바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Korean Journal of Health Psychology

The Influence of Ambivalent Emotional Expressiveness, Health Locus of Control on Psychosocial Adjustment of Cancer Patients: Moderating Effect of Social Support

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2017, v.22 no.1, pp.81-101
https://doi.org/10.17315/kjhp.2017.22.1.005


Abstract

The purpose of this study was to investigate the effects of ambivalent emotional expressiveness and health locus of control on the psychosocial adjustment of cancer patients, and its moderating effect of social support. The subjects of this study were 118 cancer patients, currently receiving chemotherapy and radiation therapy in hospitals. The Mini-Mental Adjustment to Cancer (Mini-MAC), Hospital Anxiety and Depression Scale (HADS), Ambivalent Emotional Expressiveness Questionnaire (AEQ), Multidimensional Health Locus of Control Scale (MHLC), and Illness-Specific Social Support Scale (ISSS-GR) were administrated to them. The results of a multiple regression analysis were as follow. If patients have shown more ambivalent emotional expressiveness, their psychological disturbances such as anxiety, depression, helpless-hopeless and anxious preoccupation, were higher and the will to overcome cancer was lower. Also, if patients had more 'other health locus of control' and 'chance health locus of control' than 'internal health locus of control', their psychological disturbances were higher and the will to overcome cancer was lower. By examining the moderating effect of social support on cancer patients, in the relationship between ambivalent emotional expressiveness and psychosocial adjustment, positive support was an important factor in reducing helpless-hopeless. But, in the relationship between health locus of control and psychosocial adjustment, social support had no effect in reducing helpless-hopeless. The suggestions of this study and implications for further research were discussed.

keywords
정서표현 양가성, 건강통제소재, 암 환자의 적응, 사회적 지지, Ambivalent emotional expressiveness, health locus of control, adaptation of cancer patients, social support

Reference

1.

강지인, 남궁기 (2007). 암 환자의 정신사회적 특성과정신 건강. 신경정신의학, 46(5), 421-429.

2.

국가 암 정보센터 (2016). 암 발생률, 사망률, 생존율에대한 통계.

3.

권신영, 조성진 (2003). 자살사고를 보이는 암 환자에대한 실제적 접근 및 간호 중재. 한국 호스피스 완화의료학회지, 6(1), 58-63.

4.

김경미 (1999). 항암 화학요법을 받는 소화기 암 환자의건강증진 행위와 관련요인. 경북대학교 대학원 석사학위청구논문.

5.

김연정 (2010). 암 환자의 자살 생각, 사회적 지지 및 삶의 의미 관계연구. 이화여자대학교 대학원 석사학위청구논문.

6.

김진화 (2003). 말기암 환자의 건강통제소재와 죽음불안과의 관계. 부산대학교 대학원 석사학위청구논문.

7.

김춘길 (1985). 암 환자의 불편감 정도와 성격과의 관계연구. 연세대학교 교육대학원 석사학위청구논문.

8.

박점희, 류은영, 이경희 (2000). 암 환자의 건강통제소재성격과 가족지지 및 절망감과의 관계. 경북 간호과학지 4(1), 1-14.

9.

서영석 (2010). 상담심리 연구에서 매개효과와 조절효과검증: 개념적 구분 및 자료 분석 시 고려 사항. 한국심리학회지: 상담 및 심리치료, 22(4), 1147-1168.

10.

오복자 (1994). 위암 환자의 건강증진 행위와 삶의 질예측 모형. 서울대학교 대학원 박사학위청구논문.

11.

오세만 (1998). 병원 불안-우울 척도에 관한 표준화 연구 : 정상, 불안, 우울 집단간의 비교. 중앙대학교대학원 석사학위청구논문.

12.

오은영, 고경봉 (1995). 암 환자들과 비 암 환자들 간의Alexithymia의 비교. 신경정신의학, 34(5), 1552-1560.

13.

윤병수 (2008). BIS/BAS 하위체계 연결가설의 타당성에 대한 연구: 스트레스, 희망 및 건강통제소재를중심으로. 한국심리학회지: 건강, 13(4), 923-942.

14.

