School of Psychology, The University of Queensland, St. Lucia, QLD 4072, Australia.
Psychol Health. 2012;27(2):159-77. doi: 10.1080/08870441003768047. Epub 2011 Jun 1.
This study has used the structural equation modelling to examine the role of benefit-finding (BF) in the context of the stress and coping model. In the study, 1276 individuals diagnosed with colorectal cancer completed a written questionnaire and telephone interview at around 4.5 months (on average) and 12 months post-diagnosis. Analyses revealed that the final model fit the data, where stress, coping and BF accounted for 63% of the variance in Time 1 quality of life (QOL). Threat appraisal, coping resources, avoidant coping and BF directly impacted on Time 1 QOL, while threat appraisal, social support and approach coping directly impacted on BF. Approach coping and BF had differential relationships with stress, coping resources and outcomes, indicating that BF may not be a meaning-based coping strategy, as proposed by Folkman [Folkman, S. (1997). Positive psychological states and coping with severe stress. Social Science and Medicine, 45, 1207–1221]. Theoretical and clinical implications are discussed.
本研究采用结构方程模型，在应激与应对模型的背景下，考察了益处发现（Benefit-Finding, BF）的作用。在这项研究中，1276 名被诊断为结直肠癌的个体在诊断后约 4.5 个月（平均）和 12 个月时完成了书面问卷和电话访谈。分析显示，最终模型拟合数据，其中应激、应对和 BF 解释了第 1 次（Time 1）生活质量（Quality of Life, QOL）的 63%的方差。威胁评估、应对资源、回避应对和 BF 直接影响 Time 1 的 QOL，而威胁评估、社会支持和应对方式直接影响 BF。应对方式和 BF 与应激、应对资源和结果的关系不同，这表明 BF 可能不是福克曼（Folkman）提出的基于意义的应对策略[Folkman, S. (1997). Positive psychological states and coping with severe stress. Social Science and Medicine, 45, 1207–1221]。讨论了理论和临床意义。
