Shapiro D E, Rodrigue J R, Boggs S R, Robinson M E
Department of Clinical and Health Psychology, University of Florida, Gainesville 32610-0165.
J Psychosom Res. 1994 Feb;38(2):151-9. doi: 10.1016/0022-3999(94)90088-4.
A number of researchers have attempted to understand how individuals cope with having cancer. Unfortunately, this voluminous literature has suffered from a number of problems common to other pre-paridigmic disciples. Studies are generally isolated and fail to build upon other research in the literature. In addition, no guiding theory or conceptualization exists that helps to explain and describe the richness and complexity of observed clinical phenomena. With the understanding that coping with cancer is multidimensional, some researchers have attempted to group coping responses into dominant styles. In an effort to better understand the results of this approach, we performed a cluster analysis on 117 responses to a three scale questionnaire, the Medical Coping Modes Questionnaire. Results indicated that subjects can be grouped into one of four coping categories: confrontive, avoidant, resigned, or with a nondominant style. Future research is needed to explore how these styles influence quality of life during and following treatment.
许多研究人员试图了解个体如何应对患癌情况。不幸的是，大量此类文献存在其他前范式学科常见的一些问题。研究通常较为孤立，未能基于文献中的其他研究。此外，不存在有助于解释和描述所观察到的临床现象的丰富性和复杂性的指导性理论或概念框架。鉴于应对癌症是多维度的，一些研究人员试图将应对反应归为主要类型。为了更好地理解这种方法的结果，我们对一份包含三个量表的问卷——医学应对方式问卷——的117份回复进行了聚类分析。结果表明，受试者可被归为四种应对类别之一：对抗型、回避型、顺从型或无主导型。未来需要开展研究，以探索这些类型如何在治疗期间及之后影响生活质量。
