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成年癌症患者应对日常压力中与人格相关的风险和复原力因素

Personality-Related Risk and Resilience Factors in Coping with Daily Stress among Adult Cancer Patients.

作者信息

Diehl Manfred, Hay Elizabeth L

机构信息

Department of Human Development and Family Studies, Colorado State University.

出版信息

Res Hum Dev. 2013 Jan 1;10(1):47-69. doi: 10.1080/15427609.2013.760259.

DOI:10.1080/15427609.2013.760259
PMID:23646033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3640793/
Abstract

We employed a diary design to study personality-related risk and resilience factors in adult cancer patients coping with daily stress. We focused on individuals' self-concept incoherence (SCI) as a personality-related risk factor and on psychological well-being (PWB) at baseline and daily beliefs of control as resilience factors. Reactivity to daily stress was assessed in terms of negative daily mood. Multilevel modeling analyses yielded significant main effects of daily stress, PWB at baseline, and daily control. These main effects were qualified by significant two- and three-way interactions. The significant Stress X Control interaction indicated that individuals reported more negative mood in response to daily stress on low-control days compared to high-control days. Similarly, a significant SCI X Control interaction suggested that individuals with a more coherent self-concept benefited more from feeling in control in terms of experiencing less increase in negative mood compared to individuals with a more incoherent self-concept. Significant three-way interactions also indicated that the associations between stress, control and negative daily mood differed by level of SCI and level of PWB at the beginning of the study. Overall, the findings from this study show the complex associations between risk and resilience factors and daily emotional well-being in a sample of adults who were affected by a life-threatening illness.

摘要

我们采用日记设计来研究成年癌症患者应对日常压力时与人格相关的风险和恢复力因素。我们将个体的自我概念不一致性(SCI)作为与人格相关的风险因素,将基线时的心理健康(PWB)和作为恢复力因素的日常控制信念作为研究重点。通过负面日常情绪来评估对日常压力的反应性。多层次建模分析得出了日常压力、基线时的PWB和日常控制的显著主效应。这些主效应受到显著的二元和三元交互作用的影响。显著的压力×控制交互作用表明,与高控制日相比,个体在低控制日对日常压力的负面情绪反应更多。同样,显著的SCI×控制交互作用表明,与自我概念更不一致的个体相比,自我概念更一致的个体在感受到控制时,负面情绪增加较少,从而受益更多。显著的三元交互作用还表明,在研究开始时,压力、控制与负面日常情绪之间的关联因SCI水平和PWB水平而异。总体而言,这项研究的结果显示了在受危及生命疾病影响的成年样本中,风险和恢复力因素与日常情绪健康之间的复杂关联。