A Longitudinal Investigation of Coping and Posttraumatic Growth in Breast Cancer Survivors
A Longitudinal Investigation of Coping and Posttraumatic Growth in Breast Cancer Survivors
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DOI：
10.1080/07347330903438958
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发表时间：
2010-01-01
影响因子：
2.1
通讯作者：
Naus, Mary J.
中科院分区：
文献类型：
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作者：
Bussell, Valerie A.;Naus, Mary J.
这项研究支持了对化疗期间（时间1）的应对和痛苦，以及两年后（时间2）乳腺癌女性的应对、感知压力和创伤后成长的预测。在T1时，以情绪为中心的应对策略（脱离、否认、自责和发泄）与生理和心理困扰呈正相关。此外，宗教认知策略、积极重构和接受共同解释了疲劳和痛苦情绪的显著差异。积极重构与接受与化疗痛苦负相关，而使用宗教与化疗痛苦正相关。然而，在化疗（T1）中使用宗教与两年随访（T2）中更多的创伤后生长有关。此外，在两年的随访中，(1)使用宗教、积极重构和接受占创伤后成长差异的46% (46%)；(2)正向重构与创伤后成长相关；(3)与创伤后成长相关的工具支持和情感支持；(4)接受与较少感知压力相关；(5)自责与感知压力增加有关；(6)创伤后成长与较低的感知压力无显著相关。这些发现支持了目前的理论模型，即创伤后成长是适应性的，它源于认知处理创伤，而应对可能会减缓这种成长。
This study supported several predictions for coping and distress during chemotherapy (Time 1), and coping, perceived stress, and posttraumatic growth two years later (Time 2) in women with breast cancer. At T1, the emotion-focused coping strategies of disengagement, denial, self-blame, and venting were positively related to physical and psychological distress. In addition, the cognitive strategies of religion, positive reframing, and acceptance together accounted for a significant amount of the variance in fatigue and distressed mood. Positive reframing and acceptance negatively related to chemotherapy distress, while using religion positively related. However, using religion at chemotherapy (T1) related to more posttraumatic growth at two-year follow-up (T2). Furthermore, at two-year follow-up, (1) using religion, positive reframing, and acceptance accounted for forty-six percent (46%) of the variance in posttraumatic growth; (2) positive reframing related to more posttraumatic growth; (3) instrumental and emotional support related to more posttraumatic growth; (4) acceptance related to less perceived stress; (5) self-blame related to more perceived stress; and (6) posttraumatic growth marginally related to lower perceived stress. These findings support the current theoretical model that posttraumatic growth is adaptive, that it results from cognitively processing trauma, and that coping may moderate this growth.