a Department of Psychology, Graduate Center of City , University of New York , New York , NY , USA.
b Department of Psychology , Hunter College of the City University of New York , New York , NY , USA.
Psychol Health. 2018 Aug;33(8):1049-1061. doi: 10.1080/08870446.2018.1456659. Epub 2018 Mar 27.
Cancer during young adulthood can limit the extent to which one adopts an adult self-image. However, the relationship of adult self-image to cancer-related adjustment remains unexplored. The current study examines relationships of adult self-image and social/emotional well-being and job-related problems in young testicular cancer survivors. Factors thought to facilitate future-oriented goals (i.e. agency and meaning) are examined as intermediary processes.
Testicular cancer survivors (N = 171) between the ages of 18 and 29 completed questionnaire measures of adult self-image, agency, sense of meaning and indicators of adjustment.
Social and emotional well-being were measured by the Functional Assessment of Cancer Therapy-General. Job problems were assessed using the EORTC's testicular cancer supplement (EORTC QLQ-TC26).
Path model results revealed direct associations of survivors' adult self-image with social (β = .20, p < .05), but not emotional well-being (β = .14, p < .01). Both agency and meaning mediated the relationship of adult self-image and well-being indicators. Finally, the relationship between adult self-image and job problems was only significant for those who were employed or in school (β = -.19, p < .05).
Assessment of adult self-image might be useful in identifying risk for poor adjustment. Interventions that target agency and meaning might facilitate developmental goals.
青年期癌症可能会限制一个人形成成人自我形象的程度。然而，成人自我形象与癌症相关调整之间的关系仍未得到探索。本研究考察了年轻睾丸癌幸存者的成人自我形象、社会/情感幸福感和与工作相关问题之间的关系。研究还检验了促进未来导向目标的因素（即能动性和意义感）作为中介过程。
年龄在 18 至 29 岁之间的睾丸癌幸存者（N=171）完成了成人自我形象、能动性、意义感和调整指标的问卷测量。
社会和情感幸福感通过癌症治疗功能评估-一般（Functional Assessment of Cancer Therapy-General）进行衡量。使用 EORTC 的睾丸癌补充问卷（EORTC QLQ-TC26）评估工作问题。
路径模型结果显示，幸存者的成人自我形象与社会幸福感（β=.20，p<.05）直接相关，但与情感幸福感（β=.14，p<.01）不相关。能动性和意义感均介导了成人自我形象与幸福感指标之间的关系。最后，成人自我形象与工作问题之间的关系仅对那些就业或在校的人具有统计学意义（β=-.19，p<.05）。
评估成人自我形象可能有助于识别调整不良的风险。针对能动性和意义感的干预措施可能有助于促进发展目标。
