A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life.
A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life.
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DOI：
10.18632/oncotarget.15758
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发表时间：
2017-05-30
期刊：
影响因子：
--
通讯作者：
Giordano A
中科院分区：
文献类型：
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作者：
Chirico A;Lucidi F;Merluzzi T;Alivernini F;Laurentiis M;Botti G;Giordano A
应对癌症的自我效能是一个特定的概念，指的是在处理癌症诊断、癌症治疗和向生存过渡的过程中发生的行为。癌症行为量表是最广泛使用的应对癌症自我效能的衡量标准之一。以下一般性问题为本研究提供了框架： 1. 应对癌症的自我效能与癌症患者的痛苦和生活质量有关吗？ 2. 在纵向研究中，无论是否干预，应对癌症的自我效能和目标心理结果（即痛苦和生活质量）是否会发生变化？ 180 项研究引用了不同版本的癌症行为量表，其中 47 项研究使用了该量表。结果显示，应对癌症的自我效能感与痛苦呈负相关，而应对癌症的自我效能感与生活质量呈正相关，且效应量较大。自我效能和结果之间的密切关系是由于该工具的特殊性造成的，该工具针对与癌症调整的积极结果密切相关的特定应对策略。然而，结果与理论一致，即与低效能者相比，高效能者在压力情况下表现出较少的焦虑和更好的调整，并且与自我效能与生活质量呈正相关的先前结果一致。
Self-efficacy for coping with cancer is a specific construct that refers to behaviors that occur in the course of dealing with a cancer diagnosis, cancer treatments, and transitioning to survivorship. One of the more widely used measures of self-efficacy for coping strategies with cancer is the Cancer Behavior Inventory. The following general questions provide a framework for this research: 1. Is self-efficacy for coping with cancer related to distress and quality of life of a cancer patient?. 2. Do self-efficacy for coping with cancer and the target psychological outcomes (i.e., distress and quality of life) change in longitudinal studies, with or without intervention? One-hundred eighty studies cited the different versions of the Cancer Behavior Inventory and 47 used the scale. Result showed an inverse relationship between self-efficacy for coping with cancer and distress, and a positive relationship between self-efficacy for coping with cancer and Quality of Life, both with a large effect size. The strong relationship of self-efficacy and outcomes, resulted of the specificity of the instrument, which targets specific coping strategies that are closely aligned with positive outcomes in adjusting to cancer. However, the results are consistent with the theory, which states that compared to those with low efficacy, highly efficacious people demonstrate less anxiety and better adjustment in stressful situations and consistent with prior results in which self-efficacy is positively related to quality of life.