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| Title: | 初探乳癌病人於術後一個月之癌症態度、因應、及生活品質的關係
Exploring the Relationship among Attitudes toward Cancer, Coping and Quality of Life among Patients with Breast Cancer One Month after Surgery |
| Authors: | 王詠儀
Wang, Yung-Yi |
| Contributors: | 吳治勳
王詠儀
Wang, Yung-Yi |
| Keywords: | 癌症態度
乳癌病人
因應
生活品質
中介
Attitudes toward cancer
Breast cancer
Coping
Quality of life
Mediation |
| Date: | 2021 |
| Issue Date: | 2021-08-04 15:37:47 (UTC+8) |
| Abstract: | 緒論：乳癌病人身心適應照護是近來備受重視的議題。然而，對癌症之態度可能是較少受到關注的重要議題之一。態度為個體對特定對象既有之一定程度的好惡與想法，此些傾向與其後續行為反應及應對結果有關。目前癌症態度研究多為針對特定面向（如罹癌原因、癌症治癒性），且大部分探討的是大眾癌症態度或癌症生存者態度。較少研究探究正處於疾病治療歷程中之癌症病人、或是較整體性的癌症態度。故本研究旨在以多面向態度作為主要研究概念，探討術後一個月之乳癌病人的癌症態度與因應、生活品質的關聯。
研究方法：本研究邀請於台灣北部某醫學中心中接受手術的乳癌病人參與研究。於術後一個月時，請研究參與者填寫台灣癌症態度量表、短版因應量表及台灣簡明版世界衛生組織生活品質問卷，評估其癌症態度、因應策略及生活品質。以驗證性因素分析檢驗台灣癌症態度量表於本研究資料中是否適用原量表發展時之三因素結構，並進行信效度分析。以路徑分析檢驗癌症態度對因應、生活品質是否具顯著預測力，以及因應是否中介癌症態度與生活品質之間的關係。
研究結果：共有104位研究參與者的資料納入分析，平均年齡為55.14歲（SD=11.75）。結果顯示原量表發展時之「外觀」、「復發恐懼」和「自我責怪」三因素模式適用於本研究中的台灣癌症態度量表資料，並整體具良好信度及效度。路徑分析之參數結果顯示(1)「自我責怪」可顯著負向預測個人因應、正向預測逃避因應；(2)「自我責怪」可邊緣顯著負向預測生理、社會生活品質；(3)個人因應可正向預測四個面向的生活品質，逃避因應負向預測心理、環境生活品質。中介模式結果顯示，「自我責怪」可(1)經由個人因應負向預測四個面向的生活品質，以及(2)經由逃避因應負向預測心理、環境生活品質。為更全面了解各個癌症態度因素與因應及生活品質的關係，故進一步將各癌症態度因素分別作為三次模式估計的唯一外生變項，進行模式估計（模式二A：外觀、模式二B：復發恐懼、模式二C：自我責怪）。路徑分析之參數結果顯示(1)「外觀」可負向預測個人因應、生理生活品質；(2)「復發恐懼」可負向預測個人因應、生理及社會生活品質；(3)「自我責怪」可負向預測個人因應、生理及社會生活品質，以及可正向預測逃避因應；(4)模式二A與模式二B中，個人因應可正向預測四個面向的生活品質，逃避因應負向預測心理、社會、環境生活品質；模式二C中，個人因應可正向預測四個面向的生活品質，逃避因應可負向預測心理、環境生活品質。中介模式結果顯示，模式二A、B、C中，「外觀」、「復發恐懼」、「自我責怪」分別可經由個人因應負向預測四個面向的生活品質，且「自我責怪」亦可經由逃避因應負向預測心理、環境生活品質。
討論：研究結果支持「個人因應」與「逃避因應」是癌症態度與生活品質之關係中重要的中介因素。「自我責怪」為預測力最強的癌症態度面向，個人因應為主要的中介路徑、逃避因應為次要的中介路徑，社會支持因應路徑統計上皆未顯著，此或許和乳癌病人術後一個月這個時間點所面臨的挑戰多為個人層面有關。三個面向的癌症態度分別皆可經由因應負向預測生活品質，亦可直接預測生理及社會生活品質，反映出乳癌病人與癌症相關之價值觀對其因應及生活品質具龐大的影響力。於臨床上，雖然態度的改變較為困難，不過本研究結果顯示調整病人的因應應是有幫助的。
Objective: Psychological care for breast cancer patients has been an issue that has received much attention nowadays. However, attitude toward cancer might be one of the essential topics that received little attention. Attitude is a predisposing tendency expressed by evaluating a particular entity with some degree of favor or disfavor related to individual`s subsequent behavioral reactions and results. However, most cancer attitude researches are focused on specific aspects, such as the cause, the curability, and cancer attitudes of cancer survivors or the public. However, little research endeavors cancer patients during treatment or a more general view of "attitude toward cancer." Therefore, this study aimed to use multi-aspected attitudes to explore the relationship among cancer attitudes, coping, and quality of life among breast cancer patients one month after surgery.
