The combined contribution of social support and coping strategies in predicting post-traumatic growth: a longitudinal study on cancer patients
The combined contribution of social support and coping strategies in predicting post-traumatic growth: a longitudinal study on cancer patients
复制标题
DOI：
10.1002/pon.1782
复制
发表时间：
2011-08-01
期刊：
影响因子：
3.6
通讯作者：
Magrin, Maria Elena
中科院分区：
文献类型：
--
作者：
Scrignaro, Marta;Barni, Sandro;Magrin, Maria Elena
目的：探讨社会支持和应对策略在促进癌症患者创伤后成长（PTG）中的作用。本研究的重点是回避和接近应对，以及四种不同类型的社会支持：(a)感知可用性，(b)实际获得，(c)对获得的支持的满意度，以及(d)照顾者满足患者自主性、能力和亲缘性基本心理需求的能力。方法：对41名目前处于治疗和管理阶段的癌症患者进行了一项纵向研究。在间隔6个月的两个时间点（T1和T2）以书面问卷的方式收集数据。采用人际支持评价表和关系需求满意度量表对社会支持进行评估。使用Brief COPE问卷评估应对策略。社会支持和应对策略仅在T1时进行评估。在T1和T2使用创伤后生长量表评估PTG。相关分析和回归分析用于检验社会支持和应对策略与创伤后成长短期报告之间的关系。结果：回归分析显示自主支持性照顾者和以问题为中心的应对策略显著预测T2时更高的PTG。结论：本研究有助于更深入地了解社会支持的类型，可能特别有助于癌症患者经历PTG。此外，研究结果证实了以问题为中心的应对策略在心理成长中的重要作用。版权所有John Wiley & Sons， Ltd。
Objectives: The aim of this study is to investigate the role of social support and coping strategies in enhancing post-traumatic growth (PTG) in cancer patients. The study focused on both avoidance and approaching coping and on four distinct types of social support: (a) perceived availability, (b) actual received, (c) satisfaction with received support, and (d) the competence of caregiver to satisfy the patient's basic psychological needs of autonomy, competence, and relatedness.Methods: A longitudinal study was conducted with a group of 41 cancer patients currently in the treatment and management phase of their illness. Data were collected by means of a written questionnaire, at two time points (T1 and T2) that were 6 months apart. Social support was assessed using the Interpersonal Support Evaluation List and the Need Satisfaction in Relationship Scale. Coping strategies were assessed using the Brief COPE questionnaire. Social support and coping strategies were assessed only at T1. PTG was assessed using the Post-Traumatic Growth Inventory at T1 and T2. Correlation and regression analyses were used to examine the association between social support and coping strategies with short-term reports of post-traumatic growth.Results: Regression analyses showed that autonomy-supportive caregivers and a problem-focused strategy of coping significantly predicted greater PTG at T2.Conclusions: This study contributes to a deeper understanding of the type of social support that may specifically aid cancer patients in experiencing PTG. Furthermore, findings confirm the important role of problem-focused coping strategies in growing psychologically. Copyright (C) 2010 John Wiley & Sons, Ltd.