Hoyt Michael A, Nelson Christian J, Darabos Katie, Marín-Chollom Amanda, Stanton Annette L
Department of Psychology, Hunter College, City University of New York, New York, NY, USA.
Department of Psychology, Graduate Center, City University of New York, New York, NY, USA.
Psychooncology. 2017 Jun;26(6):747-754. doi: 10.1002/pon.4068. Epub 2016 Jan 13.
The navigation of major life goals can be challenging to cancer survivors, particularly during young adulthood. This study examined the relationships of goal navigation skills (e.g., goal identification, goal clarification, and goal adjustment) with having a sense of life meaning, emotion regulation coping processes, and physical and psychological health indicators in young adult survivors of testicular cancer.
Men ages 18 to 29 years (N = 171; M age = 25.2, SD = 3.32) with a history of testicular cancer were recruited via the California State Cancer Registry and completed questionnaire measures including assessments of goal navigation, sense of meaning, emotional approach coping, and indicators of physical and psychological well-being.
Goal navigation skills were negatively related to depressive symptoms (r = -0.41, p < 0.01) and positively related to physical functioning (r = 0.28, p < 0.01). Controlling for participant age and months since diagnosis, mediation models revealed significant indirect effects of sense of meaning on depressive symptoms (-0.50, p < 0.05) and physical functioning (0.34, p < 0.05). Similarly, emotion-regulating coping had significant indirect effects on depressive symptoms (-0.08, p < 0.05) and physical functioning (0.11, p < 0.05) CONCLUSIONS: Consistent with a self-regulation framework, goal navigation skill is related to physical and psychological well-being via its association with maintenance of a sense of meaning as well as successful attempts at regulation of emotions. The study provides preliminary evidence that these skill-based processes relate to adjustment to cancer in young adults. Copyright © 2016 John Wiley & Sons, Ltd.
对于癌症幸存者而言，规划主要人生目标可能具有挑战性，尤其是在青年时期。本研究考察了目标规划技能（如目标识别、目标明确和目标调整）与睾丸癌青年幸存者的生命意义感、情绪调节应对过程以及身心健康指标之间的关系。
通过加利福尼亚州癌症登记处招募了18至29岁（N = 171；平均年龄 = 25.2，标准差 = 3.32）有睾丸癌病史的男性，他们完成了问卷调查，包括目标规划、意义感、情绪应对方式以及身心健康指标的评估。
目标规划技能与抑郁症状呈负相关（r = -0.41，p < 0.01），与身体功能呈正相关（r = 0.28，p < 0.01）。在控制了参与者年龄和确诊后的月数后，中介模型显示意义感对抑郁症状（-0.50，p < 0.05）和身体功能（0.34，p < 0.05）有显著的间接影响。同样，情绪调节应对方式对抑郁症状（-0.08，p < 0.05）和身体功能（0.11，p < 0.05）有显著的间接影响。结论：与自我调节框架一致，目标规划技能通过与维持意义感以及成功调节情绪的关联，与身心健康相关。该研究提供了初步证据，表明这些基于技能的过程与青年对癌症的适应有关。版权所有© 2016约翰威立父子有限公司。
