Faculty of Psychology, University of Warsaw, Poland.
Arch Med Sci. 2014 Feb 24;10(1):110-6. doi: 10.5114/aoms.2013.33069. Epub 2013 Feb 18.
This article studies the relationship between emotional reactivity and coping style on the one hand and intensity of symptoms of trauma in adult patients with cancer on the other hand.
The study was conducted on 150 patients, 55 women and 95 men, hospitalized for diagnosed cancer. Temperament was assessed with the Formal Characteristics of Behaviour - Temperament Inventory (FCB-TI). Coping style was assessed with the Polish version of the Mental Adjustment to Cancer Scale (Mini-MAC). Intensity of intrusion/hyperarousal and avoidance/numbing was assessed with the Factorial Version Inventory (PTSD), a quantitative measure of trauma-related symptoms.
The outcomes of this study suggest that individual coping style is what determines the intensity of trauma-related symptoms most strongly. Destructive coping style accounts for 49% of the variance of symptom intensity and emotional reactivity accounts for 6%. Combined, destructive coping style and emotional reactivity account for 55% of the variance of general post-traumatic stress symptoms.
Destructive coping style (more important determinant of trauma symptoms) and high emotional reactivity as one of temperament traits are conducive to intensification of cancer trauma symptoms in adult patients. Our findings suggest that constructive coping style and low emotional reactivity may act as a specific protector against cancer trauma symptoms in adults.
本文研究了情绪反应性和应对方式与成年癌症患者创伤症状强度之间的关系。
本研究共纳入 150 名患者，其中女性 55 名，男性 95 名，均因确诊癌症住院。采用行为特征定式问卷（FCB-TI）评估气质，采用波兰版心理应对方式量表（Mini-MAC）评估应对方式，采用创伤后应激障碍症状清单（PTSD）评估创伤相关症状的严重程度。
本研究结果表明，个体应对方式是决定创伤相关症状强度的最主要因素。破坏型应对方式可解释症状严重程度 49%的变异，情绪反应性可解释 6%的变异。破坏型应对方式和情绪反应性共同解释了 55%的一般创伤后应激症状的变异。
破坏型应对方式（对创伤症状更重要的决定因素）和作为气质特征之一的高情绪反应性有助于加剧成年癌症患者的创伤症状。我们的研究结果表明，建设性应对方式和低情绪反应性可能是成年癌症患者创伤症状的特定保护因素。
