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題名 初診斷乳癌患者不同因應型態與心理適應的關係之探討
Exploration of the Relationship between Different Coping Styles and Psychological Adaptation in First-diagnosed Breast Cancer Patients
作者 李蕙君
Lee, Hui Chun
貢獻者 許文耀
李蕙君
Lee, Hui Chun
關鍵詞 乳癌
趨近式因應
逃避式因應
焦慮
憂鬱
日期 2016
上傳時間 11-Jul-2016 17:41:45 (UTC+8)
摘要 研究目的：本研究主要目的在探討乳癌患者的使用之不同因應類型與心理適應間的關係。過去討論乳癌患者的因應時，多聚焦於特定因應策略對心理適應的影響，但較忽略了個體可能同時使用不同類型的因應策略。究竟趨近式因應與逃避式因應對乳癌患者的心理適應之影響為何，其交互作用又會帶來怎麼樣的影響，於過去，是較少被探討的。此為本研究的目的。
研究方法：本研究採縱貫研究法，透過立意取樣以269名中部某教學醫院之初診斷乳癌患者為對象，進行兩年期的追蹤研究，追蹤時間點為術後一年（T1）、術後兩年（T2），並蒐集與測量個案的基本資料、因應策略與焦慮憂鬱分數。本研究以使用頻率之中位數將趨近式因應與逃避式因應各自區分為多與少兩組。統計部份，採混合設計三因子共變異數分析，探討不同因應類別與時間及其交互作用對焦慮及憂鬱情緒的影響效果。最後以階層迴歸分析檢驗趨近式因應、逃避式因應及其交互作用對焦慮與憂鬱分數的預測關係，與共變異數分析之結果進行交叉驗證。
研究結果：在共變異數分析結果上，趨近式因應、逃避式因應及「趨近式因應*逃避式因應」的交互作用都對乳癌患者的焦慮及憂鬱有影響效果，時間對焦慮有主要效果。在階層迴歸分析的結果方面，T1的趨近式因應與逃避式因應能分別預測T1焦慮與憂鬱，且兩者間具交互作用關係，趨近式因應能調節逃避式因應對T1焦慮與憂鬱的影響；另外，T1的趨近式因應與逃避式因應能分別預測T2焦慮與憂鬱，在焦慮情緒上，兩者具有交互作用效果，趨近式因應調節了逃避式因應對於T2焦慮情緒的影響，但在憂鬱情緒上，兩者並無顯著的交互作用關係。
結論：趨近式因應策略的使用會降低乳癌患者的焦慮及憂鬱症狀，而逃避性因應策略的使用，會與乳癌患者較多的焦慮及憂鬱情緒有關，但兩種策略的使用效果會受到彼此的影響。趨近式因應的使用可補償逃避式因應對患者的負面影響，然而逃避式因應亦會減弱趨近式因應對患者的正面影響效果。乳癌患者應減少逃避性因應策略的使用、增加趨近式因應策略的使用，方能邁向更好的心理適應結果。
參考文獻 洪福建、鄭逸如、邱泰源、胡文郁、陳慶餘、吳英璋（1999）。癌末患者的心理社會問題、因應策略與負向情緒。應用心理研究，3，79-104。
陳佩英、史麗珠、王正旭、賴裕和、張獻坤、陳美伶（1999）。疼痛對癌症病人焦慮與憂鬱之影響。台灣易學，3，379-382。
馬雨沛（2001）。與癌症共舞─馬雨沛對抗乳癌歷程。台北：原水文化。
錢映融（2014）。以交叉延宕分析探討乳癌患者的創傷後成長與因應策略之關係（未出版之碩士論文）。國立政治大學心理學研究所，台北市。
劉尹臻（2015）。初診斷乳癌患者創傷後成長與因應策略的關係之長期追蹤研究（未出版之碩士論文）。國立政治大學心理學研究所，台北市。
癌症登記報告（2012）【資料檔】。台北：行政院衛生福利部國民健康署。
Aldao, A., & Nolen-Hoeksema, S. (2012). When are adaptive strategies most predictive of psychopathology?. Journal of abnormal psychology, 121(1), 276.
Aldridge, A. A., & Roesch, S. C. (2008). Developing coping typologies of minority adolescents: A latent profile analysis. Journal of adolescence, 31(4), 499-517.
Avis, N. E., Crawford, S., & Manuel, J. (2004). Psychosocial problems among younger women with breast cancer. Psycho‐Oncology, 13(5), 295-308.
Blalock, J. A., & Joiner Jr, T. E. (2000). Interaction of cognitive avoidance coping and stress in predicting depression/anxiety. Cognitive therapy and research, 24(1), 47-65.
Bigatti, S. M., Steiner, J. L., & Miller, K. D. (2012). Cognitive appraisals, coping and depressive symptoms in breast cancer patients. Stress and Health, 28(5), 355-361.
Bellizzi, K. M., & Blank, T. O. (2006). Predicting posttraumatic growth in breast cancer survivors. Health Psychology, 25(1), 47
Bonanno, G. A., Pat-Horenczyk, R., & Noll, J. (2011). Coping flexibility and trauma: The Perceived Ability to Cope With Trauma (PACT) scale. Psychological Trauma: Theory, Research, Practice, and Policy, 3(2), 117.
