Department of Personality, Evaluation and Psychological Treatments, University of Deusto, Bilbao, Biscay, Spain.
Spanish Association Against Cancer (Provincial Office of Biscay), Bilbao, Spain.
PLoS One. 2020 Jul 29;15(7):e0236572. doi: 10.1371/journal.pone.0236572. eCollection 2020.
Considering the importance of coping strategies and resilience in adapting to the stress caused by cancer, the objective of this research is to explore which coping strategies are the most used, in order to know whether different groups of levels of resilience and an appropriate coping style are related to a higher quality of life and better adaptation to the disease. There were 74 participants with cancer in this study (79.7% of them were women) ranging in age from 29 to 85 years (M = 50.9). Different instruments were used to measure the resilience construct (ER-20 items Resilience Scale), coping strategies (Cognitive Emotion Regulation Questionnaire-Short) and quality of life (General Health Questionnaire). People with higher resilience showed higher scores in the use of adaptive strategies, being acceptance and positive revaluation the most frequent ones. Regarding perception of quality of life, people with lower resilience showed statistically significant differences in the dimensions of pain and general health, which were likewise the most common ones for people with lower resilience. A significant association has been demonstrated between resilience and an adaptive coping, which at the same time are positively linked to quality of life of people with cancer. This study provides information about how different groups of resilience levels are related with coping and quality of life in people with cancer. It could be useful information for psychologists in the oncological area who have to take decisions in the clinical context. A practical consequence would involve trying to modify the type of coping, as well as increasing the level of resilience in people with cancer, in order to achieve a better adjustment to the disease.
考虑到应对策略和适应癌症压力的韧性的重要性,本研究的目的是探索最常用的应对策略,以了解不同韧性水平的群体和适当的应对方式是否与更高的生活质量和更好地适应疾病有关。这项研究共有 74 名癌症患者参与(其中 79.7%为女性),年龄在 29 至 85 岁之间(M=50.9)。使用不同的工具来衡量韧性结构(ER-20 项韧性量表)、应对策略(认知情绪调节问卷-短)和生活质量(一般健康问卷)。韧性较高的人在使用适应性策略方面得分较高,接受和积极评价是最常见的策略。关于生活质量的感知,韧性较低的人在疼痛和一般健康维度上存在统计学上的显著差异,这些维度也是韧性较低的人最常见的维度。韧性与适应性应对之间存在显著关联,而适应性应对又与癌症患者的生活质量呈正相关。这项研究提供了关于不同韧性水平群体与癌症患者应对和生活质量之间关系的信息。这对于肿瘤学领域的心理学家在临床环境中做出决策可能是有用的信息。一个实际的后果是试图改变应对方式的类型,并提高癌症患者的韧性水平,以实现更好地适应疾病。