Method: Breast cancer patients who underwent surgery in a medical center in northern Taiwan were invited to join the study. At the time of 1-month post-surgery, participants were asked to fill the Taiwan Attitude towards Cancer Scale (TACS), the Brief-COPE, and the WHOQOL-Taiwan Brief version, to measure the cancer attitude, coping, and quality of life (QOL). Confitmatory factor analysis (CFA) was used to validate if the original three-factor structure appliable, and the reliability and vadility were also tested. Path analysis was used to explore whether cancer attitudes can predict coping and QOL, and if coping could serve as mediators.
Results: A total of 104 breast cancer patients were included in the study. The mean age was 55.14 (SD=11.75) years old. Results showed that the three-factor model of "appearance," "fear of recurrence," and "self-blame" of the TACS is suitable for the current study and has good reliability and validity overall. The estimation results of the parameters showed (1) "self-blame" could negatively predict self-suffificient coping, and positively predict avoidant coping significantly. (2) "Self-blame" could negatively predict physical and social aspects of QOL marginally. (3) Self-suffificient coping could positively predict all four aspects of QOL; avoidant coping could negatively predict psychological and environmental aspects of QOL. The mediation model results showed that "self-blame" could negatively (1) predict all four aspects of QOL via self-suffificient coping and (2) predict psychological and environmental aspects of QOL via avoidant coping. In order to fully understand the relationship of each cancer attitude with coping, and QOL, each factor of cancer attitude was used as the only exogenous variable in the three futher models of estimations (Model 2A: appearance; Model 2B: fear of recurrence; Model 2C: self-blame). The estimation results of the parameters showed (1) "appearance" could negatively predict self-suffificient coping and the physical aspect of QOL; (2) "fear of recurrence" could negatively predict self-suffificient coping and the physical and socail aspects of QOL; (3) "self-blame" could negatively predict self-suffificient coping and the physical and socail aspects of QOL and could positively predict avoidant coping. (4) In Model 2A and Model 2B, self-suffificient coping could positively predict all four aspects of the QOL, and avoidant coping could negatively predict psychological, social, and environmental aspects of QOL. In Model 2C, self-suffificient coping could positively predict all four aspects of QOL, and avoidant coping could negatively predict psychological and environmental aspects of QOL. The results of the mediation models showed that, respectively, "appearance," "fear of recurrence," and "self-blame" could negatively predict all four aspects of QOL via self-suffificient coping. Futher, "self-blame" could also negatively predict the psychological and environmental aspects of QOL via avoidant coping.
Discussion: The results supported that the "self-sufficient" and "avoidant" coping were crucial mediators of the relationship between attitudes toward cancer and the quality of life. "Self-blame" is the most influential aspect of cancer attitude, and the primary mediation path is via self-sufficient coping, and the secondary mediation path is via avoidance coping. The socially-supported coping path was not significant statistically, which may be related to the challenges faced by breast cancer patients one month after surgery are primarily personal. All three aspects of cancer attitudes could negatively predict the QOL via coping and could directly predict physical and social aspects of QOL, respectively. These results might reflect the cancer-related values one had could have a colossal impact on breast cancer patient`s coping and quality of life. Clinically speaking, although the attitude might be harder to change, the current results showed that modifying patient`s coping should be helpful. |
| Reference: | 李作英、周桂如、穆佩芬、李惠玲、葉美玲（2012）。初診斷乳癌婦女其壓力感受。腫瘤護理雜誌，12(2)，25-36。
吳治勳（2010）。對老的刻板印象、老化自我覺知及最適老化（未出版之博士論文）。國立臺灣大學，台北市。
姚開屏（2001）。台灣簡明版世界衛生組織生活品質問卷之發展及使用手冊。台北：台灣版世界衛生組織生活品質問卷發展小組
姚開屏（2002）。台灣版世界衛生組織生活品質問卷之發展與應用。臺灣醫學，6，193-200。doi:10.6320/FJM.2002.6(2).09
陳奕靜（2020）。台灣癌症病人主觀覺知醫病溝通於情緒壓力、因應、及生活品質之中介效果（未出版之碩士論文）。國立政治大學，台北市。
廖美南、陳品玲（2006）。婦女於乳癌診斷期間之經驗。腫瘤護理雜誌，6(2)，19-29。
韓德彥、陳淑惠（2008）。精神疾病污名感受量表及其短版之心理計量特性。中華心理衛生學刊，21(3)，273-290。
衛生福利部國民健康署（2020）：中華民國107年癌症登記報告。取自https://www.hpa.gov.tw/Home/Index.aspx
Aljubran, A. H. (2010). The attitude towards disclosure of bad news to cancer patients in Saudi Arabia. Annals of Saudi medicine, 30(2), 141-144.
