Tsai William, Lu Qian
Department of Psychology, California State University San Marcos, San Marcos, CA, USA.
Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX, 77204, USA.
Int J Behav Med. 2018 Jun;25(3):368-373. doi: 10.1007/s12529-017-9705-9.
The present study examined perceived social support as a mediator of the longitudinal link between ambivalence over emotional expression (AEE) and quality of life among a sample of Chinese breast cancer survivors.
Ninety-six Chinese breast cancer survivors recruited from Southern California completed four surveys in total: (1) a baseline survey (T1), 1-month follow-up (T2), 3-month follow-up (T3), and 6-month follow-up (T4). Participants filled out a paper-pen questionnaire containing the Ambivalence over Emotional Expression Questionnaire (AEQ), the Functional Assessment of Cancer Therapy-General (FACT-G), and the Medical Outcomes Study Social Support Scale (MOS-SSS).
Higher T1 AEE was associated with lower T1 social support (B = -0.01, SE = 0.004, p < 0.01) which in turn was associated with lower quality of life at T2 (B = 2.98, SE = 0.64, p < 0.01), T3 (B = 2.14, SE = 0.54, p < 0.01), and T4 (B = 2.08, SE = 0.68, p < 0.01).
These results suggest that the harmful effect of AEE on quality of life is explained by reduced social support. Given the detrimental effects of AEE on social support and quality of life, future research on interventions that facilitate emotional disclosure is needed. Implications for the effects of Chinese culture on AEE are discussed.
本研究探讨了感知到的社会支持在情感表达矛盾心理（AEE）与中国乳腺癌幸存者生活质量的纵向联系中所起的中介作用。
从南加州招募的96名中国乳腺癌幸存者总共完成了四项调查：（1）基线调查（T1）、1个月随访（T2）、3个月随访（T3）和6个月随访（T4）。参与者填写了一份纸笔问卷，其中包括情感表达矛盾心理问卷（AEQ）、癌症治疗功能评估通用量表（FACT - G）和医学结局研究社会支持量表（MOS - SSS）。
较高的T1期AEE与较低的T1期社会支持相关（B = -0.01，标准误 = 0.004，p < 0.01），而这又与T2期（B = 2.98，标准误 = 0.64，p < 0.01）、T3期（B = 2.14，标准误 = 0.54，p < 0.01）和T4期（B = 2.08，标准误 = 0.68，p < 0.01）较低的生活质量相关。
这些结果表明，AEE对生活质量的有害影响是由社会支持减少所解释的。鉴于AEE对社会支持和生活质量的有害影响，需要对促进情感表露的干预措施进行未来研究。讨论了中国文化对AEE影响的相关意义。
