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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Causal attributions to epidemiological risk factors and their associations to later psychological adjustment among Japanese breast cancer patients.
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Causal attributions to epidemiological risk factors and their associations to later psychological adjustment among Japanese breast cancer patients.

机译：流行病学风险因素的因果关系及其与日本乳腺癌患者后来的心理适应的关系。

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GOALS: The objective of this study was to evaluate the causal attributions for breast cancer and their association with the subsequent psychological adjustment. MATERIALS AND METHODS: Sixty-three Japanese patients newly diagnosed with breast cancer were asked by an interviewer about risk factors and explanations for the etiology of breast cancer using a four-point scale. The General Health Questionnaire (GHQ-28) and the Center for Epidemiologic Studies Depression Scale (CES-D) were administered about 2 months later to measure psychological adjustment to the illness. The relationship between each causal attribution and measure of psychological adjustment was assessed with the Spearman rank correlation after adjusting for potential confounders (age, marital status, cancer stage at diagnosis, time between the day of diagnosis and follow-up, and physical symptoms at the follow-up). MAIN RESULTS: Attributions to several explanations, including "stress" and "personal characteristics," were positively associated with the GHQ-28 measures. Of the attributions to risk factors, "body size" was significantly inversely (r = -0.29) associated and "never having children" was insignificantly and highly inversely (r = -0.77) associated with the GHQ-28 measures, indicating better adjustment to the illness. On the other hand, the attribution to "tobacco" was significantly and positively associated with the GHQ-28 measures (r = 0.34), indicating that the attributions antagonized adjustment to the illness. CONCLUSION: The current study indicates that forming causal attributions influences the adjustment to the illness in Japanese breast cancer patients and attributions to certain risk factors for breast cancer may contribute to better adjustment.
机译：目标：这项研究的目的是评估乳腺癌的因果归因及其与随后的心理适应的关系。材料与方法：一位访调员向六十三名日本新诊断为乳腺癌的患者询问了危险因素，并使用四分制对乳腺癌的病因进行了解释。大约2个月后，进行了一般健康问卷（GHQ-28）和流行病学研究中心抑郁量表（CES-D）的测量，以测量对该疾病的心理适应性。调整可能的混杂因素（年龄，婚姻状况，诊断时的癌症阶段，诊断与随访之间的时间以及患者的身体症状）后，用Spearman等级相关性评估每种因果归因与心理适应措施之间的关系。跟进）。主要结果：归因于多种解释，包括“压力”和“个人特征”，与GHQ-28措施呈正相关。在危险因素的归因中，与GHQ-28测度相关的“体型”明显呈反比（r = -0.29），而与“从没生孩子”呈显着负相关（r = -0.77），表明对GHQ-28测度具有较好的反差。疾病。另一方面，“烟草”的归因与GHQ-28度量显着正相关（r = 0.34），表明归因于对疾病的适应性拮抗。结论：目前的研究表明，形成因果归因会影响日本乳腺癌患者对疾病的适应，而归因于某些乳腺癌风险因素的归因可能有助于更好的适应。

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