analyses showed that women reported higher mental strain than men. They used more bagatellization and wishful thinking, more depressive and less active problem-oriented coping strategies. A higher use of religious coping among women was to a high degree associated with their generally stronger religiosity. Correlations between coping strategies and measures of mental health indicated commonalities and differences. In particular, a positive correlation between active problem-oriented coping and mental health was found for men but not for women. In accordance with women's higher religiosity, the data indicate a stronger correlation between religious coping and adaptation among women than among men. The results suggest that gender differences and religiosity can be relevant in the context of treatment but that their significance must not be overinterpreted. In terms of patient orientation they speak for the necessity to individually assess the need for support, also with regard to the consideration of religiosity in the treatment process.

摘要

本研究调查了男性和女性在非宗教性及宗教性应对癌症(此处指结肠癌)方面是否存在差异,到目前为止,关于这个问题的研究还很少。341名患者在住院肿瘤康复期间填写了一份问卷。统计分析表明,女性报告的精神压力比男性更高。她们更多地使用淡化和如意算盘策略,更多地采用消极的、较少积极的面向问题的应对策略。女性更多地使用宗教应对方式在很大程度上与她们总体上更强的宗教信仰有关。应对策略与心理健康指标之间的相关性表明了共性和差异。特别是,发现男性中积极的面向问题的应对方式与心理健康之间存在正相关,而女性中则不存在。与女性更高的宗教信仰相一致,数据表明宗教应对与女性适应之间的相关性比男性更强。结果表明,性别差异和宗教信仰在治疗背景下可能是相关的,但它们的重要性不应被过度解读。就以患者为导向而言,这些结果表明有必要对支持需求进行个体评估,在治疗过程中也要考虑宗教信仰因素。

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