이미옥 (2003). 입원 암 환자의 질병상태 및 건강상태지각과 건강통제소재가 희망에 미치는 영향. 충남대학교 대학원 석사학위청구논문.

15.

이승미, 오경자 (2006). 정서인식불능, 정서표현에 대한양가감정, 정서표현성이중년기혼여성의심리적 부적응에 미치는 영향. 한국심리학회지: 임상, 25(1), 113-128.

16.

이주일, 황석현, 한정원, 민경환 (1997). 정서의 체험 및 표현성이 건강과 심리적 안녕에 미치는 영향. 한국심리학회지: 사회 및 성격, 11(1), 117-140.

17.

이혜경 (2007). 지역아동센터 아동의 사회적 지지 및 임파워먼트와 심리사회적 적응. 숙명여자대학교 대학원 박사학위청구논문.

18.

조옥희, 유양숙 (2009). 유방암 환자의 수술 후 심리사회적 적응, 부부친밀도 및 가족지지. 대한종양간호학회지, 9(2), 129-135.

19.

최해연 (2005). 정서표현에 대한 부정적 신념의 구조와기능. 한국심리학회지: 일반, 24(1), 239-257.

20.

최해연, 민경환 (2007). 한국판 정서표현에 대한 양가성척도의 타당화 및 억제 개념들 간의 비교 연구. 한국심리학회지: 사회 및 성격, 21(4), 71-89.

21.

한정원 (1997). 정서표현성이 건강 및 주관적 안녕에 미치는 영향. 서울대학교 대학원 석사학위청구논문.

22.

황종귀 (2002). 암 환자가 지각한 가족지지와 환자를 돌보는 가족의 부담감 및 신체적, 심리적 건강. 충북대학교 대학원 석사학위청구논문.

23.

Andrykowski, M. A., & Brady, M. J. (1994). Heath locus of control and psychological distress in cancer patients: interactive effects of context. Journal of Behavioral Medicine 17(5), 435-458.

24.

Baltes, M. M., & Baltes, P. B. (1986). The psychology of control and aging. Hillsdale, NJ: Lawrencde Erlbaum.

25.

Buck, R. (1988). Human Motivation and Emotion(2nd ed.). New York: Wiley.

26.

Cohen, J., Cohen, P., West, S. G., & Aiken, L., S. (2003). Applied multiple regression correlation analysis for the behavioral sciences (3nd ed.). Mahwah, NJ: Erlbaum.

27.

Costanzo, E. S., Lutgendorf, S. K., Rothrock, N. E., & Anderson, B. (2006). Coping and quality of life among women extensively treated for gynecologic cancer. Psycho-Oncology, 104, 132-142.

28.

Cox, T., & McCay, C. (1982). Psychological factors and psychophysiological mechanism in the etiology and development of cancers. Social Science and Medicine, 16, 381-396.

29.

De Valck C., & Vink J. (1996). Health locus of control and quality of life in Lung Cancer Patients. Patient Education and Counseling, 28(2), 179-186.

30.

Emmons, R. A., & Colby, P. (1995). Emotional conflict and well-beng: Relation to perceived availability, daily utilization and observer reports of social support. Journal of Personality and Social Psychology, 68. 947-959.

31.

Eun-Jung Shim, Anja Mehnert, Atsuko Koyama, Seong-Jin Cho, Hiroki Inui, Nam-Sun Paik, & Uwe Koch (2006). Health-related quality of life in breast cancer: A cross-cultural survey of German, Japanese, and South Korean patients. Breast Cancer Research and Treatment, 99, 341-350.

32.

Faller, H., & Bulzebruck, H. (2002). Coping and survival in lung cancer: a 10-year follow-up. American Journal of Psychiatry, 159, 2105-2107.

33.

Friedman, H. S., & Booth-Kewley, S. (1987). Personality, Type A behavior, and coronary heart disease: the role of emotional expression. Journal of Personality and Social Psychology, 53(4), 783-792.

34.

Giese-Davis, J., & Spiegel, D. (2001). Suppression, repressive-defensiveness, restraint, and distress in metastatic breast cancer: separable or inseparable constructs?. Journal of Personality and Social Psychology, 69(3), 417-449.