Bonanno, G. A., & Burton, C. L. (2013). Regulatory flexibility an individual differences perspective on coping and emotion regulation. Perspectives on Psychological Science, 8(6), 591-612.
Burgess, C., Cornelius, V., Love, S., Graham, J., Richards, M., & Ramirez, A. (2005). Depression and anxiety in women with early breast cancer: five year observational cohort study. Bmj, 330(7493), 702.
Carver, C. S., Pozo, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., ... & Clark, K. C. (1993). How coping mediates the effect of optimism on distress: a study of women with early stage breast cancer. Journal of Personality and social psychology, 65(2), 375.
Carver, C. S., & Connor-Smith, J. (2010). Personality and coping. Annual review of psychology, 61, 679-704.
Cattell, R. B., & Winder, A. E. (1952). Structural rigidity in relation to learning theory and clinical psychology. Psychological Review, 59, 23-39.
Cheng, C., Kogan, A., & Chio, J. H. M. (2012). The effectiveness of a new, coping flexibility intervention as compared with a cognitive-behavioural intervention in managing work stress. Work & Stress, 26(3), 272-288.
Cheng, C., Lau, H. P., & Chan, M. P. (2014). Coping flexibility and psychological adjustment to stressful life changes: A meta-analytic review. Psychological bulletin, 140(6), 1582-1607.
Classen, C., Koopman, C., Angell, K., & Spiegel, D. (1996). Coping styles associated with psychological adjustment to advanced breast cancer. Health Psychology, 15(6), 434.
Compas, B. E., Worsham, N. L., Ey, S., & Howell, D. C. (1996). When mom or dad has cancer: II. Coping, cognitive appraisals, and psychological distress in children of cancer patients. Health psychology, 15(3), 167.
Cordova, M. J., & Andrykowski, M. A. (2003, October). Responses to cancer diagnosis and treatment: posttraumatic stress and posttraumatic growth. In Seminars in clinical neuropsychiatry (Vol. 8, No. 4, pp. 286-296).
Dasch, K. B., Cohen, L. H., Belcher, A., Laurenceau, J. P., Kendall, J., Siegel, S., ... & Graber, E. (2010). Affective differentiation in breast cancer patients. Journal of behavioral medicine, 33(6), 441-453.
Donovan-Kicken, E., & Caughlin, J. P. (2011). Breast cancer patients’ topic avoidance and psychological distress: The mediating role of coping. Journal of Health Psychology, 16(4), 596-606.
Dukes Holland, K., & Holahan, C. K. (2003). The relation of social support and coping to positive adaptation to breast cancer. Psychology and Health, 18(1), 15-29.
Dulaney, C. L., & Ellis, N. R. (1997). Rigidity in the behavior of mentally retarded persons. In W. E. J. MacLean (Ed.), Ellis’ handbook of mental deficiency, psychological theory and research (Vol. 3, pp. 175–195). Mahwah, NJ: Erlbaum.
Edelman, S., Bell, D. R., and Kidman, A. D. (1999). A group cognitive behaviour therapy programme with metastatic breast cancer patients. Psycho-oncology, 8, 295–305.
Ehlers, A., & Steil, R. (1995). Maintenance of intrusive memories in posttraumatic stress disorder: A cognitive approach. Behavioural and cognitive psychotherapy, 23(03), 217-249.
Fann, J. R., Thomas-Rich, A. M., Katon, W. J., Cowley, D., Pepping, M., McGregor, B. A., & Gralow, J. (2008). Major depression after breast cancer: a review of epidemiology and treatment. General hospital psychiatry, 30(2), 112-126.
Finlay-Jones, R. (1989) Anxiety. In Brown, G.W. & Harris, T.O. (eds) (1989) Life Events and Illness. London: Unwin Hyman.
Franks, H. M., & Roesch, S. C. (2006). Appraisals and coping in people living with cancer: a meta‐analysis. Psycho‐Oncology, 15(12), 1027-1037.
Galloway, S. K., Baker, M., Giglio, P., Chin, S., Madan, A., Malcolm, R., ... & Borckardt, J. (2012). Depression and anxiety symptoms relate to distinct components of pain experience among patients with breast cancer. Pain research and treatment, 2012.
Goodwin, P. J., Leszcz, M., Ennis, M., Koopmans, J., Vincent, L., Guther, H., ... & Speca, M. (2001). The effect of group psychosocial support on survival in metastatic breast cancer. New England Journal of Medicine, 345(24), 1719-1726.
Hack, T.F., & Degner, L.F. (2004). Coping responses following breast cancer diagnosis predict psychological adjustment three years later. Psycho-Oncology, 13, 235–247.
Haythornthwaite, J. A., Menefee, L. A., Heinberg, L. J., & Clark, M. R. (1998). Pain coping strategies predict perceived control over pain. Pain, 77(1), 33-39.
Haney, C. J., & Long, B. C. (1995). Coping Effectiveness: A Path Analysis of Self‐Efficacy, Control, Coping, and Performance in Sport Competitions1. Journal of Applied Social Psychology, 25(19), 1726-1746.
Herman-Stahl, M. A., Stemmler, M., & Petersen, A. C. (1995). Approach and avoidant coping: Implications for adolescent mental health. Journal of Youth and Adolescence, 24(6), 649-665.
