Mazanec Susan R, Daly Barbara J, Douglas Sara, Musil Carol
Case Western Reserve University, Cleveland, OH 44106-4904, USA.
West J Nurs Res. 2011 Jun;33(4):540-59. doi: 10.1177/0193945910382241. Epub 2010 Oct 14.
The aim of this study was to examine the role of cognitive appraisal in predicting psychosocial adjustment during the postradiation treatment transition. A predictive correlational design was used in a convenience sample of 80 patients with breast, lung, and prostate cancer who were receiving radiation therapy. Two weeks prior to completion of treatment, participants completed instruments to measure symptom distress, uncertainty, cognitive appraisal, social support, and self-efficacy for coping. The Psychosocial Adjustment to Illness Scale was administered 1 month after therapy. Adjustment was significantly correlated with all independent variables, age, and comorbidity. Young age and high amounts of threat appraisal, harm/loss appraisal, uncertainty, and symptom distress were significantly associated with poor adjustment. The model predicted 52% of the variability in adjustment. Cognitive appraisal was not a significant explanatory variable for adjustment when controlling for uncertainty, cancer stage, age, and symptom distress. Symptom distress was the only significant predictor of adjustment.
本研究的目的是检验认知评估在预测放疗后治疗过渡期间心理社会适应方面的作用。采用预测性相关设计，对80例接受放射治疗的乳腺癌、肺癌和前列腺癌患者的便利样本进行研究。在治疗结束前两周，参与者完成了测量症状困扰、不确定性、认知评估、社会支持和应对自我效能的工具。治疗后1个月进行疾病心理社会适应量表评估。适应与所有自变量、年龄和合并症显著相关。年轻以及大量的威胁评估、伤害/损失评估、不确定性和症状困扰与适应不良显著相关。该模型预测了适应中52%的变异性。在控制不确定性、癌症分期、年龄和症状困扰时，认知评估不是适应的显著解释变量。症状困扰是适应的唯一显著预测因素。
