Is expressive suppression harmful for Chinese American breast cancer survivors?
Is expressive suppression harmful for Chinese American breast cancer survivors?
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DOI：
10.1016/j.jpsychores.2018.03.171
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发表时间：
2018-06-01
影响因子：
4.7
通讯作者：
Xie, Jing
中科院分区：
文献类型：
--
作者：
Lu, Qian;Tsai, William;Xie, Jing
情绪调节策略对癌症幸存者的适应非常重要。表达抑制是一种适应不良的情绪调节策略，是一种积极抑制情绪反应中表达成分的行为。然而，这些研究仅限于横截面设计，主要是欧洲和美国的样本。中国文化鼓励情绪抑制，以保持人际和谐，因此，它可能是重要的，以测试这些情绪调节过程与这一人群。本研究旨在考察表达抑制、情感表达的矛盾心理（即，情绪表达的内在冲突），以及对华裔乳腺癌幸存者生活质量的认知重新评估。103名参与者完成了一份评估表达抑制、情感表达矛盾、认知再评价和基线生活质量的问卷，并在8周后完成了一份评估生活质量的问卷。与我们的假设相一致，基线矛盾情绪的情绪表达与较低的后续生活质量的表达抑制以上和以外的影响。此外，认知重评调节表达抑制和后续生活质量之间的关系，这样的表达抑制可能是不太有害的华裔美国乳腺癌幸存者谁能够调节自己的情绪，使用认知重评。本文还讨论了为华裔乳腺癌幸存者提供信息干预的意义。
Emotion regulation strategies are important for cancer survivors' adjustment. Expressive suppression, defined as the active effort of inhibiting the expressive component of an emotional response, has been found to be a maladaptive emotion regulation strategy. These studies, however, have been limited to cross-sectional designs and primarily European American samples. Chinese culture encourages emotion suppression to preserve interpersonal harmony and therefore it may be important to test these emotion regulation processes with this population. This study aimed to examine the longitudinal effects of expressive suppression, ambivalence over emotional expression (i.e., inner conflict over emotional expression), and cognitive reappraisal on quality of life among Chinese American breast cancer survivors. 103 participants completed a questionnaire assessing expressive suppression, ambivalence over emotional expression, cognitive reappraisal, and quality of life at baseline and a questionnaire assessing quality of life eight weeks later. Consistent with our hypotheses, baseline ambivalence over emotional expression was associated with lower follow-up quality of life above and beyond the effect of expressive suppression. Furthermore, cognitive reappraisal moderated the relations between expressive suppression and follow-up quality of life, such that expressive suppression may be less detrimental for Chinese American breast cancer survivors who are able to regulate their emotions using cognitive reappraisal. Implications for informing interventions for Chinese American breast cancer survivors are discussed.