Heim, E., Valach, L., & Schaffner, L. (1997). Coping and psychosocial adaptation: longitudinal effects over time and stages in breast cancer. Psychosomatic Medicine, 59(4), 408-418.
Hirshaut, Y., & Pressman, P. (2001). 乳癌全書（廖舜茹譯）。台北：原水文化。（原著出版於1992）
Holahan, C. J., & Moos, R. H. (1987). Personal and contextual determinants of coping strategies. Journal of personality and social psychology, 52(5), 946.
Hung, Y. P., Liu, C. J., Tsai, C. F., Hung, M. H., Tzeng, C. H., Liu, C. Y., & Chen, T. J. (2013). Incidence and risk of mood disorders in patients with breast cancers in Taiwan: a nationwide population‐based study. Psycho‐Oncology, 22(10), 2227-2234.
Kangas, M., Henry, J. L., & Bryant, R. A. (2002). Posttraumatic stress disorder following cancer: A conceptual and empirical review. Clinical psychology review, 22(4), 499-524.
Kaluza, G. (2000). Changing unbalanced coping profiles-A prospective controlled intervention trial in worksite health promotion. Psychology and Health, 15(3), 423-433.
Kato, T. (2012). Development of the Coping Flexibility Scale: evidence for the coping flexibility hypothesis. Journal of counseling psychology, 59(2), 262.
Kleinke, C. L. (2007). What does it mean to cope?. In Monat, A., Lazarus, R. S., Reevy, G., & Duncan, D. F. (Eds.), The praeger handbook on stress and coping. (pp.289-308). Westport, CT: Praeger, c2007. 2 v.(xxxvi, 601 p.): illustrations; 24 cm..
Kissane, D. W., Grabsch, B., Clarke, D. M., Smith, G. C., Love, A. W., Bloch, S., ... & Li, Y. (2007). Supportive‐expressive group therapy for women with metastatic breast cancer: survival and psychosocial outcome from a randomized controlled trial. Psycho‐Oncology, 16(4), 277-286.
Kvillemo, P., & Bränström, R. (2014). Coping with Breast Cancer: A Meta-Analysis. PLoS ONE, 9(11).
Landsman, I. S. (2002). Crises of meaning in trauma and loss. Loss of the assumptive world: A theory of traumatic loss, 13-30.
Lam, C. B., & McBride-Chang, C. A. (2007). Resilience in young adulthood: The moderating influences of gender-related personality traits and coping flexibility. Sex Roles, 56(3-4), 159-172.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. Springer: New York.
Lazarus, R. S., & Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of personality, 1(3), 141-169.
Lazarus, R. S. (2006). Stress and emotion: A new synthesis. Springer Publishing Company.
Lechner, S. C., Carver, C. S., Antoni, M. H., Weaver, K. E., & Phillips, K. M. (2006). Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 74(5), 828.
Litman, J. A. (2006). The COPE inventory: Dimensionality and relationships with approach-and avoidance-motives and positive and negative traits. Personality and Individual Differences, 41(2), 273-284.
Love, S. M., & Lindsay, K. (2002). 乳房聖經（楊亞庭、郭雅君，譯）。台北：天下生活。
Luecken, L. J., & Compas, B. E. (2002). Stress, coping, and immune function in breast cancer. Annals of Behavioral Medicine, 24(4), 336-344.
May, R. (2004). 焦慮的意義（朱侃如譯）。台北市：立绪文化事業有限公司。（原著出版於1950）
McCaul, K. D., Sandgren, A. K., King, B., O`Donnell, S., Branstetter, A., & Foreman, G. (1999). Coping and adjustment to breast cancer. Psycho‐Oncology, 8(3), 230-236.
McCrae, R. R., & Costa, P. T. (1986). Personality, coping, and coping effectiveness in an adult sample. Journal of personality, 54(2), 385-404.
Mineka, S., & Sutton, S. K. (1992). Cognitive biases and the emotional disorders. Psychological Science, 3(1), 65-69.
Mineka, S., & Zinbarg, R. (1998). Experimental approaches to understanding the mood and anxiety disorders. Advances in psychological research, 2, 429-454.
Montgomery, M., & McCrone, S. H. (2010). Psychological distress associated with the diagnostic phase for suspected breast cancer: systematic review. Journal of advanced nursing, 66(11), 2372-2390.
Moos, R. H., & Schaefer, J. A. (1993). Coping resources and processes: Current concepts and measures.
Mullen, B., & Suls, J. (1982). The effectiveness of attention and rejection as coping styles: A meta-analysis of temporal differences. Journal of psychosomatic research, 26(1), 43-49.
Offer, D. (1973). The concept of normality. Psychiatric Annals, 3, 20–29.
Orsborn, C. M., Kuner, S., Quigley, L., & Stroup, K. (2002). 別為癌哭泣─四個女子抗癌的療傷心聲（李巧雲譯）。台北市：商訊文化。（原著出版於1999）
Park, C. L., Edmondson, D., Fenster, J. R., & Blank, T. O. (2008). Positive and negative health behavior changes in cancer survivors A stress and coping perspective. Journal of Health Psychology, 13(8), 1198-1206.
Pearlin, L. I., & Schooler, C. (1978). The structure of coping. Journal of health and social behavior, 2-21.
