Department of Psychiatry, Ankara University, Turkey.
Turk J Med Sci. 2014;44(1):24-30.
BACKGROUND/AIM: Social support is associated with a decrease in psychological symptoms and a better quality of life in cancer patients. The aim of this study was to investigate the role of attachment dimensions on social and psychological adjustment to cancer and to explore the social and psychological adjustments, and medical adherence, among patients.
The study was conducted with 68 cancer patients, between 18 and 74 years of age. The measures taken were the Demographic Information Form, Multidimensional Scale of Perceived Social Support (MSPSS), Experiences in Close Relationships-Revised (ECR-R), and Psychosocial Adjustment to Illness Scale (PAIS-SR).
The results showed that an avoidant attachment style was related to difficulties in social relationships and an increase in psychological distress following cancer diagnosis. People who perceive more social support orient to health care more easily than people who perceive less social availability. It was shown that a higher level of perceived social support has a positive impact in adjustment to family relationships and leads to experiencing less psychological distress than in people who perceived less social support.
Considering the complicated nature of cancer, a multi-perspective approach should be applied during the treatment process, and it is important to determine the psychosocial factors, and the causal pathways by which they lead to a better adjustment, in developing effective interventions.
背景/目的：社会支持与癌症患者心理症状的减轻和生活质量的提高有关。本研究旨在探讨依恋维度对癌症患者社会和心理适应的作用，并探讨患者的社会和心理适应以及医疗依从性。
本研究纳入了 68 名年龄在 18 至 74 岁之间的癌症患者。采用的测量工具包括人口统计学信息表、多维感知社会支持量表（MSPSS）、亲密关系经历修订版（ECR-R）和疾病心理适应量表（PAIS-SR）。
研究结果表明，回避型依恋风格与癌症诊断后人际关系困难和心理困扰增加有关。与感知到较少社会支持的人相比，感知到较多社会支持的人更容易接受医疗保健。研究还表明，较高的感知社会支持水平对家庭关系的调整有积极影响，导致心理困扰程度低于感知到较少社会支持的人。
鉴于癌症的复杂性，在治疗过程中应采用多视角方法，确定心理社会因素及其导致更好适应的因果途径，对于制定有效的干预措施非常重要。
