Department of Nursing, Faculty of Health Science, Aino University, Osaka, Japan.
Department of Psychosocial Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Jpn J Clin Oncol. 2021 Jan 1;51(1):85-91. doi: 10.1093/jjco/hyaa159.
The physical and mental impacts of breast cancer diagnosis on women are substantial. Several studies have investigated the negative mental health effects of breast cancer. However, in recent years, there has also been growing interest in post-traumatic growth, a positive response to stressful events. Considering positive psychology focuses on such virtues, proactive coping theory was chosen as a theoretical guide. This study investigates how breast cancer patients' post-traumatic growth is associated with proactive coping and mental well-being.
A self-administered questionnaire survey was conducted with 80 breast cancer patients aged 20-70 years attending an outpatient clinic. The survey was conducted using the Posttraumatic Growth Inventory-Japanese version (PTGI-J), Proactive Coping Inventory-Japanese version and the Japanese version of the General Health Questionnaire. Single regression and multiple regression analyses with PTGI-J as the dependent variable were performed.
The multiple regression analysis extracted proactive coping (P = 0.006), emotional support seeking (P = 0.004) and avoidance coping (P = 0.001) as factors associated with post-traumatic growth in breast cancer patients.
These results suggest that using proactive coping for conflicts caused by a breast cancer diagnosis and temporary avoidant coping for daily stresses during the treatment process may enhance post-traumatic growth while preventing deterioration in mental well-being. Additionally, seeking emotional support is important for post-traumatic growth.
乳腺癌诊断对女性的身心影响巨大。已有多项研究调查了乳腺癌对心理健康的负面影响。然而，近年来，人们对创伤后成长的兴趣也日益浓厚，创伤后成长是对压力事件的积极反应。鉴于积极心理学关注此类美德，本研究选择了主动应对理论作为理论指导，探讨乳腺癌患者的创伤后成长与主动应对和心理健康的关系。
采用问卷调查法，对 80 名年龄在 20-70 岁之间的门诊乳腺癌患者进行调查。问卷包括创伤后成长量表-日本版（PTGI-J）、主动应对量表和一般健康问卷。以 PTGI-J 为因变量进行单因素回归和多因素回归分析。
多因素回归分析提取出与乳腺癌患者创伤后成长相关的因素包括主动应对（P=0.006）、寻求情绪支持（P=0.004）和回避应对（P=0.001）。
这些结果表明，在乳腺癌诊断引起的冲突中采用主动应对，在治疗过程中应对日常压力时采用暂时的回避应对，可能会促进创伤后成长，同时防止心理健康恶化。此外，寻求情绪支持对创伤后成长很重要。