Qiu, J., Yang, M., Chen, W., Gao, X., Liu, S., Shi, S., & Xie, B. (2012). Prevalence and correlates of major depressive disorder in breast cancer survivors in Shanghai, China. Psycho‐Oncology, 21(12), 1331-1337.
Radovanovic, H. (1993). Parental conflict and children`s coping styles in litigating separated families: Relationships with children`s adjustment. Journal of Abnormal Child Psychology, 21(6), 697-713.
Reich, M., Lesur, A., & Perdrizet-Chevallier, C. (2008). Depression, quality of life and breast cancer: a review of the literature. Breast cancer research and treatment, 110(1), 9-17.
Roesch, S. C., Adams, L., Hines, A., Palmores, A., Vyas, P., Tran, C., ... & Vaughn, A. A. (2005). Coping with prostate cancer: a meta-analytic review. Journal of behavioral medicine, 28(3), 281-293.
Roth, S., & Cohen, L. J. (1986). Approach, avoidance, and coping with stress. American psychologist, 41(7), 813.
Rottmann, N., Dalton, S. O., Christensen, J., Frederiksen, K., & Johansen, C. (2010). Self-efficacy, adjustment style and well-being in breast cancer patients: a longitudinal study. Quality of Life Research, 19(6), 827-836.
Roussi, P., Krikeli, V., Hatzidimitriou, C., & Koutri, I. (2007). Patterns of coping, flexibility in coping and psychological distress in women diagnosed with breast cancer. Cognitive Therapy and Research, 31(1), 97-109.
Schaefer, J. A., & Moos, R. H. (1998). The context for posttraumatic growth: Life crises, individual and social resources, and coping. Posttraumatic growth: Positive changes in the aftermath of crisis, 99-125.
Schnoll, R. A., Harlow, L. L., Stolbach, L. L., & Brandt, U. (1998). A structural model of the relationships among stage of disease, age, coping, and psychological adjustment in women with breast cancer. Psycho Oncology, 7(2), 69-77.
Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003). The yellow brick road and the emerald city: benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer. Health Psychology, 22(5), 487.
Seiffge-Krenke, I., & Klessinger, N. (2000). Long-term effects of avoidant coping on adolescents` depressive symptoms. Journal of youth and adolescence, 29(6), 617-630.
Sheppes, G., Catran, E., & Meiran, N. (2009). Reappraisal (but not distraction) is going to make you sweat: Physiological evidence for selfcontrol effort. International Journal of Psychophysiology, 71, 91–96.
Silberfarb, P. M., & Greer, S. (1982). Psychological concomitants of cancer: clinical aspects. American Journal of Psychotherapy, 36, 470-478.
Silverman, E., Woloshin, S., Schwartz, L. M., Byram, S. J., Welch, H. G., & Fischhoff, B. (2001). Women’s Views on Breast Cancer Risk and Screening Mammography A Qualitative Interview Study. Medical Decision Making, 21(3), 231-240.
Skinner, E. A., Edge, K., Altman, J., & Sherwood, H. (2003). Searching for the structure of coping: a review and critique of category systems for classifying ways of coping. Psychological bulletin, 129(2), 216.
Stanton, A. L., Danoff‐burg, S., & Huggins, M. E. (2002). The first year after breast cancer diagnosis: hope and coping strategies as predictors of adjustment. Psycho‐Oncology, 11(2), 93-102.0
Stroebe, M. S., & Schut, H. (2001). Meaning making in the dual process model of coping with bereavement. Meaning reconstruction and the experience of loss, 55-73.
Sumalla, E. C., Ochoa, C., & Blanco, I. (2009). Posttraumatic growth in cancer: reality or illusion?. Clinical psychology review, 29(1), 24-33.
Urcuyo, K. R., Boyers, A. E., Carver, C. S., & Antoni, M. H. (2005). Finding benefit in breast cancer: Relations with personality, coping, and concurrent well-being. Psychology & Health, 20(2), 175-192.
Vahdaninia, M., Omidvari, S., & Montazeri, A. (2010). What do predict anxiety and depression in breast cancer patients? A follow-up study. Social psychiatry and psychiatric epidemiology, 45(3), 355-361.
Yang, H. C., Brothers, B. M., & Andersen, B. L. (2008). Stress and quality of life in breast cancer recurrence: moderation or mediation of coping?. Annals of Behavioral Medicine, 35(2), 188-197.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatr scand, 67(6), 361-370.
