RUMINATIVE STYLES EFFECTS ON DELAY IN BREAST CANCER

沉思风格对乳腺癌延迟的影响

• 批准号: 2727471
• 负责人: Sonja Lyubomirsky
• 金额: $ 3.62万
• 依托单位: UNIVERSITY OF CALIFORNIA RIVERSIDE
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-08-01 至 2000-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2727471
• 关键词: Hispanic Americans; behavioral /social science research tag; breast neoplasms; caucasian American; clinical research; coping; decision making; emotional adjustment; emotional crisis; emotions; health care service utilization; health services research tag; human subject; personality; personality tests; racial /ethnic difference; social psychology; women's health

Early detection and treatment are critical for reducing mortality rates from breast cancer. Yet approximately 1 out of 3 women who discovers a breast cancer symptom delays seeking a diagnosis. Finding a breast lump can be traumatic, evoking a variety of fears and negative emotions, which may prevent women from promptly seeking help. The focus of this proposal is on the ways that women manage their emotional responses to symptom finding. Drawing on theory and methodology from experimental social psychology, the proposed research uses an emotion regulation framework -- ruminative response styles theory -- to advance our understanding of the psychological processes contributing to patient delay. Women with a ruminative style -- that is, a tendency to focus excessively and passively on the meaning and causes of their distress - - are hypothesized to suffer enhanced (pre-clinical) levels of distress upon discovering a lump, and, consequently, to delay help seeking. As shown below, rumination in the presence of negative affect (e.g., anxiety) can lead to a vicious cycle between mood and deficits in thinking, problem solving, motivation, and concentration. Two proposed studies will use two different paradigms to examine the role of ruminative responses in patient delay -- a naturalistic, retrospective study of not-yet-diagnosed women with breast cancer symptoms and a study of intentions to seek help for a hypothetical symptom. In addition, Latino women, a group at risk for cancer delay, will be contrasted to White women.

早期发现和治疗对于降低死亡率至关重要 来自乳腺癌。 然而大约三分之一的女性发现 乳腺癌症状会延迟寻求诊断。寻找乳房 肿块可能会造成创伤，引起各种恐惧和负面情绪， 这可能会妨碍妇女及时寻求帮助。 本次的重点 该提案是关于女性如何管理自己的情绪反应 症状发现。从实验中汲取理论和方法 社会心理学，拟议的研究使用情绪调节 框架——沉思式反应风格理论——以推进我们的 了解患者的心理过程 延迟。 具有沉思风格的女性——即倾向于集中注意力 过度和被动地谈论他们痛苦的意义和原因 - - 假设遭受增强的（临床前）痛苦水平 一旦发现肿块，就会延迟寻求帮助。 作为 如下所示，在存在负面情绪的情况下进行沉思（例如， 焦虑）会导致情绪和缺陷之间的恶性循环 思考、解决问题、动机和注意力。 两项拟议的研究将使用两种不同的范式来检验 沉思反应在患者延误中的作用——一种自然主义的、 对尚未确诊的乳腺癌女性的回顾性研究 症状和对假设的寻求帮助的意图的研究 症状。 此外，拉丁裔女性是一个有延迟癌症风险的群体， 将与白人女性形成鲜明对比。