Alonso, J., Buron, A., Rojas-Farreras, S., de Graaf, R., Haro, J. M., de Girolamo, G., . . . Investigators, E. S. M. (2009). Perceived stigma among individuals with common mental disorders. J Affect Disord, 118(1-3), 180-186. doi:10.1016/j.jad.2009.02.006
Årestedt, L., Benzein, E., & Persson, C. (2015). Families living with chronic illness: beliefs about illness, family, and health care. Journal of Family Nursing, 21(2), 206-231.
Aydogan, U., Doganer, Y. C., Komurcu, S., Ozturk, B., Ozet, A., & Saglam, K. (2016). Coping attitudes of cancer patients and their caregivers and quality of life of caregivers. Indian journal of palliative care, 22(2), 150.
Azubuike, S., & Okwuokei, S. (2013). Knowledge, attitude and practices of women towards breast cancer in Benin City, Nigeria. Annals of medical and health sciences research, 3(2), 155-160.
Badihian, S., Choi, E. K., Kim, I. R., Parnia, A., Manouchehri, N., Badihian, N., . . . Cho, J. (2017). Attitudes Toward Cancer and Cancer Patients in an Urban Iranian Population. Oncologist, 22(8), 944-950. doi:10.1634/theoncologist.2017-0073
Bai, X., Lai, D. W. L., & Guo, A. (2016). Ageism and Depression: Perceptions of Older People as a Burden in China. Journal of Social Issues, 72(1), 26-46. doi:10.1111/josi.12154
Baker, G. A., Brooks, J., Buck, D., & Jacoby, A. (2000). The stigma of epilepsy: a European perspective. Epilepsia, 41(1), 98-104.
Bandstra, N. F., Camfield, C. S., & Camfield, P. R. (2008). Stigma of epilepsy. Canadian journal of neurological sciences, 35(4), 436-440.
Beadle, G. F., Yates, P. M., Najman, J. M., Clavarino, A., Thomson, D., Williams, G., . . . Schlect, D. (2004). Beliefs and practices of patients with advanced cancer: implications for communication. Br J Cancer, 91(2), 254-257. doi:10.1038/sj.bjc.6601950
Bennett, K. K., Compas, B. E., Beckjord, E., & Glinder, J. G. (2005). Self-blame and distress among women with newly diagnosed breast cancer. Journal of Behavioral Medicine, 28(4), 313-323.
Biglia, N., Torrisi, R., D’Alonzo, M., Codacci Pisanelli, G., Rota, S., & Peccatori, F. A. (2015). Attitudes on fertility issues in breast cancer patients: an Italian survey. Gynecological Endocrinology, 31(6), 458-464.
Brown Johnson, C. G., Brodsky, J. L., & Cataldo, J. K. (2014). Lung cancer stigma, anxiety, depression, and quality of life. J Psychosoc Oncol, 32(1), 59-73. doi:10.1080/07347332.2013.855963
Carver, C. S. (1997). You want to measure coping but your protocol’too long: Consider the brief cope. International journal of behavioral medicine, 4(1), 92.