描述 碩士
國立政治大學
心理學系
101752016
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0101752016
資料類型 thesis
dc.contributor.advisor 許文耀zh_TW
dc.contributor.author (Authors) 李蕙君zh_TW
dc.contributor.author (Authors) Lee, Hui Chunen_US
dc.creator (作者) 李蕙君zh_TW
dc.creator (作者) Lee, Hui Chunen_US
dc.date (日期) 2016en_US
dc.date.accessioned 11-Jul-2016 17:41:45 (UTC+8)-
dc.date.available 11-Jul-2016 17:41:45 (UTC+8)-
dc.date.issued (上傳時間) 11-Jul-2016 17:41:45 (UTC+8)-
dc.identifier (Other Identifiers) G0101752016en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/98901-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 心理學系zh_TW
dc.description (描述) 101752016zh_TW
dc.description.abstract (摘要) 研究目的：本研究主要目的在探討乳癌患者的使用之不同因應類型與心理適應間的關係。過去討論乳癌患者的因應時，多聚焦於特定因應策略對心理適應的影響，但較忽略了個體可能同時使用不同類型的因應策略。究竟趨近式因應與逃避式因應對乳癌患者的心理適應之影響為何，其交互作用又會帶來怎麼樣的影響，於過去，是較少被探討的。此為本研究的目的。
研究方法：本研究採縱貫研究法，透過立意取樣以269名中部某教學醫院之初診斷乳癌患者為對象，進行兩年期的追蹤研究，追蹤時間點為術後一年（T1）、術後兩年（T2），並蒐集與測量個案的基本資料、因應策略與焦慮憂鬱分數。本研究以使用頻率之中位數將趨近式因應與逃避式因應各自區分為多與少兩組。統計部份，採混合設計三因子共變異數分析，探討不同因應類別與時間及其交互作用對焦慮及憂鬱情緒的影響效果。最後以階層迴歸分析檢驗趨近式因應、逃避式因應及其交互作用對焦慮與憂鬱分數的預測關係，與共變異數分析之結果進行交叉驗證。
研究結果：在共變異數分析結果上，趨近式因應、逃避式因應及「趨近式因應*逃避式因應」的交互作用都對乳癌患者的焦慮及憂鬱有影響效果，時間對焦慮有主要效果。在階層迴歸分析的結果方面，T1的趨近式因應與逃避式因應能分別預測T1焦慮與憂鬱，且兩者間具交互作用關係，趨近式因應能調節逃避式因應對T1焦慮與憂鬱的影響；另外，T1的趨近式因應與逃避式因應能分別預測T2焦慮與憂鬱，在焦慮情緒上，兩者具有交互作用效果，趨近式因應調節了逃避式因應對於T2焦慮情緒的影響，但在憂鬱情緒上，兩者並無顯著的交互作用關係。
結論：趨近式因應策略的使用會降低乳癌患者的焦慮及憂鬱症狀，而逃避性因應策略的使用，會與乳癌患者較多的焦慮及憂鬱情緒有關，但兩種策略的使用效果會受到彼此的影響。趨近式因應的使用可補償逃避式因應對患者的負面影響，然而逃避式因應亦會減弱趨近式因應對患者的正面影響效果。乳癌患者應減少逃避性因應策略的使用、增加趨近式因應策略的使用，方能邁向更好的心理適應結果。		zh_TW
dc.description.tableofcontents 第一章　研究動機 1
第二章　文獻探討 4
第一節　乳癌患者的心理適應 4
第二節　因應 7
第三節　因應型態與心理適應的關係 13
第四節　研究架構、目的與問題 19
第三章　研究方法 22
第一節　研究參與者 22
第二節　研究工具 24
第三節　研究程序 28
第四節　資料處理與統計分析 29
第四章　研究結果 31
第一節　描述統計與相關分析 31
第二節　共變異數分析 35
第三節　階層迴歸分析 41
第五章　研究討論 48
第一節　研究結果與解釋 48
第二節　研究貢獻與實務建議 57
第三節　研究限制與建議 59
參考文獻 60
附錄一　基本資料表 68
附錄二　因應策略量表 69
附錄三　醫院焦慮憂鬱量表 71		zh_TW
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dc.format.mimetype application/pdf-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0101752016en_US
dc.subject (關鍵詞) 乳癌zh_TW
dc.subject (關鍵詞) 趨近式因應zh_TW
dc.subject (關鍵詞) 逃避式因應zh_TW
dc.subject (關鍵詞) 焦慮zh_TW
dc.subject (關鍵詞) 憂鬱zh_TW
dc.title (題名) 初診斷乳癌患者不同因應型態與心理適應的關係之探討zh_TW
dc.title (題名) Exploration of the Relationship between Different Coping Styles and Psychological Adaptation in First-diagnosed Breast Cancer Patientsen_US
dc.type (資料類型) thesisen_US
dc.relation.reference (參考文獻) 洪福建、鄭逸如、邱泰源、胡文郁、陳慶餘、吳英璋（1999）。癌末患者的心理社會問題、因應策略與負向情緒。應用心理研究，3，79-104。
陳佩英、史麗珠、王正旭、賴裕和、張獻坤、陳美伶（1999）。疼痛對癌症病人焦慮與憂鬱之影響。台灣易學，3，379-382。
馬雨沛（2001）。與癌症共舞─馬雨沛對抗乳癌歷程。台北：原水文化。
錢映融（2014）。以交叉延宕分析探討乳癌患者的創傷後成長與因應策略之關係（未出版之碩士論文）。國立政治大學心理學研究所，台北市。
劉尹臻（2015）。初診斷乳癌患者創傷後成長與因應策略的關係之長期追蹤研究（未出版之碩士論文）。國立政治大學心理學研究所，台北市。
癌症登記報告（2012）【資料檔】。台北：行政院衛生福利部國民健康署。
Aldao, A., & Nolen-Hoeksema, S. (2012). When are adaptive strategies most predictive of psychopathology?. Journal of abnormal psychology, 121(1), 276.
Aldridge, A. A., & Roesch, S. C. (2008). Developing coping typologies of minority adolescents: A latent profile analysis. Journal of adolescence, 31(4), 499-517.
