Bloom J R, Kessler L
School of Public Health, University of California, Berkeley 94720.
J Health Soc Behav. 1994 Jun;35(2):118-33.
Reports of changes in emotional support following surgery for breast cancer can be attributed to one of two factors: (1) the stigma associated with cancer, or (2) illness-imposed restrictions in one's activities. These explanations were assessed using data from a longitudinal study of women, following their surgical treatment for early breast cancer (N = 145), gallbladder disease (N = 90), benign breast disease (N = 87), or no surgery (N = 90). Multiple regression analysis was used to test the two models. Contrary to the cancer stigma hypothesis, women with breast cancer initially perceived themselves to have more emotional support, rather than less. Type of surgery did not explain the level of emotional support as post-surgery time increased. Instead, support for the social activity hypothesis was found. The results are interpreted as indicating that breast cancer no longer carries with it a stigma, at least not to the extent of reducing the level of women's emotional support.
（1）与癌症相关的耻辱感，或（2）疾病对个人活动造成的限制。使用对早期乳腺癌（N = 145）、胆囊疾病（N = 90）、良性乳腺疾病（N = 87）或未接受手术（N = 90）的女性进行手术治疗后的纵向研究数据，对这些解释进行了评估。采用多元回归分析来检验这两个模型。与癌症耻辱感假设相反，乳腺癌患者最初认为自己得到了更多而非更少的情感支持。随着术后时间的增加，手术类型并不能解释情感支持的水平。相反，发现了对社会活动假设的支持。结果被解释为表明乳腺癌不再带有耻辱感，至少在降低女性情感支持水平的程度上并非如此。
