Faller H, Schilling S, Lang H
Institute of Psychotherapy and Medical Psychology, University of Würzburg, Germany.
J Psychosom Res. 1995 Jul;39(5):619-27. doi: 10.1016/0022-3999(94)00002-6.
The aim of the present study was to describe lung cancer patients' causal attributions and examine their associations with adaptation. Methods were based on semi-structured interview, content analysis, self-reports, interviewer ratings and standardized questionnaires. 'Smoking cigarettes' and 'toxins in the work place' were the most commonly mentioned possible causes. Patients who made a psychosocial causal attribution suffered greater emotional distress, were more depressed, and less hopeful than other patients. They were also more likely to be rated as showing a maladaptive way of coping with illness. The implications of these findings for psychosocial care are discussed.
本研究的目的是描述肺癌患者的因果归因，并检验其与适应情况的关联。研究方法基于半结构化访谈、内容分析、自我报告、访谈者评分以及标准化问卷。“吸烟”和“工作场所中的毒素”是最常被提及的可能病因。与其他患者相比，做出心理社会因果归因的患者遭受了更大的情绪困扰，更加抑郁，希望也更少。他们也更有可能被评定为表现出适应不良的疾病应对方式。文中讨论了这些发现对心理社会护理的意义。
