Malcarne V L, Compas B E, Epping-Jordan J E, Howell D C
San Diego State University, California 92120-4913, USA.
J Behav Med. 1995 Oct;18(5):401-17. doi: 10.1007/BF01904771.
We examined attributions of behavioral and characterological self-blame and perceptions of control over disease progression and recurrence as predictors of symptoms of psychological distress in a sample of adult men and women with cancer. Data were obtained near the time of diagnosis and a 4-month follow-up. Initial levels of behavioral and characterological self-blame were unrelated to concurrent psychological distress. Initial characterological self-blame as well as the interaction of characterological and behavioral self-blame was predictive of psychological distress 4 months later. Perceptions of control over cancer recurrence were unrelated to psychological distress near diagnosis or at follow-up, and control beliefs did not function as a mediator of self-blame. Initial levels of psychological distress predicted characterological but not behavioral self-blame at follow-up, suggesting a reciprocal relationship between characterological self-blame and distress.
我们研究了行为和性格自责归因以及对疾病进展和复发的控制感，以此作为成年癌症男性和女性样本中心理困扰症状的预测因素。数据在诊断时及4个月随访时收集。行为和性格自责的初始水平与同时期的心理困扰无关。初始性格自责以及性格和行为自责的交互作用可预测4个月后的心理困扰。对癌症复发的控制感在诊断时或随访时与心理困扰无关，且控制信念并非自责的中介因素。心理困扰的初始水平可预测随访时的性格自责而非行为自责，这表明性格自责与困扰之间存在相互关系。