Avis, N. E., Crawford, S., & Manuel, J. (2004). Psychosocial problems among younger women with breast cancer. Psycho‐Oncology, 13(5), 295-308.
Blalock, J. A., & Joiner Jr, T. E. (2000). Interaction of cognitive avoidance coping and stress in predicting depression/anxiety. Cognitive therapy and research, 24(1), 47-65.
Bigatti, S. M., Steiner, J. L., & Miller, K. D. (2012). Cognitive appraisals, coping and depressive symptoms in breast cancer patients. Stress and Health, 28(5), 355-361.
Bellizzi, K. M., & Blank, T. O. (2006). Predicting posttraumatic growth in breast cancer survivors. Health Psychology, 25(1), 47
Bonanno, G. A., Pat-Horenczyk, R., & Noll, J. (2011). Coping flexibility and trauma: The Perceived Ability to Cope With Trauma (PACT) scale. Psychological Trauma: Theory, Research, Practice, and Policy, 3(2), 117.
Bonanno, G. A., & Burton, C. L. (2013). Regulatory flexibility an individual differences perspective on coping and emotion regulation. Perspectives on Psychological Science, 8(6), 591-612.
Burgess, C., Cornelius, V., Love, S., Graham, J., Richards, M., & Ramirez, A. (2005). Depression and anxiety in women with early breast cancer: five year observational cohort study. Bmj, 330(7493), 702.
Carver, C. S., Pozo, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., ... & Clark, K. C. (1993). How coping mediates the effect of optimism on distress: a study of women with early stage breast cancer. Journal of Personality and social psychology, 65(2), 375.
Carver, C. S., & Connor-Smith, J. (2010). Personality and coping. Annual review of psychology, 61, 679-704.
Cattell, R. B., & Winder, A. E. (1952). Structural rigidity in relation to learning theory and clinical psychology. Psychological Review, 59, 23-39.
Cheng, C., Kogan, A., & Chio, J. H. M. (2012). The effectiveness of a new, coping flexibility intervention as compared with a cognitive-behavioural intervention in managing work stress. Work & Stress, 26(3), 272-288.
Cheng, C., Lau, H. P., & Chan, M. P. (2014). Coping flexibility and psychological adjustment to stressful life changes: A meta-analytic review. Psychological bulletin, 140(6), 1582-1607.
Classen, C., Koopman, C., Angell, K., & Spiegel, D. (1996). Coping styles associated with psychological adjustment to advanced breast cancer. Health Psychology, 15(6), 434.
Compas, B. E., Worsham, N. L., Ey, S., & Howell, D. C. (1996). When mom or dad has cancer: II. Coping, cognitive appraisals, and psychological distress in children of cancer patients. Health psychology, 15(3), 167.
Cordova, M. J., & Andrykowski, M. A. (2003, October). Responses to cancer diagnosis and treatment: posttraumatic stress and posttraumatic growth. In Seminars in clinical neuropsychiatry (Vol. 8, No. 4, pp. 286-296).
Dasch, K. B., Cohen, L. H., Belcher, A., Laurenceau, J. P., Kendall, J., Siegel, S., ... & Graber, E. (2010). Affective differentiation in breast cancer patients. Journal of behavioral medicine, 33(6), 441-453.
Donovan-Kicken, E., & Caughlin, J. P. (2011). Breast cancer patients’ topic avoidance and psychological distress: The mediating role of coping. Journal of Health Psychology, 16(4), 596-606.
Dukes Holland, K., & Holahan, C. K. (2003). The relation of social support and coping to positive adaptation to breast cancer. Psychology and Health, 18(1), 15-29.
Dulaney, C. L., & Ellis, N. R. (1997). Rigidity in the behavior of mentally retarded persons. In W. E. J. MacLean (Ed.), Ellis’ handbook of mental deficiency, psychological theory and research (Vol. 3, pp. 175–195). Mahwah, NJ: Erlbaum.
Edelman, S., Bell, D. R., and Kidman, A. D. (1999). A group cognitive behaviour therapy programme with metastatic breast cancer patients. Psycho-oncology, 8, 295–305.
Ehlers, A., & Steil, R. (1995). Maintenance of intrusive memories in posttraumatic stress disorder: A cognitive approach. Behavioural and cognitive psychotherapy, 23(03), 217-249.
Fann, J. R., Thomas-Rich, A. M., Katon, W. J., Cowley, D., Pepping, M., McGregor, B. A., & Gralow, J. (2008). Major depression after breast cancer: a review of epidemiology and treatment. General hospital psychiatry, 30(2), 112-126.
Finlay-Jones, R. (1989) Anxiety. In Brown, G.W. & Harris, T.O. (eds) (1989) Life Events and Illness. London: Unwin Hyman.
Franks, H. M., & Roesch, S. C. (2006). Appraisals and coping in people living with cancer: a meta‐analysis. Psycho‐Oncology, 15(12), 1027-1037.
Galloway, S. K., Baker, M., Giglio, P., Chin, S., Madan, A., Malcolm, R., ... & Borckardt, J. (2012). Depression and anxiety symptoms relate to distinct components of pain experience among patients with breast cancer. Pain research and treatment, 2012.
Goodwin, P. J., Leszcz, M., Ennis, M., Koopmans, J., Vincent, L., Guther, H., ... & Speca, M. (2001). The effect of group psychosocial support on survival in metastatic breast cancer. New England Journal of Medicine, 345(24), 1719-1726.
