Breast cancer patients' topic avoidance and psychological distress: The mediating role of coping
Breast cancer patients' topic avoidance and psychological distress: The mediating role of coping
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DOI：
10.1177/1359105310383605
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发表时间：
2011-05-01
影响因子：
3.2
通讯作者：
Caughlin, John P.
中科院分区：
文献类型：
--
作者：
Donovan-Kicken, Erin;Caughlin, John P.
避免与癌症相关的交流是很常见的，很可能会对患者的心理健康造成负面影响，但话题回避和心理健康之间的联系还没有被很好地理解。这项针对乳腺癌女性的研究考察了应对行为作为中介机制，通过这些机制，与癌症相关的话题回避可能会影响她们的心理痛苦。与预测一致的是，患者话题回避程度越高，抑郁和焦虑程度越高。结果表明，话题回避会降低患者对情绪支持的利用度，增加患者的自责，这两者都可能导致更高水平的心理痛苦。
Avoiding communication about cancer is common and is likely to have negative psychological health consequences for patients, yet the connection between topic avoidance and psychological well-being is not well understood. This study of women with breast cancer examined coping behaviors as mediating mechanisms through which their cancer-related topic avoidance might affect their psychological distress. Consistent with predictions, greater levels of patient topic avoidance were associated with higher levels of depression and anxiety. Results indicated that topic avoidance may decrease patients' use of emotional support and increase patients' self-blame, each of which may lead to higher levels of psychological distress.