Cataldo, J. K., Slaughter, R., Jahan, T. M., Pongquan, V. L., & Hwang, W. J. (2011). Measuring stigma in people with lung cancer: psychometric testing of the cataldo lung cancer stigma scale. Oncol Nurs Forum, 38(1), E46-54. doi:10.1188/11.ONF.E46-E54
Chambers, S. K., Dunn, J., Occhipinti, S., Hughes, S., Baade, P., Sinclair, S., . . . O’Connell, D. L. (2012). A systematic review of the impact of stigma and nihilism on lung cancer outcomes. BMC cancer, 12(1), 184.
Chapple, A., Ziebland, S., & McPherson, A. (2004). Stigma, shame, and blame experienced by patients with lung cancer: qualitative study. BMJ, 328(7454), 1470. doi:10.1136/bmj.38111.639734.7C
Cho, J., Choi, E. K., Kim, S. Y., Shin, D. W., Cho, B. L., Kim, C. H., . . . Park, J. H. (2013). Association between cancer stigma and depression among cancer survivors: a nationwide survey in Korea. Psychooncology, 22(10), 2372-2378. doi:10.1002/pon.3302
Cho, J., Smith, K., Choi, E. K., Kim, I. R., Chang, Y. J., Park, H. Y., . . . Shim, Y. M. (2013). Public attitudes toward cancer and cancer patients: a national survey in Korea. Psychooncology, 22(3), 605-613. doi:10.1002/pon.3041
Chojnacka-Szawlowska, G., Koscielak, R., Karasiewicz, K., Majkowicz, M., & Kozaka, J. (2013). Delays in seeking cancer diagnosis in relation to beliefs about the curability of cancer in patients with different disease locations. Psychol Health, 28(2), 154-170. doi:10.1080/08870446.2012.700056
Cohen, R. E., Ruckdeschel, J. C., Blanchard, C. G., Rohrbaugh, M., & Horton, J. (1982). Attitudes towards cancer. II: A comparative analysis of cancer patients, medical students, medical residents, physicians and cancer educators. Cancer, 50(6), 1218-1223.
Corner, J. L. (1988). Assessment of nurses` attitudes towards cancer: a critical review of research methods. Journal of advanced nursing, 13(5), 640-648.
Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self–stigma of mental illness: Implications for self–esteem and self–efficacy. Journal of social and clinical psychology, 25(8), 875-884.
Danhauer, S. C., Crawford, S. L., Farmer, D. F., & Avis, N. E. (2009). A longitudinal investigation of coping strategies and quality of life among younger women with breast cancer. J Behav Med, 32(4), 371-379. doi:10.1007/s10865-009-9211-x
De Boer, H. M., Mula, M., & Sander, J. W. (2008). The global burden and stigma of epilepsy. Epilepsy & behavior, 12(4), 540-546.
Eagly, A. H., & Chaiken, S. (1998). Attitude structure and function. The handbook of social psychology, 1(2), 269-322.
Else-Quest, N. M., LoConte, N. K., Schiller, J. H., & Hyde, J. S. (2009). Perceived stigma, self-blame, and adjustment among lung, breast and prostate cancer patients. Psychol Health, 24(8), 949-964. doi:10.1080/08870440802074664
Epplein, M., Zheng, Y., Zheng, W., Chen, Z., Gu, K., Penson, D., . . . Shu, X. O. (2011). Quality of life after breast cancer diagnosis and survival. J Clin Oncol, 29(4), 406-412. doi:10.1200/JCO.2010.30.6951
Fazio, R. H. (1989). On the power and functionality of attitudes: The role of attitude. Attitude structure and function, 153-179.
Folkman, S., Lazarus, R. S., Gruen, R. J., & DeLongis, A. (1986). Appraisal, coping, health status, and psychological symptoms. Journal of personality and social psychology, 50(3), 571.
Friedman, L. C., Romero, C., Elledge, R., Chang, J., Kalidas, M., Dulay, M. F., . . . Osborne, C. K. (2007). Attribution of blame, self-forgiving attitude and psychological adjustment in women with breast cancer. Journal of Behavioral Medicine, 30(4), 351-357.
Geyikci, R., Cakmak, S., Demirkol, M. E., & Uğuz, Ş. (2018). Correlation of anxiety and depression levels with attitudes towards coping with illness and sociodemographic characteristics in patients with a diagnosis of breast cancer.
Ghanean, H., Jacobsson, L., & Nojomy, M. (2013). Self-perception of stigma in persons with epilepsy in Tehran, Iran. Epilepsy & behavior, 28(2), 163-167.