Hack, T.F., & Degner, L.F. (2004). Coping responses following breast cancer diagnosis predict psychological adjustment three years later. Psycho-Oncology, 13, 235–247.
Haythornthwaite, J. A., Menefee, L. A., Heinberg, L. J., & Clark, M. R. (1998). Pain coping strategies predict perceived control over pain. Pain, 77(1), 33-39.
Haney, C. J., & Long, B. C. (1995). Coping Effectiveness: A Path Analysis of Self‐Efficacy, Control, Coping, and Performance in Sport Competitions1. Journal of Applied Social Psychology, 25(19), 1726-1746.
Herman-Stahl, M. A., Stemmler, M., & Petersen, A. C. (1995). Approach and avoidant coping: Implications for adolescent mental health. Journal of Youth and Adolescence, 24(6), 649-665.
Heim, E., Valach, L., & Schaffner, L. (1997). Coping and psychosocial adaptation: longitudinal effects over time and stages in breast cancer. Psychosomatic Medicine, 59(4), 408-418.
Hirshaut, Y., & Pressman, P. (2001). 乳癌全書（廖舜茹譯）。台北：原水文化。（原著出版於1992）
Holahan, C. J., & Moos, R. H. (1987). Personal and contextual determinants of coping strategies. Journal of personality and social psychology, 52(5), 946.
Hung, Y. P., Liu, C. J., Tsai, C. F., Hung, M. H., Tzeng, C. H., Liu, C. Y., & Chen, T. J. (2013). Incidence and risk of mood disorders in patients with breast cancers in Taiwan: a nationwide population‐based study. Psycho‐Oncology, 22(10), 2227-2234.
Kangas, M., Henry, J. L., & Bryant, R. A. (2002). Posttraumatic stress disorder following cancer: A conceptual and empirical review. Clinical psychology review, 22(4), 499-524.
Kaluza, G. (2000). Changing unbalanced coping profiles-A prospective controlled intervention trial in worksite health promotion. Psychology and Health, 15(3), 423-433.
Kato, T. (2012). Development of the Coping Flexibility Scale: evidence for the coping flexibility hypothesis. Journal of counseling psychology, 59(2), 262.
Kleinke, C. L. (2007). What does it mean to cope?. In Monat, A., Lazarus, R. S., Reevy, G., & Duncan, D. F. (Eds.), The praeger handbook on stress and coping. (pp.289-308). Westport, CT: Praeger, c2007. 2 v.(xxxvi, 601 p.): illustrations; 24 cm..
Kissane, D. W., Grabsch, B., Clarke, D. M., Smith, G. C., Love, A. W., Bloch, S., ... & Li, Y. (2007). Supportive‐expressive group therapy for women with metastatic breast cancer: survival and psychosocial outcome from a randomized controlled trial. Psycho‐Oncology, 16(4), 277-286.
Kvillemo, P., & Bränström, R. (2014). Coping with Breast Cancer: A Meta-Analysis. PLoS ONE, 9(11).
Landsman, I. S. (2002). Crises of meaning in trauma and loss. Loss of the assumptive world: A theory of traumatic loss, 13-30.
Lam, C. B., & McBride-Chang, C. A. (2007). Resilience in young adulthood: The moderating influences of gender-related personality traits and coping flexibility. Sex Roles, 56(3-4), 159-172.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. Springer: New York.
Lazarus, R. S., & Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of personality, 1(3), 141-169.
Lazarus, R. S. (2006). Stress and emotion: A new synthesis. Springer Publishing Company.
Lechner, S. C., Carver, C. S., Antoni, M. H., Weaver, K. E., & Phillips, K. M. (2006). Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 74(5), 828.
Litman, J. A. (2006). The COPE inventory: Dimensionality and relationships with approach-and avoidance-motives and positive and negative traits. Personality and Individual Differences, 41(2), 273-284.
Love, S. M., & Lindsay, K. (2002). 乳房聖經（楊亞庭、郭雅君，譯）。台北：天下生活。
Luecken, L. J., & Compas, B. E. (2002). Stress, coping, and immune function in breast cancer. Annals of Behavioral Medicine, 24(4), 336-344.
May, R. (2004). 焦慮的意義（朱侃如譯）。台北市：立绪文化事業有限公司。（原著出版於1950）
McCaul, K. D., Sandgren, A. K., King, B., O`Donnell, S., Branstetter, A., & Foreman, G. (1999). Coping and adjustment to breast cancer. Psycho‐Oncology, 8(3), 230-236.
McCrae, R. R., & Costa, P. T. (1986). Personality, coping, and coping effectiveness in an adult sample. Journal of personality, 54(2), 385-404.
Mineka, S., & Sutton, S. K. (1992). Cognitive biases and the emotional disorders. Psychological Science, 3(1), 65-69.
Mineka, S., & Zinbarg, R. (1998). Experimental approaches to understanding the mood and anxiety disorders. Advances in psychological research, 2, 429-454.
Montgomery, M., & McCrone, S. H. (2010). Psychological distress associated with the diagnostic phase for suspected breast cancer: systematic review. Journal of advanced nursing, 66(11), 2372-2390.
Moos, R. H., & Schaefer, J. A. (1993). Coping resources and processes: Current concepts and measures.
