University of British Columbia, Vancouver, British Columbia, Canada.
J Womens Health (Larchmt). 2010 Jul;19(7):1345-53. doi: 10.1089/jwh.2009.1440.
This study sought to (1) identify common stressors faced by breast cancer survivors involved in dragon boating, (2) examine the conceptual and statistical factor groupings of the stressors, (3) identify differences in stressor factors based on treatment characteristics, and (4) examine the associations between stressor factors and two indicators of self-esteem.
Survivors (n = 470) involved in dragon boating completed a survey assessing stressor frequency, stressor intensity, stressor valence, physical self-worth, and global self-esteem, along with demographic and cancer treatment information.
An exploratory factor analyses (EFA) using maximum likelihood extraction with oblique rotation revealed a four-factor solution that included physical, emotional, social, and exercise-related stressors. Exercise-related stressors were reported more frequently and intensely but were appraised positively by most survivors. The physical, emotional, and social stressors were perceived predominantly as negative. Findings also revealed that physical and emotional stressors and exercise-related stressors were correlates of physical self-worth (R(2) = 0.26). Emotional, social, and exercise-related stressors were significant correlates of global self-esteem (R(2) = 0.11). Cancer treatments were also associated with the experience of stressors, with the strongest effects reported for chemotherapy treatment.
Overall, the results demonstrate that participants experienced many stressors but that exercise-related stressors were viewed as more adaptive and were positive correlates of self-esteem processes.
本研究旨在：(1) 确定参与龙舟竞渡的乳腺癌幸存者面临的常见压力源；(2) 检查压力源的概念和统计分组；(3) 根据治疗特征确定压力源因素的差异；(4) 检查压力源因素与两个自尊指标之间的关联。
参与龙舟竞渡的幸存者(n = 470)完成了一项调查，评估压力源频率、压力源强度、压力源效价、身体自我价值和总体自尊，以及人口统计学和癌症治疗信息。
使用最大似然提取和斜交旋转的探索性因素分析(EFA)揭示了一个包括身体、情绪、社会和与锻炼相关的压力源的四因素解决方案。大多数幸存者报告了更多的与锻炼相关的压力源，且强度更高，但评估结果是积极的。身体、情绪和社会压力源主要被认为是负面的。研究结果还表明，身体和情绪压力源以及与锻炼相关的压力源与身体自我价值有关(R(2) = 0.26)。情绪、社会和与锻炼相关的压力源与总体自尊呈显著相关(R(2) = 0.11)。癌症治疗也与压力源的体验有关，化疗治疗的影响最大。
总体而言，结果表明参与者经历了许多压力源，但与锻炼相关的压力源被视为更具适应性，是自尊过程的积极关联因素。
