Miller S M, Roussi P, Altman D, Helm W, Steinberg A
Department of Psychology, Temple University, Philadelphia, Pennsylvania 19122.
J Reprod Med. 1994 Sep;39(9):711-8.
Patterns of coping and adjustment in 36 low-income, minority women with positive cytologic smears were assessed prior to diagnostic follow-up examination (colposcopy). Subjects were divided into high monitors (who attend to threatening cues) and low monitors (who avoid threatening cues) on the basis of their scores on the Miller Behavioral Style Scale, a well-validated measure of coping style. Multivariate analysis of variance showed that high monitors worried more about the seriousness of their condition, expressed more concern about the immediate sensory and procedural aspects of the diagnostic examination and felt more responsible for the onset and course of their disease as compared to low monitors. However, they were no more likely to be concerned about the overall importance or long-term consequences of their abnormal smears. Finally, high monitors displayed greater symptoms of intrusive and avoidant ideation in relation to their medical status. These results were independent of sociodemographic and medical confounding variables. Consistent with results in other populations, the findings suggest that it may be useful to assess attentional coping dispositions in minority populations with high-risk gynecologic conditions and to target psychosocial interventions accordingly.
在进行诊断性后续检查（阴道镜检查）之前，对36名细胞学涂片呈阳性的低收入少数族裔女性的应对和调整模式进行了评估。根据她们在米勒行为风格量表上的得分，将受试者分为高监控者（关注威胁线索）和低监控者（回避威胁线索），该量表是一种经过充分验证的应对方式测量工具。多变量方差分析表明，与低监控者相比，高监控者更担心自己病情的严重性，对诊断检查的即时感官和程序方面表达了更多担忧，并且对疾病的发生和病程感到更有责任感。然而，他们并不更可能担心异常涂片的总体重要性或长期后果。最后，高监控者在与她们的医疗状况相关的侵入性和回避性观念方面表现出更明显的症状。这些结果独立于社会人口统计学和医学混杂变量。与其他人群的结果一致，研究结果表明，在患有高危妇科疾病的少数族裔人群中评估注意力应对倾向并相应地开展心理社会干预可能是有用的。
