Saint Paul University, Ottawa, ON, Canada.
J Psychosoc Oncol. 2020 Jan-Feb;38(1):103-117. doi: 10.1080/07347332.2019.1641581. Epub 2019 Jul 18.
Investigate change in women's use of religious/spiritual coping (R/S) in relation to breast cancer. Longitudinal, prospective. Fifty-six breast cancer and 82 benign diagnosis. R/S coping and depressed mood were assessed at pre-diagnosis, 3, 6, and 12 months post-diagnosis. Breast cancer patients increased their use of benevolent reappraisal coping from 3 to 6 months post-diagnosis while women with a benign diagnosis evidenced stability in this coping strategy. Negative R/S coping and depressed mood were associated concurrently and longitudinally for both diagnostic groups. Depressed mood and negative R/S coping are intertwined across time suggesting that women from both diagnostic groups may experience emotional and spiritual struggle in their adjustment to the threat of breast cancer. Clinicians need to identify and intervene early to help women address negative R/S coping as it may influence women's adjustment within the first year post-diagnosis.
调查女性在乳腺癌方面对宗教/精神应对（R/S）的使用变化。纵向，前瞻性。56 例乳腺癌和 82 例良性诊断。在诊断前、3 个月、6 个月和 12 个月时评估 R/S 应对和抑郁情绪。乳腺癌患者从诊断后 3 个月开始增加仁慈重估应对策略的使用，而良性诊断的女性则在该应对策略上保持稳定。对于两个诊断组，负面的 R/S 应对和抑郁情绪都具有同时性和纵向相关性。抑郁情绪和负面 R/S 应对是相互交织的，这表明来自两个诊断组的女性在对乳腺癌威胁的调整过程中可能会经历情感和精神上的挣扎。临床医生需要及早识别和干预，以帮助女性解决负面 R/S 应对问题，因为它可能会影响女性在诊断后第一年的调整。