Gilani, S. I., Khurram, M., Mazhar, T., Mir, S. T., Ali, S., Tariq, S., & Malik, A. Z. (2010). Knowledge, attitude and practice of a Pakistani female cohort towards breast cancer. JPMA. The Journal of the Pakistan Medical Association, 60(3), 205.
Glinder, J. G., & Compas, B. E. (1999). Self-blame attributions in women with newly diagnosed breast cancer: A prospective study of psychological adjustment. Health Psychology, 18(5), 475.
Grassi, L., Giraldi, T., Messina, E., Magnani, K., Valle, E., & Cartei, G. (2000). Physicians` attitudes to and problems with truth-telling to cancer patients. Supportive Care in Cancer, 8(1), 40-45.
Harris, D. L., & Carr, A. T. (2001). Prevalence of concern about physical appearance in the general population. British journal of plastic surgery, 54(3), 223-226.
Hautamäki, K., Miettinen, M., Kellokumpu-Lehtinen, P.-L., Aalto, P., & Lehto, J. (2007). Opening communication with cancer patients about sexuality-related issues. Cancer nursing, 30(5), 399-404.
Heider, F. (2013). The psychology of interpersonal relations: Psychology Press.
Holland, J. C., Geary, N., Marchini, A., & Tross, S. (1987). Psychosocial Issues: an international survey of physician attitudes and practice in regard to revealing the diagnosis of cancer. Cancer investigation, 5(2), 151-154.
Hollon, S. D., & Beck, A. T. (2013). Cognitive and cognitive-behavioral therapies. Bergin and Garfield’s handbook of psychotherapy and behavior change, 6, 393-442.
Jiang, Y., Li, J.-y., Liu, C., Huang, M.-j., Zhou, L., Li, M., . . . Wei, Y.-q. (2006). Different attitudes of oncology clinicians toward truth telling of different stages of cancer. Supportive Care in Cancer, 14(11), 1119-1125.
Jiang, Y., Liu, C., Li, J. Y., Huang, M. J., Yao, W. X., Zhang, R., . . . Xie, K. (2007). Different attitudes of Chinese patients and their families toward truth telling of different stages of cancer. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 16(10), 928-936.
Kallay, E., Degi, C. L., & Vincze, A. E. (2007). Dysfunctional attitudes, depression and quality of life in a sample of Romanian. J Cogn Behav Psychother, 7(1), 95-106.
Karbani, G., Lim, J., Hewison, J., Atkin, K., Horgan, K., Lansdown, M., & Chu, C. E. (2011). Culture, attitude and knowledge about breast cancer and preventive measures: a qualitative study of South Asian breast cancer patients in the UK. Asian Pac J Cancer Prev, 12(6), 1619-1626.
Kershaw, T., Northouse, L., Kritpracha, C., Schafenacker, A., & Mood, D. (2004). Coping strategies and quality of life in women with advanced breast cancer and their family caregivers. Psychology & Health, 19(2), 139-155. doi:10.1080/08870440310001652687
Kim, S.-W., Kim, S.-Y., Kim, J.-M., Park, M.-H., Yoon, J.-H., Shin, M.-G., . . . Yoon, J.-S. (2011). Relationship between a hopeful attitude and cellular immunity in patients with breast cancer. General hospital psychiatry, 33(4), 371-376.
Kissane, D. W., Patel, S. G., Baser, R. E., Bell, R., Farberov, M., Ostroff, J. S., . . . Shah, J. P. (2013). Preliminary evaluation of the reliability and validity of the Shame and Stigma Scale in head and neck cancer. Head Neck, 35(2), 172-183. doi:10.1002/hed.22943
Kleim, B., Vauth, R., Adam, G., Stieglitz, R.-D., Hayward, P., & Corrigan, P. (2008). Perceived stigma predicts low self-efficacy and poor coping in schizophrenia. Journal of Mental Health, 17(5), 482-491. doi:10.1080/09638230701506283
Kline, R. B. (2005). Principles and practice of structural equation modeling: Guilford publications.
Koch, L., Bertram, H., Eberle, A., Holleczek, B., Schmid‐Höpfner, S., Waldmann, A., . . . Arndt, V. (2014). Fear of recurrence in long‐term breast cancer survivors—still an issue. Results on prevalence, determinants, and the association with quality of life and depression from the Cancer Survivorship—a multi‐regional population‐based study. Psycho‐oncology, 23(5), 547-554.