35.

Goelitz, A. (2003). Suicidal ideation at end-of-life:The palliative care team's role. Palliative and Supportive Care, 1(3), 275-278.

36.

Goldstein, H. S., Edelberg, R., Meier, C. F., & Davis, L. (1988). Relationship of resting blood pressure and heart rate to experienced anger and expressed anger. Psychosomatic Medicine, 50, 321-329.

37.

Greenberg, L. S., & Safran, J. D. (1989). Emotion in psychotherapy. American Psychology, 44(1), 19-29.

38.

Greer S., & Morris T. (1975). Psychological attitudes of women who develop breast cancer: a controlled study. Journal of Psychosomatic Research, 19, 147-153.

39.

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes:implications for affect, relationships, and wellbeing. Journal of Personality and Social Psychology, 85(2), 348-362.

40.

Hatchett, L., Friend, R., Symister, P., & Wadhaw, N. (1997). Interpersonal expectations, social support, and adjustment to chronic illness. Journal of Personality and Social Psychology 73(3), 560-573.

41.

Holland, J. C. (2003). American cancer society award lecture. Psychological care of patients: psychooncology's contribution. Journal of Clinical Oncology, 21(23), 253-265.

42.

Jensen, M. R. (1987). Psychological factors predicting the course of breast cancer. Journal of personality, 55, 317-324.

43.

Josephs, S., Williams, R., Irwing P., & Cammock, T. (1994). The preliminary development of a measure to assess attitudes towards emotional expression. Personality and Individual Differences, 16(6), 869-875.

44.

Kaplan, H. I., Sadock, B. J. (1988). Synopsis of Psychiatry. Baltimore: Williams, & Wilkins Co.

45.

Katz, I. M., & Campbell, J. D. (1994). Ambivalence over emotional expression and well-being:Nomothetic and idiographic tests of the stressbuffering hypothesis. Journal of Personality and Social Psychology, 67, 513-524.

46.

Kim, Y. H. (2003). Correlation of mental health problems with psychological constructs in adolescence: final results from a 2-year study. International Journal of Nursing Studies, 40, 115-124.

47.

Kim, Y. H. (2004). Psychological constructs to predicting smoking behavior among Korean secondary school students, Preventive Medicine, 38, 620-627.

48.

King, A. M. (1993). Emotional expression, conflict over expression, and marital satisfaction. Journal of Social and Personal Relationships, 10, 601-607.

49.

King, A. M., & Emmons, R. A. (1990). Individual differences in dispositional expressiveness:Development and validation of the emotional expressivity scale. Journal of Personality and Social Psychology, 58, 864-877.

50.

Kissen, D. M. (1966). The sigmificance of personality in lung cancer in men. Annals of the New York Academy of Sciences, 125, 820-826.

51.

Krumm, S. (1982). Psychosocial adaptation of the adult with cancer. The Nursing Clinics of America, 17, 729-737.

52.

Kuchler, T., Henne-Bruns, D., Rappat, S., Graul, J., Holst, K., & Willians, J. I., et al. (1999) Impact of psychotherapeutic support on gastrointestinal cancer patients undergoing surgery: survival results of a trial. Hepato-gastroenterology, 46, 322-335.

53.

Lock, S. E., & Gorman, J. R. (1989). Behavior and immunity. In Kaplan, H. I. and Sadock, B. J. (Eds.), Comprehensive Textbook of Psychiatry(pp. 1243-1245). Baltimore: Williams, & Wilkins Co.

54.

Marks, G., Richardson, J. L., Graham, J. W., & Levin, A. (1986). Role of locus of control belifes and expectations of treatment efficacy in adjustment to cancer. Journal of Personality and Social Psychology, 51, 443-450.

55.

Maunsell, E., Brisson, J., & Deschenes, L. (1995). Social support and survival among women with breast cancer. Cancer, 76, 631-637.

56.

Mongraine, M., & Zuroff, D. C. (1994). Ambivalence over emotional expression and negative life events: Mediators of depressive symptoms in dependent and self-critical individuals. Personality and Individual Differences, 16, 447-458.

57.

