English  |  正體中文  |  简体中文  |  Post-Print筆數 : 27 |  Items with full text/Total items : 111300/142216 (78%)
Visitors : 48313652      Online Users : 929
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version
    政大機構典藏 > 理學院 > 心理學系 > 學位論文 >  Item 140.119/76906
    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/76906


    Title: 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
    A Longitudinal Study of the Relationship between Posttraumatic Growth and Coping Strategies in First-diagnosed Breast Cancer Patients
    Authors: 劉尹臻
    Contributors: 許文耀
    劉尹臻
    Keywords: 乳癌
    創傷後成長
    因應
    潛在成長模式
    breast cancer
    posttraumatic growth
    coping
    latent growth model
    Date: 2015
    Issue Date: 2015-07-27 11:29:11 (UTC+8)
    Abstract: 本研究之目的是檢驗因應與創傷後成長隨時間變化的相互關聯性,除了重複驗證因應與創傷後成長的時序關係之外,考量創傷後成長不同向度之間可能具有不同特性,本研究也進一步探討不同向度的創傷後成長與不同因應向度之間的關係是否有所差異。創傷後成長方面,除了將創傷後成長視為單一構念之外,以Ho等人(2013)針對台灣女性乳癌樣本之因素分析結果為基礎,將創傷後成長初步分為個體內PTG與個體間PTG;因應向度方面,則根據探索性因素分析之結果將因應策略分為自我導向式因應、社會導向式因應和逃避因應等三個因應向度。
    本研究採用縱貫研究法,針對中部某教學醫院之初診斷女性乳癌患者進行為期兩年的追蹤研究,分別在術後三個月(T1)、術後半年(T2)、術後一年(T3)以及術後兩年(T4)進行調查,測量參與者在癌症壓力之後所使用的因應策略及創傷後成長,最後完成四個時間點測量的研究參與者共283人。統計分析方法方面,因考量因應與創傷後成長會隨時間而變動的可能性,故採用適合縱貫資料且能估計變項發展軌跡的潛在成長模式 (Latent growth model) 來進行資料分析。
    研究結果顯示不同向度的因應與不同向度的創傷後成長之間關聯性不同,但此差異是反映在不同因應向度之間,至於相同因應與不同向度PTG之間的結果則無太大差異:在測量初始點,不管是哪一種因應方式,都跟整體PTG、不同向度PTG具有交互預測的關係,但在斜率方面,只有自我導向因應與整體PTG以及不同向度的PTG具有相互預測性。但是否區分個體內PTG和個體間PTG,對於因應與創傷後成長之關聯性結果差異不大。過去對於PTG是單一構念或多因素的爭論方興未艾,後續討論也納入是否有必要區分創傷後成長不同向度的必要性,最後討論本研究之限制,並提供未來研究可供參考之方向。
    Aims: The purpose of this article was to examine the time-varying reciprocal relationships between coping and posttraumatic growth (PTG) as well as their domains. PTG was divided into two dimensions-intrapersonal PTG (intra-PTG) and interpersonal PTG (inter-PTG) as suggested in Ho et al. (2013) while coping was divided into self-sufficient coping, socially-supported coping, and avoidant copingbased on the results of our exploratory factor analysis (EFA).
    Methods: Participants were Taiwanese women underwent surgery for breast cancer. Measures of PTG and coping were assessed at three-month, six-month, one-year and two-year. Of the 358 women who were recruited, 283 completed all four measures and were included in the analyses. As coping and PTG may change over time, the data was analyzed using latent growth curve model (LGM).
    Results: Our results showed that there’re different relationships between coping strategies and PTG dimensions. At the initial measure, all kinds of coping strategies have a reciprocal relationship with PTGs, but when it comes to the directions between slopes of coping and PTG, only self-sufficient coping has a reciprocal relationship with PTG. There’s almost no difference while comparing different PTG dimensions models. In other words, there’s almost no difference in LGM models between intra-PTG and inter-PTG. In the end of the study, the necessity of the division of PTG and limitations of this study were discussed.
    Reference: 王韋婷(2014),初診斷乳癌患者創傷後成長與心理適應的關係之長期追蹤研究-從創傷後成長異質性變化軌跡的觀點探討。國立政治大學心理學研究所博士論文,未出版,台北市。
    台灣精神醫學會(2014),《DSM-5精神疾病診斷準則手冊》。台北︰合記。
    行政院衛生福利部(2014)。民國102年主要死因分析。台北:行政院衛生福利部。
    余民寧(2014)。縱貫性資料分析:LGM的應用。台北:心理。
    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。國立政治大學心理學研究所碩士論文,未出版,台北市。
    Aitkan, A., & Crawford, L. (2007). Coping with stress: Dispositional coping strategies of project managers. International Journal of Project Management, 25, 666-673.
    Amir, M., & Ramati, A. (2002). Post-traumatic symptoms, emotional distress and quality of life in long-term survivors of breast cancer: A preliminary research. Journal of Anxiety Disorders, 16(2), 191-206.
    Bellizzi, K. M., & Blank, T. O. (2006). Predicting posttraumatic growth in breast cancer survivors. Health Psychology, 25(1), 47-56.
    Benson, P. R. (2010). Coping, distress, and well-being in mothers of children with autism. Research in Autism Spectrum Disorders, 4, 217-228.
    Bower, J. E., Meyerowitz, B. E., Desmond, K. A., Leedham, B., Rowland,J. H., &Ganz, P. A. (2001). Perceptions of meaning andvulnerability following breast cancer. Paper presented at the annualmeeting of the American Psychological Association, San Francisco, CA.