Mullen, B., & Suls, J. (1982). The effectiveness of attention and rejection as coping styles: A meta-analysis of temporal differences. Journal of psychosomatic research, 26(1), 43-49.
Offer, D. (1973). The concept of normality. Psychiatric Annals, 3, 20–29.
Orsborn, C. M., Kuner, S., Quigley, L., & Stroup, K. (2002). 別為癌哭泣─四個女子抗癌的療傷心聲（李巧雲譯）。台北市：商訊文化。（原著出版於1999）
Park, C. L., Edmondson, D., Fenster, J. R., & Blank, T. O. (2008). Positive and negative health behavior changes in cancer survivors A stress and coping perspective. Journal of Health Psychology, 13(8), 1198-1206.
Pearlin, L. I., & Schooler, C. (1978). The structure of coping. Journal of health and social behavior, 2-21.
Qiu, J., Yang, M., Chen, W., Gao, X., Liu, S., Shi, S., & Xie, B. (2012). Prevalence and correlates of major depressive disorder in breast cancer survivors in Shanghai, China. Psycho‐Oncology, 21(12), 1331-1337.
Radovanovic, H. (1993). Parental conflict and children`s coping styles in litigating separated families: Relationships with children`s adjustment. Journal of Abnormal Child Psychology, 21(6), 697-713.
Reich, M., Lesur, A., & Perdrizet-Chevallier, C. (2008). Depression, quality of life and breast cancer: a review of the literature. Breast cancer research and treatment, 110(1), 9-17.
Roesch, S. C., Adams, L., Hines, A., Palmores, A., Vyas, P., Tran, C., ... & Vaughn, A. A. (2005). Coping with prostate cancer: a meta-analytic review. Journal of behavioral medicine, 28(3), 281-293.
Roth, S., & Cohen, L. J. (1986). Approach, avoidance, and coping with stress. American psychologist, 41(7), 813.
Rottmann, N., Dalton, S. O., Christensen, J., Frederiksen, K., & Johansen, C. (2010). Self-efficacy, adjustment style and well-being in breast cancer patients: a longitudinal study. Quality of Life Research, 19(6), 827-836.
Roussi, P., Krikeli, V., Hatzidimitriou, C., & Koutri, I. (2007). Patterns of coping, flexibility in coping and psychological distress in women diagnosed with breast cancer. Cognitive Therapy and Research, 31(1), 97-109.
Schaefer, J. A., & Moos, R. H. (1998). The context for posttraumatic growth: Life crises, individual and social resources, and coping. Posttraumatic growth: Positive changes in the aftermath of crisis, 99-125.
Schnoll, R. A., Harlow, L. L., Stolbach, L. L., & Brandt, U. (1998). A structural model of the relationships among stage of disease, age, coping, and psychological adjustment in women with breast cancer. Psycho Oncology, 7(2), 69-77.
Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003). The yellow brick road and the emerald city: benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer. Health Psychology, 22(5), 487.
Seiffge-Krenke, I., & Klessinger, N. (2000). Long-term effects of avoidant coping on adolescents` depressive symptoms. Journal of youth and adolescence, 29(6), 617-630.
Sheppes, G., Catran, E., & Meiran, N. (2009). Reappraisal (but not distraction) is going to make you sweat: Physiological evidence for selfcontrol effort. International Journal of Psychophysiology, 71, 91–96.
Silberfarb, P. M., & Greer, S. (1982). Psychological concomitants of cancer: clinical aspects. American Journal of Psychotherapy, 36, 470-478.
Silverman, E., Woloshin, S., Schwartz, L. M., Byram, S. J., Welch, H. G., & Fischhoff, B. (2001). Women’s Views on Breast Cancer Risk and Screening Mammography A Qualitative Interview Study. Medical Decision Making, 21(3), 231-240.
Skinner, E. A., Edge, K., Altman, J., & Sherwood, H. (2003). Searching for the structure of coping: a review and critique of category systems for classifying ways of coping. Psychological bulletin, 129(2), 216.
Stanton, A. L., Danoff‐burg, S., & Huggins, M. E. (2002). The first year after breast cancer diagnosis: hope and coping strategies as predictors of adjustment. Psycho‐Oncology, 11(2), 93-102.0
Stroebe, M. S., & Schut, H. (2001). Meaning making in the dual process model of coping with bereavement. Meaning reconstruction and the experience of loss, 55-73.
Sumalla, E. C., Ochoa, C., & Blanco, I. (2009). Posttraumatic growth in cancer: reality or illusion?. Clinical psychology review, 29(1), 24-33.
Urcuyo, K. R., Boyers, A. E., Carver, C. S., & Antoni, M. H. (2005). Finding benefit in breast cancer: Relations with personality, coping, and concurrent well-being. Psychology & Health, 20(2), 175-192.
Vahdaninia, M., Omidvari, S., & Montazeri, A. (2010). What do predict anxiety and depression in breast cancer patients? A follow-up study. Social psychiatry and psychiatric epidemiology, 45(3), 355-361.
Yang, H. C., Brothers, B. M., & Andersen, B. L. (2008). Stress and quality of life in breast cancer recurrence: moderation or mediation of coping?. Annals of Behavioral Medicine, 35(2), 188-197.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatr scand, 67(6), 361-370.		zh_TW