Koch, L., Jansen, L., Brenner, H., & Arndt, V. (2013). Fear of recurrence and disease progression in long‐term (≥ 5 years) cancer survivors—a systematic review of quantitative studies. Psycho‐oncology, 22(1), 1-11.
Kvillemo, P., & Branstrom, R. (2014). Coping with breast cancer: a meta-analysis. PLoS One, 9(11), e112733. doi:10.1371/journal.pone.0112733
Kye, S. Y., Lee, H. J., Lee, Y., & Kim, Y. A. (2020). Public Attitudes towards Cancer Survivors among Korean Adults. Cancer Res Treat, 52(3), 722-729. doi:10.4143/crt.2019.265
Lai, D. W. (2009). Older chinese` attitudes toward aging and the relationship to mental health: an international comparison. Soc Work Health Care, 48(3), 243-259. doi:10.1080/00981380802591957
Lam, K. F., Lim, H. A., Tan, J. Y., & 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.
Lam, W. W., & Fielding, R. (2003). The evolving experience of illness for Chinese women with breast cancer: a qualitative study. Psychooncology, 12(2), 127-140. doi:10.1002/pon.621
Landmark, B. T., & Wahl, A. (2002). Living with newly diagnosed breast cancer: a qualitative study of 10 women with newly diagnosed breast cancer. Journal of advanced nursing, 40(1), 112-121.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping: Springer publishing company.
Lebel, S., & Devins, G. M. (2008). Stigma in cancer patients whose behavior may have contributed to their disease. Future Oncol, 4(5), 717–733.
Litman, J. A. (2006). The COPE inventory: Dimensionality and relationships with approach- and avoidance-motives and positive and negative traits. Personality and Individual Differences, 41(2), 273-284. doi:10.1016/j.paid.2005.11.032
Lovallo, W. R. (2005). Stress & Health: Biological and Psychological Interactions: Sage Publications.
Lv, Y., Wolf, A., & Wang, X. (2013). Experienced stigma and self-stigma in Chinese patients with schizophrenia. Gen Hosp Psychiatry, 35(1), 83-88. doi:10.1016/j.genhosppsych.2012.07.007
MacKinnon, D. P. (2012). Introduction to statistical mediation analysis: Routledge.
Mehrabi, E., Hajian, S., Simbar, M., Hoshyari, M., & Zayeri, F. (2015). Coping response following a diagnosis of breast cancer: A systematic review. Electron Physician, 7(8), 1575-1583. doi:10.19082/1575
Meisenberg, B. R., Varner, A., Ellis, E., Ebner, S., Moxley, J., Siegrist, E., & Weng, D. (2015). Patient attitudes regarding the cost of illness in cancer care. The oncologist, 20(10), 1199.
Montazeri, A. (2008). Health-related quality of life in breast cancer patients: a bibliographic review of the literature from 1974 to 2007. J Exp Clin Cancer Res, 27, 32. doi:10.1186/1756-9966-27-32
Nafissi, N., Saghafinia, M., Motamedi, M. H. K., & Akbari, M. E. (2012). A survey of breast cancer knowledge and attitude in Iranian women. Journal of cancer research and therapeutics, 8(1), 46-49.
Neumann, P. J., Palmer, J. A., Nadler, E., Fang, C., & Ubel, P. (2010). Cancer therapy costs influence treatment: a national survey of oncologists. Health Affairs, 29(1), 196-202.
Okobia, M. N., Bunker, C. H., Okonofua, F. E., & Osime, U. (2006). Knowledge, attitude and practice of Nigerian women towards breast cancer: a cross-sectional study. World journal of surgical oncology, 4(1), 1-9.
Opoku, S. Y., Benwell, M., & Yarney, J. (2012). Knowledge, attitudes, beliefs, behaviour and breast cancer screening practices in Ghana, West Africa. Pan African Medical Journal, 11(1).
Paek, M.-S., Ip, E. H., Levine, B., & Avis, N. E. (2016). Longitudinal Reciprocal Relationships Between Quality of Life and Coping Strategies Among Women with Breast Cancer. Annals of Behavioral Medicine, 50(5), 775-783. doi:10.1007/s12160-016-9803-y
Petronis, V. M., Carver, C. S., Antoni, M. H., & Weiss, S. (2003). Investment in body image and psychosocial well-being among women treated for early stage breast cancer: partial replication and extension. Psychology and Health, 18(1), 1-13.
