A threshold model of social support, adjustment, and distress after breast cancer treatment.

A threshold model of social support, adjustment, and distress after breast cancer treatment.
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DOI:
10.1037/a0026549
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发表时间:
2012-01
影响因子:
3.9
通讯作者:
Heppner, P. Paul
Heppner, P. Paul
中科院分区:
心理学1区
文献类型:
--
作者:
Mallinckrodt, Brent;Armer, Jane M.;Heppner, P. Paul

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本研究探讨了一个阈值模型,提出社会支持具有曲线关联的调整和痛苦,这样的支持超过一个临界阈值水平有递减的增量效益。首次诊断为乳腺癌的女性(N = 154)在手术治疗后约3周和8-16个月后完成了感知支持(社会供给量表)、生活质量(癌症功能性生活指数)、调整(疾病心理调整量表)和心理困扰(简明症状量表)的调查测量。与阈值模型一致,多元回归分析表明,在时间1和时间2的社会支持和痛苦之间有显着的曲线关系,社会支持和调整时间2。与此模型相一致,社会支持和结果之间的显着双变量相关性几乎完全由支持最低四分位数的女性占。社会支持的妇女在最高的三个四分位数是无关的,或只有轻微的调整和痛苦。
This study examined a threshold model which proposes that social support exhibits a curvilinear association with adjustment and distress, such that support in excess of a critical threshold level has decreasing incremental benefits. Women diagnosed with a first occurrence of breast cancer (N = 154) completed survey measures of perceived support (Social Provisions Scale), quality of life (Functional Living Index-Cancer), adjustment (Psychological Adjustment to Illness Scale) and psychological distress (Brief Symptom Inventory) approximately three weeks after surgical treatment and 8–16 months later. Consistent with a threshold model, multiple regression analyses suggested a significant curvilinear relationship between social support and distress at Time 1 and Time 2; and between social support and adjustment at Time 2. Consistent with this model, the significant bivariate correlations between social support and outcomes were accounted for almost entirely by women in the lowest quartile of support. Social support among women in the highest three quartiles was unrelated or only marginally related to adjustment and distress.
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