Affective differentiation in breast cancer patients
Affective differentiation in breast cancer patients
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DOI：
10.1007/s10865-010-9274-8
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发表时间：
2010-12-01
影响因子：
3.1
通讯作者：
Graber, Elana
中科院分区：
文献类型：
--
作者：
Dasch, Kimberly B.;Cohen, Lawrence H.;Graber, Elana
53名乳腺癌患者在手术后不久连续7个晚上完成了一项基于互联网的日记，测量每天的消极影响和积极影响以及每天的消极和积极事件。作者使用分层线性模型（Raudenbush和Bryk在分层线性模型：应用程序和数据分析方法。Sage，Thousand Oaks，CA，2002）来检查情感分化的调节因子，或者患者的消极情感和积极情感之间的日常关系。强烈的情感分化的特点是消极和积极的影响相对独立。有没有显着的1级（受试者内）调解人的情感分化。然而，在第2级（受试者之间），正如预测的那样，年龄的增加与更强的情感分化相关，因为更多地使用计划来科普乳腺癌。同样如预测的那样，焦虑的增加和更多地使用行为脱离和否认应对与较弱的情感分化有关。结果表明，价值的情感分化结构，和每日日记的方法，研究乳腺癌患者的日常生活。
Fifty-three breast cancer patients completed an Internet-based diary measuring daily negative affect and positive affect and daily negative and positive events for seven consecutive evenings shortly after surgery. The authors used Hierarchical Linear Modeling (Raudenbush and Bryk in Hierarchical linear models: applications and data analysis methods. Sage, Thousand Oaks, CA, 2002) to examine moderators of affective differentiation, or the daily relationship between the patients' negative affect and positive affect. Strong affective differentiation is characterized by the relative independence of negative and positive affect. There were no significant Level 1 (within-subject) moderators of affective differentiation. However, at Level 2 (between-subject), as predicted, increased age was associated with stronger affective differentiation, as was greater use of planning to cope with breast cancer. Also as predicted, increased anxiety and greater use of behavioral disengagement and denial coping were associated with weaker affective differentiation. The results suggest the value of the affective differentiation construct, and a daily diary methodology, for research on the daily lives of breast cancer patients.