Ramírez, L., & Palacios-Espinosa, X. (2016). Stereotypes about Old Age, Social Support, Aging Anxiety and Evaluations of One`s Own Health. Journal of Social Issues, 72(1), 47-68. doi:10.1111/josi.12155
Ravichandran, K., Al-Hamdan, N. A., & Mohamed, G. (2011). Knowledge, attitude, and behavior among Saudis toward cancer preventive practice. Journal of Family and Community Medicine, 18(3), 135.
Resnicow, K., Patel, M. R., Mcleod, M. C., Katz, S. J., & Jagsi, R. (2019). Physician attitudes about cost consciousness for breast cancer treatment: differences by cancer sub-specialty. Breast cancer research and treatment, 173(1), 31-36.
Ritsher, J. B., Otilingam, P. G., & Grajales, M. (2003). Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res, 121(1), 31-49. doi:10.1016/j.psychres.2003.08.008
Sadler, G. R., Dhanjal, S. K., Shah, N. B., Shah, R. B., Ko, C., Anghel, M., & Harshburger, R. (2001). Asian Indian women: knowledge, attitudes and behaviors toward breast cancer early detection. Public Health Nursing, 18(5), 357-363.
Shih, Y. C. T., & Chien, C. R. (2017). A review of cost communication in oncology: patient attitude, provider acceptance, and outcome assessment. Cancer, 123(6), 928-939.
Shimizu, C., Bando, H., Kato, T., Mizota, Y., Yamamoto, S., & Fujiwara, Y. (2013). Physicians’ knowledge, attitude, and behavior regarding fertility issues for young breast cancer patients: a national survey for breast care specialists. Breast cancer, 20(3), 230-240.
Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychological methods, 7(4), 422.
Siddharth, R., Gupta, D., Narang, R., & Singh, P. (2016). Knowledge, attitude and practice about breast cancer and breast self-examination among women seeking out-patient care in a teaching hospital in central India. Indian Journal of cancer, 53(2), 226.
Simon, A. E., Wardle, J., & Miles, A. (2011). Is it time to change the stereotype of cancer: the expert view. Cancer Causes & Control, 22(1), 135-140. doi:10.1007/s10552-010-9683-6
Suurmeijer, T. P., Reuvekamp, M. F., & Aldenkamp, B. P. (2001). Social functioning, psychological functioning, and quality of life in epilepsy. Epilepsia, 42(9), 1160-1168.
Tang, I. C., & Wu, H. C. (2012). Quality of life and self-stigma in individuals with schizophrenia. Psychiatr Q, 83(4), 497-507. doi:10.1007/s11126-012-9218-2
Vilhauer, R. P. (2008). A qualitative study of the experiences of women with metastatic breast cancer. Palliative & Supportive Care, 6(3), 249-258.
Wang, A. W.-T., Cheng, C.-P., Chang, C.-S., Chen, D.-R., Chen, S.-T., Shieh, V., . . . Hsu, W.-Y. (2018). Does the Factor Structure of the Brief COPE Fit Different Types of Traumatic Events? European Journal of Psychological Assessment, 34(3), 162-173. doi:10.1027/1015-5759/a000321
Wang, S.-Y., Chen, C.-H., Chen, Y.-S., & Huang, H.-L. (2004). The attitude toward truth telling of cancer in Taiwan. Journal of psychosomatic research, 57(1), 53-58.
Yao, G., Chung, C.-W., Yu, C.-F., & Wang, J.-D. (2002). Development and verification of validity and reliability of the WHOQOL-BREF Taiwan version. Journal of the Formosan Medical Association, 101(5), 342-351.
Yeni, K., Tulek, Z., Bebek, N., Dede, O., Gurses, C., Baykan, B., & Gokyigit, A. (2016). Attitudes towards epilepsy among a sample of Turkish patients with epilepsy. Epilepsy & behavior, 62, 66-71.
Yilmaz, E., & Okanli, A. (2015). The Effect of Internalized Stigma on the Adherence to Treatment in Patients With Schizophrenia. Arch Psychiatr Nurs, 29(5), 297-301. doi:10.1016/j.apnu.2015.05.006 |
| Description: | 碩士
國立政治大學
心理學系
106752006 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G0106752006 |
| Data Type: | thesis |
| DOI: | 10.6814/NCCU202100820 |
| Appears in Collections: | [心理學系] 學位論文
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