Optimistic personality and psychosocial well-being during treatment predict psychosocial well-being among long-term survivors of breast cancer
Optimistic personality and psychosocial well-being during treatment predict psychosocial well-being among long-term survivors of breast cancer
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DOI：
10.1037/0278-6133.24.5.508
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发表时间：
2005-09-01
影响因子：
4.2
通讯作者：
Derhagopian, RP
中科院分区：
文献类型：
--
作者：
Carver, CS;Smith, RG;Derhagopian, RP
在考虑乳腺癌等威胁生命的疾病幸存者的幸福感时，有两个重要的问题是，初始适应和长期适应之间是否存在连续性，以及个性在长期适应中扮演什么角色。在这项研究中，163名早期乳腺癌患者的样本在手术后一年内首次进行了心理社会适应评估，并在手术后5-13年完成了同样的测量。最初的幸福感报告是同样衡量标准下后续幸福感的相对较强的预测指标。最初的乐观情绪和婚姻状况也预示着后续的调整，甚至控制了较早的调整，这在多变量分析中起到了实质性的独特作用。相比之下，最初的医学变量几乎没有起到预测作用。多年来，乳腺癌幸存者的主观幸福感有很大的连续性，这在一定程度上源于个性和社会关系。
In considering well-being among survivors of life-threatening illnesses such as breast cancer, 2 important questions are whether there is continuity between initial adjustment and longer term adjustment and what role personality plays in long-term adjustment. In this research, a sample of 163 early stage breast cancer patients whose psychosocial adjustment was first assessed during the year after surgery completed the same measures 5-13 years after surgery. Initial reports of well-being were relatively strong predictors of follow-up well-being on the same measures. Initial optimism and marital status also predicted follow-up adjustment, even controlling for earlier adjustment, which exerted a substantial unique effect in multivariate analyses. In contrast, initial medical variables played virtually no predictive role. There is substantial continuity of subjective well-being across many years among survivors of breast cancer, rooted partly in personality and social connection.