Timko C, Janoff-Bulman R
Health Psychol. 1985;4(6):521-44. doi: 10.1037//0278-6133.4.6.521.
This study examined the relationship between particular cognitions and psychological adjustment to breast cancer. It was hypothesized that adjustment would be positively associated with victims' perceptions of invulnerability to a recurrence of cancer and that victims' causal attributions for cancer would influence adjustment to the extent that the attributions contributed to or detracted from perceived invulnerability. A path model was developed based on the proposed association between invulnerability and adjustment, and attributions were tested for whether they directly or indirectly influenced adjustment. Responses from intensive interviews of 42 breast cancer victims were used to test the path model. Results strongly supported the hypothesized positive association between perceived invulnerability and adjustment and showed that the relationships between specific attributions and adjustment were mediated by vulnerability beliefs.
本研究考察了特定认知与乳腺癌心理调适之间的关系。研究假设是，调适与患者对癌症复发的无懈可击感呈正相关，并且患者对癌症的因果归因会在归因影响或减损感知到的无懈可击感的程度上影响调适。基于无懈可击感与调适之间的假定关联建立了一个路径模型，并对归因是否直接或间接影响调适进行了检验。对42名乳腺癌患者进行深入访谈得到的回复用于检验该路径模型。结果有力地支持了感知到的无懈可击感与调适之间假定的正相关，并表明特定归因与调适之间的关系是由易感性信念介导的。
