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題名：癌末病患家屬面臨喪慟因應行為、人際依附型態與預期性哀慟反應相關之研究
書刊名：中華心理衛生學刊
作者：曾慧嘉／何長珠／蔡明昌
作者(外文)：Tzeng, Huei-jia／Ho, Chang-chu／Tsai, Ming-chang
出版日期：2010
卷期：23:4
頁次：頁563-585
主題關鍵詞：預期性哀慟；喪慟；因應行為；人際依附型態；Anticipatory mourning；Bereavement；Coping behaviors；Attachment styles
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(1) 專書論文(0)
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  • 共同引用共同引用:50
  • 點閱點閱:137
研究目的：本研究主要目的在於探討癌末病患家屬面臨喪慟因應行為、人際依附型態、與預期性哀慟反應之相關性。研究方法：本研究採立意取樣法，選取高雄市三家醫院安寧病房家屬為研究對象，使用人際依附風格量表、簡明因應量表和悲傷經驗量表修訂版作為評量工具，以面對面問卷調查法收集資料，有效問卷為142份（男性64位、女性78位，平均年齡38.94歲）。研究結果：癌末病患家屬之預期性哀慟反應平均而言為中等偏低程度，面臨喪慟因應行為以正向因應行為使用頻率較高。不同人際依附型態的癌末病患家屬於作計劃、正向重建、宗教、否認、行為逃避之面臨喪慟因應行為有顯著差異；不同人際依附型態的癌末病患家屬於存在關注、憂鬱、身體症狀之預期性哀慟反應也有顯著差異。癌末病患家屬之預期性哀慟反應與主動因應、正向重建、接受、工具性支持和發洩因應行為呈現顯著的負相關，與否認、行為逃避和自責因應行為呈現顯著的正相關。研究結論：本研究發現人際依附型態於預期性哀慟反應與因應歷程中確為一重要影響變項，且癌末病患家屬之面臨喪慟因應行為和預期性哀慟反應亦具相關性。
Purpose: The main purpose of this study was to explore the relationships among bereavement coping behaviors, attachment styles, and anticipatory mourning reactions in the families of terminal cancer patients. Methods: Participants were 142 families (64 male, 78 female; mean age: 38.94) from 3 Kaohsiung hospice wards sampled using a purposive sampling method. The Attachment Style Scale, the Brief COPE, and the Revised Grief Experience Inventory were administered in face-to-face interviews. Results: The mean level of anticipatory mourning reactions among participants was moderately low, and the frequency of positive coping behaviors was higher than negative. Attachment styles were significantly related to differences in planning, positive reframing, religion, denial, and behavioral disengagement. Attachment styles were also significantly related to differences in existential concerns, depression, and anticipatory mourning reaction in the form of physical distress. Anticipatory mourning reactions correlated negatively with active coping, positive reframing, acceptance, use of instrumental support, and venting, whereas they correlated positively with denial, behavioral disengagement, and self-blame. Conclusions: The study found that attachment style was an important predictive factor with respect to anticipatory mourning reactions and the coping process, and also demonstrated a relationship between bereavement coping behaviors and anticipatory mourning reactions.
期刊論文
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9.Hazan, Cindy、Shaver, Phillip R.(1987)。Romantic love conceptualized as an attachment process。Journal of Personality and Social Psychology，52(3)，511-524。  new window
10.Stroebe, M. S.、Schut, H.(1999)。The dual process model of coping with bereavement: Rationale and description。Death Studies，23(3)，197-224。  new window
11.Carver, C. S.(1997)。You Want to Measure Coping but Your Protocol's Too Long: Consider the Brief COPE。International Journal of Behavioural Medicine，4(1)，92-100。  new window
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學位論文
1.陳麗糸(1989)。預期性哀傷導因及定義性特徵之臨床效度之初步測定(碩士論文)。國立臺灣大學。  延伸查詢new window
2.Clukey, L.(2002)。Anticipatory mourning: Transitional processes of expected loss，Greeley, USA。  new window
3.王慶福(1995)。《大學生愛情徑路模式之分析研究》。  延伸查詢new window
圖書
1.Bowlby, J.(1973)。Attachment and Loss: Vol. 2. Separation: Anxiety and Anger。London：Hogarth Press。  new window
2.Bowlby, John(1969)。Attachment and loss: Vol. 1. Attachment。New York：Basic Books。  new window
3.Bowlby, John(1980)。Attachment and Loss, Vol. 3: Loss, sadness, and depression。Basic Books。  new window
4.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
5.Bartholomew, K.,、Shaver, P. R.(1998)。Methods of assessing adult attachment. Do they converge?。Attachment theory and close relationships。New York。  new window
6.Futterman, E. H., Hoffman, I.,、Sabshin, M.(1972)。Parental anticipatory mourning。Psychosocial aspects of terminal care。New York。  new window
7.Mikulincer, M.、Florian, V.(1998)。The relationship between adult attachment styles and emotional and cognitive reactions to stressful events。Attachment theory and close relationships。New York, NY, US：Guilford Press。  new window
8.Parkes, C. M.(2001)。A historical overview of the scientific study of bereavement。Handbook of bereavement research: Consequences, coping, and care。Washington, DC。  new window
9.Rando, T. A.(2000)。Clinical dimensions of anticipatory mourning: Theory and practice in working with the dying。their loved ones and their caregivers。Champaign, IL。  new window
10.Sanders, C. M., Mauger, P. A.,、Strong, P. N.(1979)。A manual for the grief experience inventory。Tampa, FL。  new window
11.Schaefer, J. A.,、Moos, R. H.(2001)。Bereavement experiences and personal growth。Handbook of bereavement research: Consequences, coping, and care。Washington, DC。  new window
12.Stroebe, M. S.,、Schut, H.(2001)。Models of coping bereavement: A review。Handbook of bereavement research: Consequences, coping, and care。Washington, DC。  new window
圖書論文
1.Mikulincer, M.、Shaver, P. R.(2003)。The Attachment Behavioral System in Adulthood: Activation, Psychodynamics, and Interpersonal Processes。Advances in Experimental Social Psychology。New York。  new window
2.Shaver, P. R.,、Tancredy, C. M.(2001)。Emotion, attachment, and bereavement: A conceptual commentary。Handbook of bereavement research: Consequences, coping, and care。Washington, DC：American Psychological Association。  new window
 
 
 
 
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