Houldin A D, Jacobsen B, Lowery B J
University of Pennsylvania School of Nursing in Philadelphia, USA.
Oncol Nurs Forum. 1996 Jan-Feb;23(1):75-9.
To examine the relationship between self-blame and illness adjustment in women with breast cancer.
Descriptive, correlational design.
Outpatient facilities of two metropolitan medical centers.
234 women diagnosed with stage I or II breast cancer.
Structured and semistructured interviews using the Psychosocial Adjustment to Illness Scale (PAIS), the Global Adjustment to Illness Scale (GAIS), an attributions and blame interview, and several questions about control over the cause and course of the cancer.
Self-blame, controllability, and adjustment to illness.
39% of the sample reported some self-blame. Analysis of variance indicated that subjects with high levels of self-blame had poorer scores on the PAIS and GAIS.
The findings indicate the need for further study of the self-blame/adjustment relationship. Researchers must clarify the characteristics that compromise adjustment in patients with breast cancer.
The findings support the importance of assessing self-blame and providing information to discourage its use by patients with breast cancer.
研究乳腺癌女性患者自责与疾病适应之间的关系。
描述性、相关性设计。
两个大城市医疗中心的门诊设施。
234名被诊断为I期或II期乳腺癌的女性。
使用疾病心理社会适应量表（PAIS）、疾病总体适应量表（GAIS）进行结构化和半结构化访谈，进行归因与自责访谈，并询问几个关于对癌症病因和病程控制的问题。
自责、可控性和疾病适应。
39%的样本报告有一定程度的自责。方差分析表明，自责程度高的受试者在PAIS和GAIS上的得分较低。
研究结果表明需要进一步研究自责与适应的关系。研究人员必须明确影响乳腺癌患者适应的特征。
研究结果支持评估自责并向乳腺癌患者提供信息以避免其自责的重要性。
