Use of the mini-MAC scale in the evaluation of mental adjustment to cancer.
Use of the mini-MAC scale in the evaluation of mental adjustment to cancer.
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DOI：
10.5114/wo.2015.54900
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Deptała A
中科院分区：
文献类型：
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作者：
Czerw AI;Marek E;Deptała A
该研究的目的是通过确定被诊断患有肿瘤疾病的患者采用的应对策略来评估他们对癌症的心理适应。华沙内政部（MSW）中心临床医院（CSK）肿瘤学和血液学诊所的74名患者被纳入研究。采用癌症心理适应量表（mini-MAC）评估患者对癌症的适应程度。个体子量表，即战斗精神、积极的重新定义、无助-绝望和焦虑的关注，与社会人口统计学特征进行了整理。研究结果表明：1)肿瘤患者通常表现出的行为使人们能够确定他们对癌症的适应；2)恶性肿瘤患者建设性行为优于破坏性行为；3)无助-绝望反应男性比女性更明显；4)肿瘤转移患者的无助-绝望反应强于局部局限性肿瘤患者；5)领取养老金的人比工作年龄的人更多地采取无助-绝望的策略；病程最短的患者战斗力最强。癌症患者根据不同的社会人口因素采用不同的应对疾病的策略。
The objective of the study was to evaluate mental adjustment to cancer in patients diagnosed with an oncologic disease through identification of the coping strategies they had adopted. Seventy-four patients of the Clinic of Oncology and Haematology at the Central Clinical Hospital (CSK) of the Ministry of Interior (MSW) in Warsaw were included in the study. The degree of adaptation to cancer was evaluated with the use of the mini-Mental Adjustment to Cancer (mini-MAC) scale. The individual subscales, i.e. fighting spirit, positive redefinition, helplessness-hopelessness, and anxious preoccupation, were collated with socio-demographic characteristics. Study findings indicate that: 1) tumour patients typically manifest behaviour that allows one to identify their adjustment to cancer; 2) in malignant tumour patients constructive behaviour prevails over destructive behaviour; 3) the helplessness-hopelessness response is more pronounced in men than women; 4) metastatic patients manifest stronger helplessness-hopelessness response than patients with locally limited tumours; 5) pensioners more often than people of working age adopt the helplessness-hopelessness strategy; and 6) patients with the shortest disease period manifest the strongest fighting spirit. Cancer patients employ various strategies of coping with disease depending on socio-demographic factors.