National Cancer Institute. (2007). Issues Cancer Trends Progress Report.

58.

National Comprehensive Cancer Network. (2009). Distress management.

59.

National Institute for Clinical Excellence. (2004). Guidance on cancer service improving supportive and palliative care for adult.

60.

Osborn, R. L., Demoncada, A. C., & Feuerstein, M. (2006). Psychosocial interventions for depression, anxiety, and quality of life in cancer survivors:meta-anlyses. The International Journal of Psychiatry in Medicine, 36, 13-34.

61.

Pennebaker, J. W. (1985). Traumatic experience and psychosomatic disease: Exploring the roles of behavioral inhibition. obsession and confiding. Canadian Psychology, 26, 82-95.

62.

Pennebaker, J. W., Barger, S. D., & Tiebout (1989). Disclosure of trauma and health among Holocaust survivor. Psychosomatic Medicine, 51, 577-589.

63.

Ramm G.C., & Hasenbring, M. (2003). Die deutsche Adaptation der Illness-Specific Social Support Scale und ihre teststatistische U¨berpru¨fung beim Einsatz an Patienten vor und nach-Knochen mark tranplantation, Zeitschrift für Medizinische Psychologie, 12, 29-38.

64.

Robinson, D., & Tian, Y. (2009). Cancer patients and the provision of informational social support. Health Communication, 24(5), 381-390.

65.

Rodin, J. (1986). Aging and health: effect of the sense of control. Science, 233, 143-149.

66.

Poteet, J., Tay, V., Cohen, G., & MacIntyre, J. (1986). Pain characteristics and treatment in an outpatient cancer population. Cancer 57, 1259-1265.

67.

Shacham, S., Reinhardt, L. C., Raubertas, R. F., & Cleeland, C. (1983). Emotional states and pain. Individual and interindividual measures of association. Journal of Behavioral Medicine, 6, 405-419.

68.

Sjolander, C., & Bertero, C. (2008). The significance of social support and social networks among newly diagnosed lung cancer patients in sweden. Nursingand Health Sciences, 10(3), 182-187.

69.

Spiegel, D., Bloom, J. R., Kraemer, H. C., & Gottheil, E. (1989). Effect of psychosocial treatment on survival of patients with metastatic breast cancer. The Lancet, 2, 888-891.

70.

Taskila, T., Lindbohm, M. L., Martikainen, R., Lehto, U. S., Hakanen, J., & Hietanen, P. (2006). Cancer survivors' received and needed social support from their work place and the occupational health services. Supportive Carein Cancer, 14(5), 427-435

71.

Taylor, E. J. (2000). Transformation of tragedy among women surviving breast cancer. Oncology Nursing Forum, 27(5), 781-788.

72.

Taylor, S. E., Lichman, R. P., & Wood, J. V. (1984), Attributions, belifes about control, and adjustment to breast cancer. Journal of Personality and Social Psychology, 46, 489-502.

73.

Todarello, O. (1989). Alexithymia and breast cancer. survey of 200 women undergoing mammography. Psychotherapy and Psychosomatics. 51, 51-55.

74.

Tomich, P. L., & Helgeson, V. S. (2002). Five years later: a cross-sectional comparison of breast cancer survivors with healthy women. Psycho-Oncology, 11(2), 154-169.

75.

Wallston, K. A, & Wallston, B. S. (1976). Development and validation of the health locus of control scale. Journal of Consulting and Clinical Psychology, 44, 580-585.

76.

Wallston, K. A, Wallston, B. S., & DeVellis, R. (1978). Development of the multidimensional health locus of control(MHLC) scales, Health Education Monograph, 6, 160-170.

77.

Watson, M., Greer S., Young J., Inayat Q., Burgess C., & Robertson B. (1988). Development of a questionnaire measure of adjustment to cancer:the MAC scale. Psychol Med, 18, 203-209.

78.

Watson, M., Homewood, J., Haviland, J., & Bliss, J. M. (2005). Influence of psychological response on breast cancer survival: 10-year follow-up of a population-based cohort. European Journal of Cancer, 41, 1710-1714.

79.

Zigmond, A. S, & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370.

The Korean Journal of Health Psychology