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    政大機構典藏 > 理學院 > 心理學系 > 學位論文 >  Item 140.119/111781
    Please use this identifier to cite or link to this item: http://nccur.lib.nccu.edu.tw/handle/140.119/111781

    Title: 反芻對乳癌患者憂鬱的影響及因應的調節作用
    The prediction of rumination to depression and the moderating effect of coping among breast cancer patients
    Authors: 程燕敏
    Cheng, Yan Min
    Contributors: 許文耀
    Hsu,Wen Yau
    Cheng, Yan Min
    Keywords: 乳癌
    Breast cancer
    Reflective pondering
    Date: 2017
    Issue Date: 2017-08-10 09:57:41 (UTC+8)
    Abstract: 研究背景:乳癌患者常伴隨憂鬱症狀,而反芻是癌症患者憂鬱情形的重要預測因 數。過往研究指出苦惱自責式反芻增加憂鬱的效果得到較一致的結果,而深思反 省式反芻對於憂鬱影響的結果則不太一致。深思反省式反芻意在解決問題,過程 中患者採用不同因應策略可能對其憂鬱會有不同影響,但過去較少研究探討乳癌 患者的因應如何調節深思反省式反芻對患者憂鬱變化的影響。

    研究目的:探究苦惱自責式反芻與深思反省式反芻如何影響乳癌患者的憂鬱,逃 避與趨近這兩種因應方式是否在深思反省式反芻影響憂鬱的過程中有調節作用。

    研究方法:本研究採用長期追蹤之研究方法,對平均年齡為 48 歲的 359 位乳癌 患者,於手術後三個月、六個月、一年和兩年四個時間點,測量其苦惱自責式反 芻、深思反省式反芻,趨近、逃避等因應模式及憂鬱狀況後進行分析。為了探索 考個體內和個體間變項的影響,包含臨床背景資料對憂鬱的預測效果,研究擬採 用階層線性模型(HLM)之方法進行統計分析。

