HOW COPING MEDIATES THE EFFECT OF OPTIMISM ON DISTRESS - A STUDY OF WOMEN WITH EARLY-STAGE BREAST-CANCER
HOW COPING MEDIATES THE EFFECT OF OPTIMISM ON DISTRESS - A STUDY OF WOMEN WITH EARLY-STAGE BREAST-CANCER
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DOI：
10.1037/0022-3514.65.2.375
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发表时间：
1993-08-01
影响因子：
7.6
通讯作者：
CLARK, KC
中科院分区：
文献类型：
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作者：
CARVER, CS;POZO, C;CLARK, KC
在诊断时，59名乳腺癌患者报告了他们对生活的总体乐观态度;术前1天，术后10天，以及3个月，6个月和12个月的随访，他们报告了他们最近的应对反应和痛苦水平。即使控制了先前的痛苦，乐观与痛苦在每一点上都成反比。接受，积极的重构和宗教的使用是最常见的应对反应;否认和行为脱离是最不常见的反应。接受和使用幽默前瞻性地预测较低的痛苦;否认和脱离预测更多的痛苦。路径分析表明，几种应对反应在乐观对苦恼的影响中起中介作用。讨论集中在调整过程中各种应对反应的作用，性格乐观主义与悲观主义的运作机制，第三变量问题，以及应用的影响。
At diagnosis, 59 breast cancer patients reported on their overall optimism about life; 1 day presurgery, 10 days postsurgery, and at 3-, 6-, and 12-month follow-ups, they reported their recent coping responses and distress levels. Optimism related inversely to distress at each point, even controlling for prior distress. Acceptance, positive reframing, and use of religion were the most common coping reactions; denial and behavioral disengagement were the least common reactions. Acceptance and the use of humor prospectively predicted lower distress; denial and disengagement predicted more distress. Path analyses suggested that several coping reactions played mediating roles in the effect of optimism on distress. Discussion centers on the role of various coping reactions in the process of adjustment, the mechanisms by which dispositional optimism versus pessimism appears to operate, third variable issues, and applied implications.