Kolokotroni Philippa, Anagnostopoulos Fotios, Hantzi Alexandra
Psychology Department, Panteion University of Social & Political Sciences, 136 Syngrou Avenue, 176 71, Athens, Greece.
J Clin Psychol Med Settings. 2018 Dec;25(4):452-462. doi: 10.1007/s10880-018-9555-x.
The social-cognitive processing model suggests that a socially constrained environment may impede adjustment to a chronic illness. The present study primarily investigated the mediating psychological pathways through which social constraints on cancer-related disclosure, low optimism, disengagement-oriented coping, and brooding could be associated with low levels of psychosocial adjustment. One hundred twenty-five female breast cancer survivors participated in a cross-sectional study. Path analysis was used to examine the proposed model. Low optimism, increased social constraints, and higher levels of brooding appeared to be risk factors for poor psychosocial adjustment to breast cancer. Disengagement-oriented coping and brooding partially mediated the relationship between social constraints and adjustment. Brooding totally mediated the relationship between disengagement-oriented coping and adjustment. The current findings provide support for the value of the social-cognitive processing model among breast cancer survivors. The mapping of psychological pathways of adjustment to breast cancer may have useful clinical implications for better adjustment outcomes.
社会认知加工模型表明，社会约束环境可能会阻碍对慢性病的适应。本研究主要探讨了社会对癌症相关披露的约束、低乐观情绪、脱离导向应对方式和沉思等因素与心理社会适应水平低下之间可能存在关联的中介心理途径。125名女性乳腺癌幸存者参与了一项横断面研究。采用路径分析来检验所提出的模型。低乐观情绪、社会约束增加和较高水平的沉思似乎是乳腺癌心理社会适应不良的风险因素。脱离导向应对方式和沉思部分中介了社会约束与适应之间的关系。沉思完全中介了脱离导向应对方式与适应之间的关系。当前研究结果为社会认知加工模型在乳腺癌幸存者中的价值提供了支持。绘制乳腺癌适应的心理途径图可能对改善适应结果具有有益的临床意义。