    研究結果:苦惱自責式反芻正向預測乳癌患者憂鬱情形,深思反省式反芻對憂鬱 的預測效果則受到趨近因應的調節,趨近因應越高,深思反省式反芻越能負向預 測憂鬱情形。依此結果可知對於乳癌患者而言,苦惱自責式反芻為不適應的反芻 類型,會增加乳癌患者的憂鬱情形,而深思反省式反芻的適應性僅存在於更多使 用趨近因應的患者之中。
    Background: Depressive symptoms occur frequently with breast cancer. Rumination is a major risk factor of depression. Numerous research evidence shows that brooding, the maladaptive subtype of rumination, increases depression while the effect of reflective pondering, the other subtype, remain inconsistent. Individuals who reflective ponder mean to solve the problem they face, but there is little research to explore what role coping plays in the process that reflective pondering contribute to or eliminate depression.
    Purpose: To examine how two subtypes of rumination predict the depression of women with breast cancer, and whether the moderating effect of two different coping strategies, approach and avoidance, exists and how it works.
    Method: Longitudinal data of rumination, coping, and depression at Time 1 (3 months after surgery), Time 2 (6 months after surgery), Time 3 (1year after surgery), and Time 4 (2 years after surgery) among 359 women with breast cancer whose mean age was 48 was collected to explore the prediction of rumination and the moderating effect of coping. To address the effect of both with- and between- subject variables including background materials and disease-related information, HLM is adopted as the analysis method.
    Results: Brooding predicts the increase of depressive symptoms and acts as the maladaptive subtype of rumination. In addition, reflective pondering’ prediction to decreased depression only appears with the interaction of approach coping, which means that patients who reflective ponder more and take more approach coping at the meanwhile will experience more recovery from the depressive symptoms.
    Reference: 王韋婷(2013)。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。
    周嘉娸(2008)。憂鬱反芻對工作記憶容量的影響之初探。國立臺灣大學理學 院心理學研究所,碩士論文。
    黃荷芳(2015)。乳癌患者的反芻型態對憂鬱的影響。國立政治大學心理學研 究所,碩士論文。
    賴世華(2010)。頭頸癌症患者復發擔憂對癌症關連疲勞之影響 - 以因應型態 及負向情緒為仲介變項。中原大學心理學系,碩士論文。
    Abela, J. R. Z., Vanderbilt, E., & Rochon, A. (2004). A test of the integration of the response styles and social support theories of depression in third and seventh grade children. Journal of Social and Clinical Psychology, 23(5), 653-674. doi:DOI 10.1521/jscp.23.5.653.50752
    Brennan, K., Barnhofer, T., Crane, C., Duggan, D., & Williams, J. M. G. (2015). Memory Specificity and Mindfulness Jointly Moderate the Effect of Reflective Pondering on Depressive Symptoms in Individuals With a History of Recurrent Depression. Journal of Abnormal Psychology, 124(2), 246-255. doi:10.1037/abn0000027
    Burwell, R. A., & Shirk, S. R. (2007). Subtypes of rumination in adolescence: Associations between brooding, reflection, depressive symptoms, and coping. Journal of Clinical Child and Adolescent Psychology, 36(1), 56-65. doi:DOI 10.1207/s15374424jccp3601_6
    Donaldson, C., & Lam, D. (2004). Rumination, mood and social problem-solving in major depression. Psychological Medicine, 34(7), 1309-1318. doi:10.1017/S0033291704001904
    Franks, H. M., & Roesch, S. C. (2006). Appraisals and coping in people living with cancer: A meta-analysis. Psycho-Oncology, 15(12), 1027-1037. doi:10.1002/pon.1043
    Galloway, S. K., Baker, M., Giglio, P., Chin, S., Madan, A., Malcolm, R., . . . Borckardt,
    J. (2012). Depression and anxiety symptoms relate to distinct components of pain experience among patients with breast cancer. Pain research and treatment, 5. doi:10.1155/2012/851276
    Hong, R. Y. (2007). Worry and rumination: Differential associations with anxious and depressive symptoms and coping behavior. Behaviour Research and Therapy, 45(2), 277-290. doi:10.1016/j.brat.2006.03.006
    Hung, Y. P., Liu, C. J., Tsai, C. F., Hung, M. H., Tzeng, C. H., Liu, C. Y., & Chen, T. J. (2013). Incidence and risk of mood disorders in patients with breast cancers in Taiwan: a nationwide population-based study. Psycho-Oncology, 22(10), 2227- 2234. doi:10.1002/pon.3277
    Joormann, J., Dkane, M., & Gotlib, I. H. (2006). Adaptive and maladaptive components of rumination? Diagnostic specificity and relation to depressive biases. Behavior Therapy, 37(3).
    Lam, K. F. Y., Lim, H. A., Tan, J. Y. S., & Mahendran, R. (2015). The relationships between dysfunctional attitudes, rumination, and non-somatic depressive symptomatology in newly diagnosed Asian cancer patients. Comprehensive Psychiatry, 61, 49-56. doi:10.1016/j.comppsych.2015.06.001
    Lyubomirsky, S., & Nolenhoeksema, S. (1995). Effects of Self-Focused Rumination on Negative Thinking and Interpersonal Problem-Solving. Journal of Personality and Social Psychology, 69(1), 176-190. doi:Doi 10.1037//0022-3514.69.1.176
    Lyubomirsky, S., & Tkach, C. (2004). Rumination: Nature, Theory, and Treatment of Negative Thinking in Depression.
