Phipps S, Srivastava D K
Division of Behavioral Medicine, St. Jude Children's Research Hospital, Memphis, Tennessee 38105-2794, USA.
Health Psychol. 1997 Nov;16(6):521-8. doi: 10.1037//0278-6133.16.6.521.
The constructs of repressive adaptive style and avoidant coping (blunting) were assessed as possible explanatory factors for previously reported findings of lower self-reported depression in children with cancer. Pediatric oncology patients 7-16 years old (n = 107) and healthy control participants (n = 442) completed measures of depressive symptoms, trait anxiety, defensiveness, and approach and avoidant coping. Oncology patients scored significantly lower on measures of depression and trait anxiety, and higher on defensiveness. Applying the adaptive style paradigm, the oncology group showed a significant excess of repressors. Depressive symptoms differed as a function of adaptive style, with repressors demonstrating the lowest levels of self-reported depression. Children with cancer also reported greater use of blunting, but this difference was small and appeared unrelated to depression scores. Within the cancer group, repressive adaptation was unrelated to time elapsed since diagnosis. These findings are discussed with reference to the ongoing controversy regarding cancer-personality style associations.
压抑性适应方式和回避性应对（情感迟钝）的结构被评估为先前报告的癌症患儿自我报告的抑郁程度较低这一发现的可能解释因素。7至16岁的儿科肿瘤患者（n = 107）和健康对照参与者（n = 442）完成了抑郁症状、特质焦虑、防御性以及趋近性和回避性应对的测量。肿瘤患者在抑郁和特质焦虑测量中的得分显著更低，而在防御性测量中的得分更高。应用适应方式范式，肿瘤组中压抑者显著过多。抑郁症状因适应方式而异，压抑者自我报告的抑郁水平最低。癌症患儿还报告更多地使用情感迟钝，但这种差异很小，且似乎与抑郁得分无关。在癌症组中，压抑性适应与诊断后的时间间隔无关。结合关于癌症与人格风格关联的持续争议对这些发现进行了讨论。
