Mytko J J, Knight S J, Chastain D, Mumby P B, Siston A K, Williams S
Department of Psychiatry and Behavioral Sciences, Northwestern University, 303 East Ohio, Suite 550, 60611, Chicago, Illinois.
J Clin Psychol Med Settings. 1996 Dec;3(4):355-66. doi: 10.1007/BF01994019.
The increased use of bone marrow transplantation (BMT) to treat a variety of cancers has led researchers to study psychological functioning of BMT patients. The majority of studies conducted, however, has focused on adjustment after transplantation. Cancer patients' use of coping strategies before undergoing this procedure may also relate to levels of psychological distress. Our aims were (1) to provide normative coping data, controlling for situation-specific variables with a homogeneous sample, targeted stressor, and fixed time point, using the Ways of Coping Questionnaire; and (2) to identify coping strategies associated with distress before high-dose chemotherapy. Subjects were 49 patients scheduled to receive high-dose chemotherapy and an autologous bone marrow transplant. Consistent with previous coping research, we found that escape-avoidance was related to psychological distress on several measures. Item endorsement analyses of the escape-avoidance subscale suggest that patients may have used more passive than active avoidance strategies. Subsequent participation in a longitudinal study was not affected by initial levels of avoidant coping.
骨髓移植（BMT）在治疗多种癌症方面的应用日益增加，这促使研究人员对BMT患者的心理功能进行研究。然而，大多数已开展的研究都集中在移植后的适应情况。癌症患者在接受该治疗前使用应对策略的情况也可能与心理困扰程度有关。我们的目标是：（1）使用应对方式问卷，通过同质样本、特定应激源和固定时间点，控制特定情境变量，提供规范性应对数据；（2）识别与高剂量化疗前困扰相关的应对策略。研究对象为49名计划接受高剂量化疗和自体骨髓移植的患者。与先前的应对研究一致，我们发现逃避在多项测量指标上与心理困扰有关。对逃避分量表的条目认可分析表明，患者可能使用了更多被动而非主动的回避策略。随后参与纵向研究并未受到初始回避应对水平的影响。
