Interpretation of illness in cancer survivors is associated with health-related variables and adaptive coping styles.
Interpretation of illness in cancer survivors is associated with health-related variables and adaptive coping styles.
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DOI：
10.1186/1472-6874-9-2
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发表时间：
2009-01-29
期刊：
影响因子：
--
通讯作者：
Fischer, Julia
中科院分区：
文献类型：
--
作者：
Bussing, Arndt;Fischer, Julia
背景：患者对疾病的解释可能会影响应对策略的选择和决策。我们打算分析德国癌症幸存者对其疾病的解释，并调查各自解释、健康相关变量和适应性应对策略之间的相互关系。方法：在一项匿名横断面调查中，我们分析了 387 名癌症患者（81% 为乳腺癌）对疾病的解释（根据 Lipowski 的八个“疾病含义”类别）。为了阐明他们与健康相关变量的概念关系，我们将“疾病解释”问卷 (IIQ) 的 8 个项目与健康相关的生活质量、焦虑/抑郁、疲劳、生活满意度和适应性应对策略相关联。 结果：大多数癌症幸存者将他们的疾病视为一种挑战 (52%)，其他人将其视为价值 (38%)，甚至是生活的中断 (无法挽回的损失; 35%）；弱点/失败（5%）和惩罚（3%）被评为最低。宿命论的消极解释“干扰/损失”和“敌人/威胁”与心理健康相关的生活质量和生活满意度呈负相关，与逃避策略、抑郁和焦虑呈正相关。相反，积极的疾病解释（即“挑战”和“价值”）仅与适应性应对策略相关。身体健康与任何疾病解释均无关。结论：尽管存在概念上的局限性，8 项图式仍可被视为一种有用的筛查方法，用于识别存在心理社会功能下降风险的患者。
BACKGROUND: A patient's interpretation of illness may have an influence on the choice of coping strategies and decision making. We intended to analyze the meaning German cancer survivors would attribute to their disease, and investigated intercorrelations between the respective interpretations, health-related variables and adaptive coping strategies.METHODS: In an anonymous cross-sectional survey, we analyzed the interpretations of disease (according to Lipowski's eight 'meaning of illness' categories) in 387 patients with cancer (81% breast cancer). To make statements about their conceptual relationships with health-related variables, we correlated the 8 items of the 'Interpretation of Illness' questionnaire (IIQ) with health-related quality of life, anxiety/depression, fatigue, life satisfaction, and adaptive coping strategies.RESULTS: Most cancer survivors regarded their disease as a challenge (52%), others as value (38%) or even an interruption of life (irreparable loss; 35%); weakness/failure (5%) and punishment (3%) were rated the lowest. The fatalistic negative interpretations 'interruption/loss' and 'enemy/threat' were inversely correlated with mental health-related quality of life and life satisfaction, and positively with an escape-avoidance strategy, depression and anxiety. In contrast, positive disease interpretations (i.e., 'challenge' and 'value') correlated only with adaptive coping strategies. Physical health correlated with none of the disease interpretations.CONCLUSION: Despite conceptual limitations, the 8-item schema could be regarded as a useful screening approach to identify patients at risk for reduced psychosocial functioning.