Faraci Palmira, Bottaro Rossella
Faculty of Human and Social Sciences - University of Enna "Kore" Cittadella Universitaria - 94100 Enna, Italy; Phone number: +39 0935 536536.
Clin Neuropsychiatry. 2021 Feb;18(1):3-12. doi: 10.36131/cnfioritieditore20210101.
The global number of oncological patients is expected to rise worldwide. However, the increase in the number of cases is linked with an increase in life expectancy. Hence, it's worth knowing about patients' resources for managing life with chronic illness. Specifically, the present study was aimed to examine the association between socio-demographic characteristics and coping strategies.
Participants were one-hundred and twenty-one cancer patients (70.2% females), aged 26 to 88 years (M=61.90, SD=12.16). Socio-demographic characteristics and coping styles were measured by a self-report questionnaire and the mini-Mental Adjustment to Cancer Scale. A series of standard multiple regression analyses were performed to predict coping styles based on gender, age, education level, marital status, working status, disability pension, income, and time since diagnosis at the moment of the survey.
The female gender showed a positive association with hopelessness/ helplessness, anxious preoccupation, fatalism, and avoidance. Being a worker seemed positively related to the fighting spirit strategy. Age, marital status, and disability pension did not reveal any association with coping. Having an active-work status was positively associated with fighting spirit. Finally, both educational level and income were negatively associated with the use of fatalism coping strategy, whereas the cancer patients with longer elapsed time since diagnosis showed tendency to fatalism style.
Consistent with the recognized relevance of individual differences for gathering data about patients' risk and protective factors, our findings might be useful for both research purpose and clinical practice.
预计全球肿瘤患者数量将呈上升趋势。然而,病例数的增加与预期寿命的延长相关。因此,了解患者应对慢性病生活的资源很有必要。具体而言,本研究旨在探讨社会人口学特征与应对策略之间的关联。
研究对象为121名癌症患者(女性占70.2%),年龄在26至88岁之间(M=61.90,SD=12.16)。通过自填问卷和简易癌症心理适应量表测量社会人口学特征和应对方式。在调查时,基于性别、年龄、教育水平、婚姻状况、工作状态、残疾抚恤金、收入以及确诊后的时间,进行了一系列标准多元回归分析以预测应对方式。
女性与绝望/无助、焦虑关注、宿命论和回避呈正相关。在职似乎与战斗精神策略呈正相关。年龄、婚姻状况和残疾抚恤金与应对方式无明显关联。积极工作状态与战斗精神呈正相关。最后,教育水平和收入均与宿命论应对策略的使用呈负相关,而确诊后时间较长的癌症患者表现出宿命论风格的倾向。
鉴于个体差异对于收集患者风险和保护因素数据的公认相关性,我们的研究结果可能对研究目的和临床实践均有用处。