Rzeszutek Marcin, Zawadzka Amelia, Pięta Małgorzata, Houn Angelika, Pankowski Daniel, Kręcisz Beata
Faculty of Psychology, University of Warsaw, Poland.
Faculty of Psychology, University of Economics and Human Sciences in Warsaw, Poland.
Int J Clin Health Psychol. 2020 Sep-Dec;20(3):222-231. doi: 10.1016/j.ijchp.2020.07.004. Epub 2020 Aug 2.
BACKGROUND/OBJECTIVE: The aims of this study were to explore the heterogeneity of resources, as described by the Conservation of Resources (COR) theory, in a sample of cancer and psoriatic patients and to investigate whether heterogeneity within resources explains differences in Posttraumatic Growth (PTG) level within each of these clinical samples and in a non-clinical control group.
The sample consisted of 925 participants, including 190 adults with a clinical diagnosis of gastrointestinal cancer, 355 adults with a medical diagnosis of psoriasis, and 380 non-clinical (without any chronic illnesses) adults, all of whom had suffered various adverse and traumatic events. The participants completed a COR evaluation questionnaire and a posttraumatic growth inventory.
A latent profile analysis revealed four different classes of psoriatic patients and five classes of cancer patients, all with different resources levels. Clinical subsamples differed substantially with PTG levels compared to healthy controls.
Our study did not find a sole pattern of PTG that fit all the individuals, even for those who experienced the same type of traumatic event. Psychological counseling, in chronic illness particularly, should focus on the heterogenetic profiles of patients with different psychosocial characteristics.
背景/目的：本研究旨在探讨资源的异质性，这是由资源守恒（COR）理论所描述的，在癌症和银屑病患者样本中进行研究，并调查资源内部的异质性是否能解释这些临床样本中以及非临床对照组中创伤后成长（PTG）水平的差异。
样本包括925名参与者，其中190名临床诊断为胃肠道癌的成年人，355名医学诊断为银屑病的成年人，以及380名非临床（无任何慢性疾病）成年人，他们都经历过各种不良和创伤性事件。参与者完成了一份COR评估问卷和一份创伤后成长量表。
潜在剖面分析揭示了四类不同的银屑病患者和五类癌症患者，所有患者的资源水平都不同。与健康对照组相比，临床亚样本的PTG水平存在显著差异。
我们的研究没有发现一种适用于所有个体的PTG模式，即使是那些经历相同类型创伤事件的个体。特别是在慢性病中，心理咨询应关注具有不同心理社会特征患者的异质性概况。
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