Hilton B A
School of Nursing, University of British Columbia, Vancouver, Canada.
J Behav Med. 1989 Feb;12(1):39-54. doi: 10.1007/BF00844748.
The purpose of this descriptive correlational study was to investigate the relationship between commitments, uncertainty about the cancer situation, threat of recurrence, and control of the cancer situation and the set of coping strategies used by women to cope with their breast cancer diagnosis. Lazarus and Folkman's theory of psychological stress provided the framework. The sample consisted of 227 nonhospitalized women who had had a diagnosis of breast cancer. Two sets of canonical variate sets were significant at the .001 level with canonical correlations of .52 and .47. The first canonical set indicated that the use of escape-avoidance and accepting responsibility but not positive reappraisal strategies were characteristics of those women who had low commitment and low control together with high uncertainty and high threat of recurrence. The second set indicated that seeking social support, as well as the use of planful problem solving, escape-avoidance, positive reappraisal, and self-controlling strategies was adopted by women who had high threat of recurrence and high control.
这项描述性相关研究的目的是调查承诺、对癌症状况的不确定性、复发威胁、对癌症状况的控制以及女性用于应对乳腺癌诊断的一套应对策略之间的关系。拉扎勒斯和福克曼的心理应激理论提供了框架。样本包括227名被诊断患有乳腺癌的非住院女性。两组典型变量集在0.001水平上显著，典型相关系数分别为0.52和0.47。第一组典型变量表明，逃避和承担责任而非积极重新评估策略的使用是那些承诺度低、控制度低、不确定性高且复发威胁高的女性的特征。第二组表明，复发威胁高且控制度高的女性采用寻求社会支持以及有计划地解决问题、逃避、积极重新评估和自我控制策略。
