A prospective study of coping, perceived control, and psychological adaptation to breast cancer
A prospective study of coping, perceived control, and psychological adaptation to breast cancer
复制标题
DOI：
10.1023/a:1018779228432
复制
发表时间：
1999-04-01
影响因子：
2.8
通讯作者：
Compas, BE
中科院分区：
文献类型：
--
作者：
Osowiecki, DM;Compas, BE
对70名乳腺癌患者在确诊前后以及随访3个月和6个月时的应对、感知控制和焦虑/抑郁症状进行了评估。构建多元回归方程探讨应对、感知控制及其交互作用对焦虑/抑郁症状的影响。以问题为中心的参与应对与诊断前较低的焦虑/抑郁症状有关；在控制初始焦虑和抑郁的情况下，情绪集中的脱离应对与6个月时更多的焦虑/抑郁症状相关；以问题为中心的投入与6个月后较低的焦虑/抑郁症状没有明显的关系，控制了最初的焦虑/抑郁。对知觉控制没有主要影响。以问题为中心的参与、应对和感知控制的相互作用仅在诊断时是较低焦虑/抑郁症状的显著预测因子。因此，适合度效应，即以问题为中心的应对与感知控制相互作用以预测较低水平的焦虑/抑郁，被横断面复制，但没有前瞻性。
Coping, perceived control, and Symptoms Of anxiety/depression were assessed in 70 women with breast cancer near their diagnosis and at 3- and 6-month follow-Icps. Multiple regression equations were constructed to investigate the effects of coping, perceived control, and their interaction on anxiety/depression symptoms. Problem focused engagement coping was related to lower anxiety/depression symptoms near diagnosis; emotion-focused disengagement coping was related to more anxiety/depression symptoms at 6 months, controlling for initial anxiety,/depression; and problem-focused engagement was,ns marginally related to lower anxiety/depression symptoms at 6 months controlling for initial anxiety/depression. There were no main effects for perceived control. The interaction of problem-focused engagement coping and perceived control was a significant predictor of lower anxiety/depression symptoms only near the time of diagnosis. Thus, the goodness-of-fit effect, in which problem-focused coping interacts with perceived control to predict lower levels of anxiety/depression, was replicated cross-sectionally, but not prospectively.