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癌症患者的悲伤经历与疾病认知的关系:身份中心性、耻辱感导致的歧视和希望感的中介作用。

Experience of grief by patients with cancer in relation to perceptions of illness: The mediating roles of identity centrality, stigma-induced discrimination, and hopefulness.

作者信息

Gökler-Danışman Ilgın, Yalçınay-İnan Merve, Yiğit İbrahim

机构信息

a Department of Psychology , TED University , Ankara , Turkey.

b Department of Psychiatry , Koç University Hospital , Istanbul , Turkey.

出版信息

J Psychosoc Oncol. 2017 Nov-Dec;35(6):776-796. doi: 10.1080/07347332.2017.1340389. Epub 2017 Jun 13.

Abstract

Diagnosis of cancer leads to multiple losses, all with the potential to initiate grief reactions in patients. The present study aims to contribute to the understanding of the experience of grief by patients with cancer in relation to perceptions of illness, with a focus on the mediating roles of identity centrality, stigma-induced discrimination, and hopefulness. The analyses indicated that these factors functioned as significant partial mediators. The results have implications in terms of supporting patients through the grieving process by working on the meaning of the illness for their identity and improving psychosocial environments to minimize discrimination and facilitate hope.

摘要

癌症诊断会导致多种损失,所有这些损失都有可能引发患者的悲伤反应。本研究旨在促进对癌症患者悲伤体验的理解,这种体验与疾病认知相关,重点关注身份中心性、耻辱感导致的歧视和希望感的中介作用。分析表明,这些因素起到了显著的部分中介作用。研究结果对于通过探讨疾病对患者身份的意义来支持患者度过悲伤过程,以及改善社会心理环境以尽量减少歧视并促进希望感具有启示意义。

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