Social constraints, intrusive thoughts, and mental health after prostate cancer
Social constraints, intrusive thoughts, and mental health after prostate cancer
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DOI：
10.1521/jscp.1998.17.1.89
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发表时间：
1998-03-01
影响因子：
1.7
通讯作者：
Helgeson, VS
中科院分区：
文献类型：
--
作者：
Lepore, SJ;Helgeson, VS
我们研究了社会环境如何影响男性的认知处理能力和从与前列腺癌相关的创伤中恢复的心理。我们假设，那些认为别人不愿意接受他们试图谈论与癌症有关的问题的男性，他们的心理健康状况会比那些拥有更容易接受的社交网络的男性更差。在一项对178名前列腺癌幸存者的调查中，我们测量了关于癌症的侵入性想法，谈论癌症的社会限制，思考和谈论癌症的回避，以及反心理健康。家庭/朋友社会约束×侵入性思想和妻子社会约束×侵入性思想对心理健康有显著的交互作用。互动图显示，在谈论癌症时感到社会约束的男性中，侵入性思想与心理健康之间的负相关性比不受约束的男性更强。此外，来自家人和朋友的限制程度与思考和谈论癌症时的回避程度呈正相关，而这反过来又与心理健康状况较差有关。这些结果表明，支持性的社交网络可以通过促进癌症经历的认知处理来促进心理调整。
We examined how the social environment influences men's ability to cognitively process and recover psychologically from the trauma associated with prostate cancer. We hypothesized that men who judge others to be unreceptive to their attempts to talk about their cancer-related concerns would have poorer mental health than men with more receptive social networks. In a survey with 178 prostate cancer survivors, we measured intrusive thoughts about cancer, social constraints in talking about cancer, avoidance in thinking and talking about cancer, anti mental health. There were significant interactive effects of Family/Friend Social Constraints x Intrusive Thoughts and Wife Social Constraints x Intrusive Thoughts on mental health. Plots of the interactions showed a stronger negative relation between intrusive thoughts and mental health among men who felt socially constrained in talking about their cancer than among men who felt unconstrained. In addition, level of constraints from family and friends was positively associated with level of avoidance in thinking and talking about cancer which, in turn, was associated with poorer mental health. These results suggest that supportive social networks may promote psychological adjustment by facilitating cognitive processing of the cancer experience.