    Bower, J. E., Meyerowitz, B. E., Bernaards, C. A., Rowland, J. H., Ganz, P. A., & Desmond, K. A. (2005). Perceptions of positive meaning and vulnerability following breast cancer: predictors and outcomes among long-term breast cancer survivors. Annals of Behavioral Medicine, 29(3), 236-245.
    Bussell, V. A., & Naus, M. J. (2010). A Longitudinal investigation of coping and posttraumatic growth in breast cancer survivors. Journal of Psychosocial Oncology, 28(1), 61-78.
    Calhoun, L. G., Cann, A., Tedeschi, R. G. & Millan, J. (2000). Acorrelation test of the relationship between posttraumatic growth, religion, and cognitive processing. Journal of Traumatic Stress, 13(3), 521-527.
    Calhoun, L. G., &Tedeschi, R. G. (2006), Handbook of Posttraumatic Growth: Research and Practice. Mahwah, NJ: Lawrence Erlbaum.
    Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4, 92-100.
    Carver, C. S., Pozo, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., Ketcham, A. S., Moffat, Jr., F. L., & 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), 375-390.
    Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56(2), 267-283.
    Cordova, M. J., Cunningham, L. L., Carlson, C. R., & Andrykowski, M. A. (2001). Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychology, 20, 176-185.
    Danhauer, S. C., Case, L. D., Tedeschi, R., Russell, G., Vishnevsky, T., Triplett, K., Ip, E. H., & Avis, N. E. (2013). Predictors of posttraumatic growth in women with breast cancer. Psycho-Oncology, 22, 2676-2683.
    Ehlers, A., & Steil, R. (1995). Maintenance of intrusive memories in posttraumatic stress disorder: A cognitive approach. Behavioural and Cognitive Psychotherapy, 23(3), 217-249.
    Frazier, P., Tashiro, T., Berman, M., Steger, M., & Long, J. (2004). Correlates of levels and patterns of positive life changes following sexual assault. Journal of consulting and clinical psychology, 72(1), 19-30.
    Frazier, P., Tennen, H., Gavian, M., Park, C., Tomich, P., & Tashiro, T. (2009). Does Self-reported posttraumatic growth reflect genuine positive change? Psychological Science, 20(7), 912-919.
    Green, B. L., Rowland, J. H., Krupnick, J. L., Epstein, S. A., Stockton, P., Stern, N. M., Spertus, I. L., & Steakley, C. (1998). Prevalence of posttraumatic stress disorder in women with breast cancer. Psychosomatics, 39(2), 102-111.
    Gutiérrez, F., Peri, J. M., Torres, X., Caseras, X., & Valdés, M. (2007). Three dimensions of coping and a look at their evolutionary origin. Journal of Research in Personality 41, 1032-1053.
    Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74(5), 797-816.
    Ho, S. M. Y., Chan, C. L.W., & Ho, R. T. H. (2004). Posttraumatic growth in Chinese cancer survivors. Psycho-Oncology, 13, 377-389.
    Ho, S. M. Y., Law, L. S. C., Wang, G., Shih, S., Hsu, S., & Hou, Y. (2013). Psychometric analysis of the Chinese version of the Posttraumatic Growth Inventory with cancer patients in Hong Kong and Taiwan. Psycho-Oncology, 22, 715-719.
    Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural equation modeling: A multidisciplinary journal, 6(1), 1-55.
    Janoff-Bulman, R. (2004). Posttraumatic growth: Three explanatory models. Psychological Inquiry, 15(1), 30-34.
    Jim, H. S., Richardson, S. A., Golden-Kreutz, D. M., & Andersen, B. L. (2006). Strategies used in coping with a cancer diagnosis predict meaning in life for survivors. Health Psychology, 25(6), 753-761.
    Joseph, S., & Linley, P. A. (2005). Positive adjustment to threatening events: An organismic valuing theory of growth through adversity. Review of general psychology, 9(3), 262-280.
    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.
    Kapsou, M., Panayiotou, G., Kokkinos, C. M., & Demetriou, A. G. (2010). Dimensionality of coping: an empirical contribution to the construct validation of the brief-COPE with a Greek-speaking sample. Journal of Health Psychology, 15(2), 215-229.
    Kimemia, M., Asner-Self, K. K., & Daire, A. P. (2011). An exploratory factor analysis of the Brief COPE with a Sample of Kenyan caregivers. Int J Adv Counselling, 33, 149-160.
