Health locus of control and psychological distress in cancer patients: interactive effects of context.
Health locus of control and psychological distress in cancer patients: interactive effects of context.
复制标题
癌症患者的健康控制点和心理困扰：背景的交互作用。
DOI：
10.1007/bf01857919
复制
发表时间：
1994
影响因子：
3.1
通讯作者：
Brady,MJ
中科院分区：
文献类型：
--
作者：
Andrykowski,MA;Brady,MJ
健康控制点（HLOC）与慢性疾病心理调节之间关系的描述由于未能考虑环境因素的调节作用而受到阻碍。假设HLOC信念与情境中控制现实的匹配程度（现实匹配假设）以及情境所构成的威胁程度（威胁假设）来调节HLOC-痛苦关系。对69例接受骨髓移植评估的恶性疾病患者的痛苦、疾病严重程度（即威胁）和HLOC进行了评估。分层回归分析表明，hloc -苦恼关系受疾病严重程度和治疗史（即个体先前是否接受过癌症治疗）的影响。然而，在某些情况下，所获得的具体相互作用关系与先前对ESRD患者的研究中明显不同。结论：HLOC信念与心理调适之间不存在简单的主效应关系。而。这种关系最好通过共同考虑描述个人所处环境的因素来描述。
Delineation of the relationship between health locus of control (HLOC) and psychological adjustment in chronic disease has been hampered by the failure to consider the moderating effect of contextual factors. The extent to which HLOC beliefs match the control realities in a situation (Reality Matching hypothesis) as well as the degree of threat (Threat hypothesis) posed by the situation were hypothesized to moderate the HLOC-distress relationship. Distress, diesease severity (i. e., threat), and HLOC were assessed in 69 individuals with malignant disease undergoing evaluation for bone marrow transplantation. Hierarchical regression analyses indicated that the HLOC-distress relationship was moderated by disease severity and treatment history (i. e., whether an individual had failed prior cancer therapy). However, in some instances, the specific interaction relationships obtained differed from those evident in previous research with ESRD patients. It was concluded that there is no simple main effect relationship between HLOC beliefs and psychological adjustment. Rather. this relationship is best described by joint consideration of factors descriptive of the context in which the individual is embedded.