    Martin, L. L., & Tesser, A. (1989). Toward a motivational and structural theory of ruminative thought. In J. S. Uleman & J. A. Bargh (Eds.), Unintended thought New York: Guilford. 306-326
    Martin, L. L., & Tesser, A. (1996). Some ruminative thoughts. Advances in social cognition, 9, 1-47.
    Marroquin, B. M., Fontes, M., Scilletta, A., & Miranda, R. (2010). Ruminative subtypes and coping responses: Active and passive pathways to depressive symptoms. Cognition & Emotion, 24(8), 1446-1455. doi:Pii 930042469
    Miranda, R., & Nolen-Hoeksema, S. (2007). Brooding and reflection: Rumination predicts suicidal ideation at 1-year follow-up in a community sample. Behaviour Research and Therapy, 45(12), 3088-3095. doi:10.1016/j.brat.2007.07.015
    Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109(3), 504- 511. doi:Doi 10.1037/0021-843x.109.3.504
    Nolen-Hoeksema, S., Larson, J., & Grayson, C. (1999). Explaining the gender difference in depressive symptoms. Journal of Personality and Social Psychology, 77(5), 1061-1072. doi: 10.1037//0022-3514.77.5.1061
    Nolenhoeksema, S. (1991). Responses to Depression and Their Effects on the Duration of Depressive Episodes. Journal of Abnormal Psychology, 100(4), 569-582. doi:Doi 10.1037/0021-843x.100.4.569
    Papadakis, A. A., Prince, R. P., Jones, N. P., & Strauman, T. J. (2006). Self-regulation, rumination, and vulnerability to depression in adolescent girls. Development and Psychopathology, 18(3), 815-829. doi:10.1017/S0954579406060408
    Rude, S. S., Little Maestas, K., & Neff, K. (2007). Paying attention to distress: What's wrong with rumination? Cognition and Emotion, 21(4).
    Smith, J. M., & Alloy, L. B. (2009). Aroadmap to rumination: Areview of the definition, assessment, and conceptualization of this multifaceted construct. Clinical Psychology Review, 29(2), 116-128. doi:10.1016/j.cpr.2008.10.003
    Soo, H., & Sherman, K. A. (2015). Rumination, psychological distress and post- traumatic growth in women diagnosed with breast cancer. Psycho-Oncology, 24(1), 70-79. doi:10.1002/pon.3596
    Sumner, J. A., Mineka, S., Adam, E. K., Craske, M. G., Vrshek-Schallhorn, S., Wolitzky-Taylor, K., & Zinbarg, R. E. (2014). Testing the CaR-FA-X Model: Investigating the Mechanisms Underlying Reduced Autobiographical Memory Specificity in Individuals With and Without a History of Depression. Journal of Abnormal Psychology, 123(3), 471-486. doi:10.1037/a0037271
    Takano, K., & Tanno, Y. (2009). Self-rumination, self-reflection, and depression: Self-rumination counteracts the adaptive effect of self-reflection. Behaviour Research and Therapy, 47(3), 260-264. doi:10.1016/j.brat.2008.12.008
    Thompson, R. J., Mata, J., Jaeggi, S. M., Buschkuehl, M., Jonides, J., & Gotlib, I. H. (2010). Maladaptive coping, adaptive coping, and depressive symptoms: Variations across age and depressive state. Behaviour Research and Therapy, 48(6), 459-466. doi:10.1016/j.brat.2010.01.007
    Thomsen, D. K., Jensen, A. B., Jensen, T., Mehlsen, M. Y., Pedersen, C. G., & Zachariae, R. (2013). Rumination, Reflection and Distress: An 8-Month Prospective Study of Colon-Cancer Patients. Cognitive Therapy and Research, 37(6), 1262-1268. doi:10.1007/s10608-013-9556-x
    Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: Distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76(2), 284-304. doi: 10.1037/0022- 3514.76.2.284
    Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247-259. doi: 10.1023/A:1023910315561
    Verhaeghen, P., Joormann, J., & Aikman, S. N. (2014). Creativity, Mood, and the Examined Life: Self-Reflective Rumination Boosts Creativity, Brooding Breeds Dysphoria. Psychology of Aesthetics Creativity and the Arts, 8(2), 211-218. doi:10.1037/a0035594
    Watkins. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134(2), 163-206. doi:10.1037/0033-2909.134.2.163
    Watkins, & Moulds, M. (2005). Distinct modes of ruminative self-focus: Impact of abstract versus concrete rumination on problem solving in depression. Emotion, 5(3), 319-328. doi:10.1037/1528-3542.5.3.319
    Watkins, E., & Baracaia, S. (2002). Rumination and social problem-solving in depression. Behaviour Research and Therapy, 40(10), 1179-1189. doi:Pii S0005-7967(01)00098-5.
    Whitmer, A., & Gotlib, I. H. (2011). Brooding and Reflection Reconsidered: A Factor
    Analytic Examination of Rumination in Currently Depressed, Formerly Depressed, and Never Depressed Individuals. Cognitive Therapy and Research, 35(2), 99-107. doi:10.1007/s10608-011-9361-3
    Yu, S. H., Chen, S. H., & Chang, K. J. (2008). Rumination predicting depression and PTSD symptoms in postoperative breast cancer patients. Chinese Journal of Psychology, 50. doi:10.6129/CJP
    Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. doi:10.1111/j.1600- 0447.1983.tb09716.x
    Description: 碩士
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0104752025
    Data Type: thesis
    Appears in Collections:[心理學系] 學位論文

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