Psychological distress and well-being in advanced cancer: The effects of optimism and coping
Psychological distress and well-being in advanced cancer: The effects of optimism and coping
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DOI：
10.1007/bf01996132
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发表时间：
1996-06-01
影响因子：
2.2
通讯作者：
Dougherty, J
中科院分区：
文献类型：
--
作者：
Miller, DL;Manne, SL;Dougherty, J
这项研究调查了75名被诊断为癌症的成年人的乐观情绪、应对方式、功能状态和心理适应之间的关系。对心理适应的积极方面和消极方面进行评估。所有参与者都被诊断为癌症晚期(即II、III和TV期)。参与者在1个月的时间内完成了三次评估。乐观和应对都与心理适应相关，即使在控制了功能状态和先前的调整之后也是如此。此外，乐观和应对与痛苦和幸福有不同的关系。乐观情绪与幸福感呈正相关，与痛苦呈负相关。逃避应对与痛苦呈正相关，接受责任应对与幸福感呈负相关。目前和以前的研究比较表明，被诊断为癌症晚期或在骨髓移植中幸存下来的人比健康人和早期疾病患者表现出更高的乐观水平。
This study examined the relations among optimism, coping, functional status, and psychological adjustment in 75 adults diagnosed with cancer. Both the positive and the negative aspects of psychological adjustment were assessed. All participants had been diagnosed with advanced stages of cancer (i.e., Stages II, III, and TV). Participants completed three assessments across a 1-month time period. Both optimism and coping were associated with psychological adjustment, even after controlling for functional status and prior adjustment Additionally, optimism and coping were differentially related to distress and well-being. Optimism was strongly and positively associated with well-being and inversely related to distress. Escape-Avoidance coping was positively associated with distress and Accepting Responsibility coping was negatively associated with well-being. Comparisons between the current and prior studies indicated that individuals who are diagnosed with more advanced stages of cancer or who have survived bone marrow transplantation exhibit higher levels of optimism than do healthy individuals and individuals with early-stage disease.