Schreiber Judith A
School of Nursing, University of Louisville, Kentucky, USA.
Oncol Nurs Forum. 2011 May;38(3):293-301. doi: 10.1188/11.ONF.293-301.
PURPOSE/OBJECTIVES: To examine the effect of breast cancer survivors' views of God on religious coping strategies, depression, anxiety, stress, concerns about recurrence, and psychological well-being.
Exploratory, cross-sectional, comparative survey.
Outpatients from community and university oncology practices in the southeastern United States.
130 early breast cancer survivors (6-30 months postdiagnosis).
Self-report written survey packets were mailed to practice-identified survivors.
Image of God, religious coping strategies, depression, anxiety, stress, concerns about recurrence, and psychological well-being.
Women who viewed God as highly engaged used more coping strategies to promote spiritual conservation in proportion to coping strategies that reflect spiritual struggle. Women who viewed God as highly engaged maintained psychological well-being when either spiritual conservation or spiritual struggle coping styles were used. No differences in variables were noted for women who viewed God as more or less angry.
The belief in an engaged God is significantly related to increased psychological well-being, decreased psychological distress, and decreased concern about recurrence.
Addressing survivors' issues related to psychological adjustment and concern about recurrence within their world view would allow for more personalized and effective interventions. Future research should be conducted to establish how the view that God is engaged affects coping and psychological adjustment across diverse groups of cancer survivors and groups with monotheistic, polytheistic, and naturalistic world views. This could lead to a practical method for examining the influence of these world views on individuals' responses to cancer diagnosis, treatment, and survivorship.
目的/目标：探讨乳腺癌幸存者对上帝的看法对宗教应对策略、抑郁、焦虑、压力、复发担忧及心理健康的影响。
探索性、横断面、比较性调查。
美国东南部社区和大学肿瘤门诊的门诊患者。
130名早期乳腺癌幸存者（确诊后6 - 30个月）。
将自我报告书面调查问卷邮寄给医疗机构确定的幸存者。
上帝形象、宗教应对策略、抑郁、焦虑、压力、复发担忧及心理健康。
将上帝视为高度参与的女性，与反映精神挣扎的应对策略相比，更多地使用应对策略来促进精神保护。当使用精神保护或精神挣扎应对方式时，将上帝视为高度参与的女性保持心理健康。对于认为上帝或多或少愤怒的女性，未发现变量存在差异。
相信有参与感的上帝与心理健康状况改善、心理困扰减轻及复发担忧减少显著相关。
在幸存者的世界观范围内解决与心理调适及复发担忧相关的问题，将有助于进行更个性化和有效的干预。未来应开展研究，以确定上帝有参与感这一观点如何影响不同癌症幸存者群体以及具有一神论、多神论和自然主义世界观群体的应对和心理调适。这可能会带来一种实用方法，用于研究这些世界观对个体对癌症诊断、治疗和生存的反应的影响。
