The role of constructed meaning in adaptation to the onset of life-threatening illness
The role of constructed meaning in adaptation to the onset of life-threatening illness
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DOI：
10.1016/j.socscimed.2005.04.026
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发表时间：
2005-11-01
影响因子：
5.4
通讯作者：
Fife, BL
中科院分区：
文献类型：
--
作者：
Fife, BL
创伤性生活事件的内在含义是否增加了我们对不同心理健康结果的理解？鉴于这一问题，本文讨论了两个核心问题：（1）什么变量影响的意义，是在应对危机的构建，以及（2）这种意义如何影响自我，并最终适应/心理健康的结果所示的情绪困扰的水平？一个理论模型进行评估，通过比较分析，纳入76人的数据与癌症和130人与艾滋病毒/艾滋病。三个主要发现支持这一模型和意义在应对危机中的作用的重要性：（1）在应对危机中建构的意义可以被操作化，其作用可以作为适应过程的一个维度来评估，（2）证据表明建构的意义影响自我感知，从而影响适应，（3）影响模式不因疾病类型而异，因为分析表明，意义是个人反应的核心，而不管事件特征的差异。(c)2005爱思唯尔有限公司保留所有权利。
Do the meanings inherent within a traumatic life event increase our understanding of differential mental health outcomes? In light of this question two central issues are addressed in this article: (1) what variables influence the meaning that is constructed in response to a crisis, and (2) how does this meaning affect the self and ultimately the adaptation/mental health outcome as indicated by the level of emotional distress?A theoretical model is evaluated via a comparative analysis that incorporates the data of 76 persons with cancer and 130 persons with HIV/AIDS. Three primary findings support this model and the significance of the role of meaning in response to a crisis: (1) the meaning constructed in response to a crisis can be operationalized and its role evaluated as a dimension of the adaptation process, (2) evidence indicates constructed meaning affects self-perception, which subsequently affects adaptation, and (3) the pattern of effects does not differ by illness type since analyses indicate meaning is central to individuals' responses regardless of differences in characteristics of the event. (c) 2005 Elsevier Ltd. All rights reserved.