You Jin, Wang Carol, Rodriguez Lindsey, Wang Xuejiao, Lu Qian
Department of Psychology, Wuhan University, Wuhan, China.
Department of Psychology, University of Houston, Houston, TX, USA.
Eur J Cancer Care (Engl). 2018 Jan;27(1). doi: 10.1111/ecc.12781. Epub 2017 Oct 4.
Literature has documented personality and coping strategies as valuable intrapersonal resources for cancer adjustment among Caucasians. Nevertheless, it remains unclear whether these personal characteristics operate in a similar manner among cancer patients of different ages and cultural backgrounds. This study examined the association between personality traits and affects, their underlying mechanism (i.e. coping strategies) and how these relations differed by age among Chinese cancer survivors, an understudied population. A sample of 234 Chinese cancer survivors in Beijing, China completed the five factor inventory, affect balance scale, ways of coping checklist and medical and demographic information. The results indicated that neuroticism was associated with negative affect, which was explained by avoidance coping strategies. Extraversion and neuroticism were associated with positive affect, and these associations were explained by approach coping strategies. Conditional process (i.e. moderated mediation) analyses demonstrated that conscientiousness was more strongly related to positive affect directly and indirectly through approach coping strategies among older survivors than among younger survivors. The findings highlight the importance of personality traits for emotional adjustment to breast cancer and the critical role of approach coping strategies in explaining the linkage of personality to positive affect for survivors of different age.
文献记载，人格和应对策略是高加索人群中癌症适应过程中宝贵的个人内部资源。然而，这些个人特征在不同年龄和文化背景的癌症患者中是否以类似方式发挥作用仍不清楚。本研究调查了中国癌症幸存者（这是一个研究较少的群体）中人格特质与情感之间的关联、其潜在机制（即应对策略）以及这些关系如何随年龄而变化。在中国北京的234名中国癌症幸存者样本完成了五因素量表、情感平衡量表、应对方式清单以及医疗和人口统计学信息的填写。结果表明，神经质与消极情感相关，这可以通过回避应对策略来解释。外向性和神经质与积极情感相关，这些关联可以通过积极应对策略来解释。条件过程（即调节中介）分析表明，在年长的幸存者中，尽责性通过积极应对策略与积极情感的直接和间接关联比年轻幸存者中更强。研究结果凸显了人格特质对乳腺癌情感适应的重要性，以及积极应对策略在解释不同年龄幸存者人格与积极情感之间联系方面的关键作用。