    Kim, H. S., Sherman, D. K., & Taylor, S. E. (2008). Culture and social support. American Psychologist, 63, 518-526.
    Krägeloh, C. U. (2011). A systematic review of studies using the Brief COPE: Religious coping in factor analyses. Religions, 2(3), 216-246.
    Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. NY: Springer.
    Lechner, S. C., Zakowski, S. G., Antoni, M. H., Greenhawt, M., Block, K., & Block, P. (2003). Do sociodemographic and disease-related variables influence benefit-finding in cancer patients? Psycho-Oncology, 12(5), 491-499.
    Lechner, S. C., Carver, C. S., Antoni, M. H., Weaver, K. E., & Phillip, K. M. (2006). Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 74(5), 828-840.
    Lelorain, S., Bonnaud-Antignac, A., Florin, A. (2010). Long term post- traumatic growth after breast cancer: prevalence, predictors and relationships with psychological health. Journal of Clinical Psychology, 17, 14-22.
    Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17, 11-21.
    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, 273-284.
    Maercker, A., Langner, R. (2001). Posttraumatic personal growth: validation of german versions of two questionnaires. Diagnostica, 47, 153-162.
    Morris, B. A., Shakespeare-Finch, J., Rieck, M., & Newbery, J. (2005). Multidimensional nature of posttraumatic growth in an Australian population. Journal of Traumatic Stress, 18(5), 575-585.
    Morris, B. A., Shakespeare-Finch, J. E., & Scott, J. L. (2007). Coping processes and dimensions of posttraumatic growth. The Australasian Journal of Disaster and Trauma Studies, 2007(1), 1-12.
    Park, C. L. (1998). Stress-related growth and thriving through coping: The roles of personality and cognitive processes. Journal of social issues, 54(2), 267-277.
    Park, C. L., Cohen, L. H., & Murch, R. L. (1996). Assessment and Prediction of Stress-Related Growth. Journal of Personality, 64, 71-104.
    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.
    Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1(2), 115-144.
    Parkes, C. M, (1971). Psycho-social transitions: A field for Study. Social Science and Medicine, 5(2), 101-115.
    Pollard, C., & Kennedy, P. (2007). A longitudinal analysis of emotional impact, coping strategies and post-traumatic psychological growth following spinal cord injury: A 10-year review. British Journal of Health Psychology, 12, 347-362.
    Powell, S., Rosner, R., Butollo, W., Tedeschi, R. G., & Calhoun, L. G. (2003). Posttraumatic growth after war: a study with former refugees and displaced people in Sarajevo. Journal of Clinical Psychology, 59(1), 71-83.
    Prati, G., & Pietrantoni, L. (2009). Optimism, social support, and coping strategies as factors contributing to posttraumatic growth: A meta-analysis. Journal of Loss and Trauma, 14, 364-388.
    Schaefer, J. A., & Moos, R. H. (1992).Life crises and personal growth. In B. N. Carpenter (Ed.), Personal coping: Theory, Research, and Application (pp. 149-170). Westport, CT: Praeger.
    Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4(3), 219-247.
    Schroevers, M. J., & Teo, I. (2008). The report of posttraumatic growth in Malaysian cancer patients: relationships with psychological distress and coping strategies. Psycho-Oncology, 17(12), 1239-1246.
    Scrignaro, M., Barni, S., & Magrin, M. E. (2011). The combined contribution of social support and coping strategies in predicting post-traumatic growth: A longitudinal study on cancer patients. Psycho-Oncology, 20(8), 823-831.
    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), 487-497.
    Snell, D. L., Siegert, R. J., Hay-Smith, E. J., & Surgenor, L. J. (2011). Factor structure of the Brief COPE in people with mild traumatic brain injury. Journal of Head Trauma Rehabilitation, 26(6), 468-477.
    Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irving, L. M., Sigmon, S. T., et al. (1991). The will and the ways: Development and validation of an individual-differences measure of hope. Journal of Personality and Social Psychology, 60, 570-585.
