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首页> 外文学位 >Dispositional optimism, fatalism, and quality of life in Latino cancer patients.
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Dispositional optimism, fatalism, and quality of life in Latino cancer patients.

机译：拉丁裔癌症患者的性格乐观，宿命论和生活质量。

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摘要

The impact of dispositional optimism and fatalism on quality of life (QoL) domains in cancer patient populations has been extensively studied in the health literature. Optimism has been shown to be associated with better QoL and active coping strategies; however, few studies have investigated these relationships in Latino cancer patient populations. Furthermore, although fatalism has been extensively studied in Latino populations in regards to lower cancer screening practices, avoidant coping, and psychological distress, few studies have investigated the relationship between fatalism, acculturation, and QoL. Optimism, fatalism, acculturation, coping responses, and QoL outcomes were examined in 105 Latino cancer patients (40 men and 65 women) with solid tumor diagnoses. The Life Orientation Test-Revised (LOT-R; Scheier et al., 1994) was utilized to measure optimism. Powerful Others (PHLC) and Chance (CHLC) subscales of the Multidimensional Health Locus of Control Scale (MHLC; Wallston & Wallston, 1978) and the Powe Fatalism Inventory (PFI; Powe, 1995) were used to measure dimensions of fatalism. Coping responses were assessed with the Brief Cope (Carver, 1997), and an adapted version of the Acculturation Rating Scale for Mexican Americans (ARSMA-II; Cuellar, Arnold, & Maldonado, 1995) was used to determine the acculturation status of the participants. Results indicated that optimism and acculturation were positively correlated with QoL, and optimism proved to have a significant and positive mediating effect on the relationship of acculturation status and QoL. Optimistic Latino cancer patients tended to utilize active coping, planning, and acceptance strategies, but only active coping and acceptance were related to higher QoL scores. Pessimistic patients used more avoidant coping strategies (denial, venting, substance use, and behavioral disengagement), which were significantly related to lower QoL scores. Higher levels of fatalism and less acculturation were also associated with lower QoL scores. Patients who reported higher levels of cancer fear tended to use more denial coping. All the avoidant coping responses were associated with CHLC; only substance use was related to PHLC. Clinical assessment of these study variables in Latino patient populations may help identify individuals at risk for adjustment problems following a cancer diagnosis.
机译：健康文献中已经广泛研究了性格乐观和宿命论对癌症患者群体中生活质量（QoL）域的影响。乐观与更好的生活质量和积极应对策略有关。但是，很少有研究对拉丁裔癌症患者人群中的这些关系进行调查。此外，尽管在拉丁美洲人中已经对宿命论进行了广泛的研究，以降低癌症筛查实践，避免应对和心理困扰，但很少有研究调查宿命论，适应和生活质量之间的关系。对105名患有实体瘤诊断的拉丁美洲癌症患者（40名男性和65名女性）进行了乐观，宿命，适应，应对应对和QoL结果检查。修订了生活取向测试（LOT-R； Scheier等，1994）来衡量乐观情绪。多维健康轨迹控制量表（MHLC; Wallston＆Wallston，1978）和Powe宿命论量表（PFI; Powe，1995）的Powerful Others（PHLC）和Chance（CHLC）子量表用于衡量宿命论的维度。用Brief Cope（Carver，1997）评估应对反应，并使用改编版的《墨西哥裔美国人适应能力量表》（ARSMA-II； Cuellar，Arnold和Maldonado，1995）来确定参与者的适应状态。结果表明，乐观和适应与生活质量成正相关，事实证明乐观对适应状态与生活质量的关系具有显着的正向中介作用。乐观的拉丁裔癌症患者倾向于采用积极的应对，计划和接受策略，但只有积极的应对和接受与更高的QoL分数有关。悲观的患者使用了更多的回避应对策略（拒绝，发泄，吸毒和行为脱离），这与较低的QoL分数显着相关。宿命论的较高水平和较少的适应性也与较低的QoL分数相关。报告对癌症的恐惧程度更高的患者倾向于使用更多的拒绝应对措施。所有的回避应对反应都与CHLC有关。仅物质使用与PHLC有关。对拉丁裔患者人群中这些研究变量的临床评估可能有助于识别癌症诊断后处于适应问题风险的个体。

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  • 作者

    Ross, Paula J.;

  • 作者单位

    Fuller Theological Seminary, School of Psychology.;

  • 授予单位 Fuller Theological Seminary, School of Psychology.;
  • 学科 Health Sciences Mental Health.;Health Sciences Oncology.;Psychology Personality.;Hispanic American Studies.
  • 学位 Ph.D.
  • 年度 2008
  • 页码 155 p.
  • 总页数 155
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医学心理学、病理心理学;个性心理学（人格心理学）;肿瘤学;
  • 关键词

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