Survivor centrality among breast cancer survivors: implications for well-being.
Survivor centrality among breast cancer survivors: implications for well-being.
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DOI：
10.1002/pon.1750
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发表时间：
2011-05
期刊：
影响因子：
3.6
通讯作者：
Helgeson, Vicki S.
中科院分区：
文献类型：
--
作者：
Helgeson, Vicki S.
这项研究的目的是检查10年乳腺癌幸存者将癌症整合到他们的自我概念中的程度（即，幸存者中心性），确定幸存者中心性的预测因素，并确定幸存者中心性与福祉的关系。乳腺癌幸存者（n = 240）进行了采访后10年的初步诊断。他们完成了幸存者中心性、疾病效价（即，对疾病的积极或消极看法）和幸福感（积极和消极的影响、精神和身体功能、心理痛苦、利益发现）。几乎没有什么预测因素可以预测那些更有可能将乳腺癌纳入自我概念的女性，但幸存者中心性与参与表明生存与女性日常生活相关的行为有关，例如参与乳腺癌活动。幸存者中心性与消极心理健康的三个标志物有关：更多的负面影响，更差的心理功能和更大的心理困扰。然而，在负面影响和心理困扰的情况下，这种关系是缓和的疾病效价，这样的幸存者中心性只与消极的心理健康的疾病被认为是在不太积极的方面。妇女在多大程度上定义自己的乳腺癌的经验。幸存者中心性本身并不总是表明对疾病的适应。当女性对成为乳腺癌幸存者有更消极的看法时，幸存者中心更有可能意味着潜在的问题。
The goal of this research was to examine the extent to which 10-year breast cancer survivors integrated cancer into their self-concept (i.e., survivor centrality), identify predictors of survivor centrality, and determine the relation of survivor centrality to well-being. Breast cancer survivors (n = 240) were interviewed 10 years following the initial diagnosis. They completed measures of survivor centrality, illness valence (i.e., positive or negative views of illness), and well-being (positive and negative affect, mental and physical functioning, psychological distress, benefit-finding). There were few predictors of the kinds of women who were more likely to integrate breast cancer into their self-concepts, but survivor centrality was related to engaging in behaviors that suggested survivorship was relevant to women’s daily lives, such as becoming involved in breast cancer activities. Survivor centrality was related to three markers of negative psychological well-being: more negative affect, poorer mental functioning, and greater psychological distress. However, in the case of negative affect and psychological distress, this relation was moderated by illness valence, such that survivor centrality was only related to negative psychological well-being when the illness was viewed in less positive terms. Women vary in the extent to which they define themselves in terms of the breast cancer experience. Survivor centrality in and of itself is not always indicative of adjustment to disease. When women have a more negative view of being a breast cancer survivor, survivor centrality is more likely to signify potential problems.
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影响因子：
3.6
作者：
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通讯作者：
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