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    政大機構典藏 > 理學院 > 心理學系 > 期刊論文 >  Item 140.119/116870
    Please use this identifier to cite or link to this item: http://nccur.lib.nccu.edu.tw/handle/140.119/116870

    Title: Functions of and Relations between Self-Efficacy and Coping Strategies in Adaptation to Chronic Illness: Two Different Emotion-Focused Coping Strategies
    Authors: 簡良霖
    Chien, Liang-Lin
    Wu, Chih-Hsun
    Wu, Yin-Chang
    Contributors: 心理系
    Keywords: chronic illness;self-efficacy;problem-focused coping;emotion-focused coping
    Date: 2016-12
    Issue Date: 2018-04-17 10:46:23 (UTC+8)
    Abstract: Purpose: Patients' sense of self-efficacy in disease-management and the coping strategies they adopt play an important role in their ability to control chronic illness. The functions identified for emotion-focused coping strategies were inconsistent in past studies, and researchers did not examine the relationship between the patient’s sense of self-efficacy and the coping strategies they applied to handle their illness The goal of the present study is to discriminate the functions of different emotion-focused coping strategies, and to test the mediation effect of the coping strategy selected on the patient's sense of self-efficacy. Methods: This study was conducted in two phases during 2007- 2008. In both phases the participants had at least one of the following chronic illnesses: hypertension, diabetes, hyperlipidemia, or gout. In the first phase, 76 participants (mean age 55.87, 46 men) were surveyed and 151 participants (mean age 57.58, 70 men) in the second phase with measurements of self-efficacy, and problem- and emotion-focused coping strategies of disease management. Results: Emotion-focused coping could be divided into two categories: (1) active emotion-focused coping focused on stabilization of emotion for promoting symptom control, and (2) defensive emotion-focused coping focused on protecting the self from the health-threats of chronic illness. Self-efficacy correlated significantly with problem-focused and active emotion-focused coping. The latter also mediated the effect of self-efficacy on illness adaptation. Defensive emotion-focused coping worsened illness adaptation. Conclusions: The results support the assertion that patients can cope with chronic illness in a problem-focused way, but they should differentiate their emotion-focused coping carefully in terms of the origins of their emotions, since different emotion-focused coping strategies requires different intervention strategies.
    Relation: 中華心理衛生學刊 , 29(4), 357-389
    Data Type: article
    Appears in Collections:[心理學系] 期刊論文

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