Hoyt Michael A, Gamarel Kristi E, Saigal Christopher S, Stanton Annette L
Department of Psychology, Hunter College, City University of New York, 695 Park Avenue, Room HN-611, New York, NY, 10065, USA.
Department of Psychology, Graduate Center, City University of New York, New York, NY, USA.
Ann Behav Med. 2016 Aug;50(4):572-81. doi: 10.1007/s12160-016-9785-9.
Cancer can challenge important life goals for young adult survivors. Poor goal navigation skills might disrupt self-regulation and interfere with coping efforts, particularly approach-oriented attempts. Two studies are presented that investigated relationships among goal navigation processes, approach-oriented coping, and adjustment (i.e., social, emotional, and functional well-being) in separate samples of young adults with testicular cancer.
In study 1, in-depth interviews (N = 21) were analyzed using thematic analysis to understand experiences of goal pursuit following cancer. In study 2, 171 men completed measures of goal navigation, coping, and adjustment to cancer.
In study 1, three prominent themes emerged: goal clarification, goal engagement and disengagement, and responses to disrupted goals. Regression analyses in study 2 revealed that goal navigation skills were positively associated with emotional (B = .35, p < .001), social (B = .24, p < .01), and functional (B = .28, p < .001) well-being, as was approach-oriented coping (B = .22, p < .01; B = .32, p < .001; B = .26, p < .001, respectively). Goal navigation moderated associations between approach-oriented coping and well-being, such that those with low goal navigation ability and low approach-oriented coping reported lower well-being.
Goal navigation skills and approach-oriented coping have unique and interactive relationships with adjustment to testicular cancer. They likely represent important independent targets for intervention, and goal navigation skills might also buffer the negative consequences of low use of approach-oriented coping.
癌症会对年轻成年幸存者的重要生活目标构成挑战。较差的目标导向技能可能会扰乱自我调节并干扰应对努力，尤其是以进取为导向的尝试。本文介绍了两项研究，它们分别在患有睾丸癌的年轻成年人样本中，调查了目标导向过程、以进取为导向的应对方式与适应情况（即社会、情感和功能幸福感）之间的关系。
在研究1中，采用主题分析法对21次深度访谈进行了分析，以了解癌症后追求目标的经历。在研究2中，171名男性完成了目标导向、应对方式和癌症适应情况的测量。
在研究1中，出现了三个突出的主题：目标明确、目标参与和脱离，以及对被打乱目标的反应。研究2中的回归分析表明，目标导向技能与情绪幸福感（B = 0.35，p < 0.001）、社会幸福感（B = 0.24，p < 0.01）和功能幸福感（B = 0.28，p < 0.001）呈正相关，以进取为导向的应对方式也是如此（分别为B = 0.22，p < 0.01；B = 0.32，p < 0.001；B = 0.26，p < 0.001）。目标导向调节了以进取为导向的应对方式与幸福感之间的关联，即目标导向能力低且以进取为导向的应对方式少的人幸福感较低。
目标导向技能和以进取为导向的应对方式与睾丸癌适应情况有着独特的交互关系。它们可能是重要的独立干预靶点，目标导向技能还可能缓冲以进取为导向的应对方式使用不足带来的负面影响。
