Psychological adjustment in breast cancer: processes of emotional distress.

Psychological adjustment in breast cancer: processes of emotional distress.
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乳腺癌的心理调整:情绪困扰的过程。

DOI:
10.1037//0278-6133.18.4.315
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发表时间:
1999
期刊:
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子:
--
通讯作者:
Krag,DN
Krag,DN
中科院分区:
--
文献类型:
--
作者:
Epping-Jordan,JE;Compas,BE;Osowiecki,DM;Oppedisano,G;Gerhardt,C;Primo,K;Krag,DN

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对80例I-IV期乳腺癌患者进行了诊断时、3个月和6个月随访时对乳腺癌心理适应过程的研究。在诊断时,焦虑/抑郁的症状是通过低倾向的乐观情绪来预测的,这一路径部分地通过使用情绪集中的脱离应对来调节。在诊断时,较年轻的年龄也预示着焦虑/抑郁症状,这种关系完全由侵入性想法的大小所调节。在3个月时,焦虑/抑郁症状的变化只能通过侵入性思维来预测。在6个月时,低倾向乐观主义再次成为焦虑/抑郁变化的显著预测因子,并再次通过情绪集中脱离应对的使用而部分中介。在6个月时,还发现了关注问题的投入和脱离以及关注情绪的投入应对的独立效应。这些数据对乳腺癌患者的心理社会干预的影响被强调。(心理信息数据库记录(C)2016 APA,版权所有)
The process of psychological adjustment to breast cancer was examined at diagnosis and at 3-and 6-month follow-ups in a sample of 80 women with Stage I–Stage IV breast cancer. At diagnosis, symptoms of anxiety/depression were predicted by low dispositional optimism, and this path was partially mediated by use of emotion-focused disengagement coping. Younger age also was predictive of anxiety/depression symptoms at time of diagnosis and this relationship was fully mediated by magnitude of intrusive thoughts. At 3 months, changes in anxiety/depression symptoms were predicted only by intrusive thoughts. At 6 months, low dispositional optimism reemerged as a significant predictor of changes in anxiety/depression and again was partially mediated by the use of emotion-focused disengagement coping. Independent effects for problem-focused engagement and disengagement and emotion-focused engagement coping were also found at 6 months. Implications of these data for psychosocial interventions with breast cancer patients are highlighted.(PsycINFO Database Record (c) 2016 APA, all rights reserved)
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