    Stanton, A. L., Bower, J. E., & Low, C. A. (2006). Posttraumatic growth after cancer. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 138-175). Mahwah, NJ: Erlbaum.
    Taku, K., Calhoun, L. G., Tedeschi, R. G., Gil-Rivas, V., Kilmer, R. P., Cann, A. (2007). Examining posttraumatic growth among Japanese university students. Anxiety, Stress and Coping, 20(4), 353-367.
    Taku, K., Cann, A., Calhoun, L. G., &Tedeschi, R. G. (2008). The factor structure of the posttraumatic growth inventory: A comparison of five models using confirmatory factor analysis. Journal of Traumatic Stress, 21(2), 158-164.
    Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38, 1161-1173.
    Tedeschi, R. G., & Calhoun, L. G. (1995). Trauma and transformation: Growing in the aftermath of suffering. Thousand Oaks, CA: Sage.
    Tedeschi, R. G., & Calhoun, L. G. (1996). The post-traumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455-471.
    Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic Growth: Conceptual Foundations and Empirical Evidence. Psychological Inquiry, 15(1), 1-18.
    Tennen, H., Affleck, G., Urrows, S., Higgins, P., & Mendola, R. (1992). Perceiving control, construing benefits, and daily processes in rheumatoid arthritis. Canadian Journal of Behavioural Science, 24(2), 186-203.
    Thornton, A. A., & Perez, M. A. (2006). Posttraumatic growth in prostate cancer survivors and their partners. Psycho‐Oncology, 15(4), 285-296.
    Tomich, P. L., & Helgeson, V. S. (2004). Is finding something good in the bad always good? Benefit-finding among women with breast cancer. Health Psychology, 23, 16-23.
    Updegraff, J. A., Taylor, S. E., Kemeny, M. E., & Wyatt, G. E. (2002). Positive and negative effects of HIV infection in women with low socioeconomic resources. Personality and Social Psychology Bulletin, 28, 382-394.
    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 and Health, 20(2), 175-192.
    Weiss, T., & Berger, R. (2006). Reliability and validity of a Spanish version of the Posttraumatic Growth Inventory. Research on Social Work Practice, 16(2), 191-199.
    Widows, M. R., Jacobsen, P. B., Booth-Jones, M., & Fields, K. K. (2005). Predictors of posttraumatic growth following bone marrow transplantation for cancer. Health Psychology, 24(3), 266-273.
    Wu, T. Y., Hsu, W. L. & Cheng, B. S. (2002). Expressing or suppressing anger:Subordinates’ anger responses to supervisors’ authoritarian behaviors in a Taiwan enterprise. Indigenous Psychological Research in Chinese Societies, 18, 3-49.
    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.
    Zoellner, A., & Maecker, T. (2004). The Janus face of self-perceived growth: Toward a two-component model of posttraumatic growth. Psychological Inquiry, 15(1), 41-48.
    Zoellner, A., & Maecker, T. (2006). Posttraumatic growth in clinical psychology - a critical review and introduction of a two component model. Clinical Psychology Review, 26(5), 626-653.
    Description: 碩士
    國立政治大學
    心理學研究所
    100752020
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0100752020
    Data Type: thesis
    Appears in Collections:[心理學系] 學位論文

    Files in This Item:

    File Description SizeFormat
    202001.pdf1849KbAdobe PDF2695View/Open
    202002.pdf143KbAdobe PDF279View/Open


    All items in 政大典藏 are protected by copyright, with all rights reserved.


    社群 sharing

    著作權政策宣告 Copyright Announcement
    1.本網站之數位內容為國立政治大學所收錄之機構典藏,無償提供學術研究與公眾教育等公益性使用,惟仍請適度,合理使用本網站之內容,以尊重著作權人之權益。商業上之利用,則請先取得著作權人之授權。
    The digital content of this website is part of National Chengchi University Institutional Repository. It provides free access to academic research and public education for non-commercial use. Please utilize it in a proper and reasonable manner and respect the rights of copyright owners. For commercial use, please obtain authorization from the copyright owner in advance.

    2.本網站之製作,已盡力防止侵害著作權人之權益,如仍發現本網站之數位內容有侵害著作權人權益情事者,請權利人通知本網站維護人員(nccur@nccu.edu.tw),維護人員將立即採取移除該數位著作等補救措施。
    NCCU Institutional Repository is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff(nccur@nccu.edu.tw). We will remove the work from the repository and investigate your claim.
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback