Examining the Burden of Self-Blame Attribution Among Women With Cervical Cancer.

IF 2 Q2 NURSING

Journal of Holistic Nursing Pub Date : 2024-06-01 Epub Date: 2023-09-14 DOI:10.1177/08980101231194218

Leigh A Minchew, Sandra K Cesario, Misty M Richmond, Catherine M Mbango

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引用次数: 0

Abstract

Background:Self-blame for past sexual behaviors or for the personal character may be associated with the development of cervical cancer. Purpose: Aims were to understand the burden of self-blame attribution (SBA) among women with cervical cancer by (1) examining relationships between SBA, psychological distress (PD), and spiritual well-being (SWB); (2) determining differences between behavioral (BSB) and characterological self-blame (CSB) attribution; and (3) describing associations between SBA and unwanted past sexual experiences. Methods: Women attending a cancer center in the southeastern United Stats (N = 106) completed an online survey including a demographic questionnaire and three instruments: (1) SBA for Cancer Scale; (2) Psychological Distress Subscale of the Psychological Adjustment to Cancer Scale-Self Report; and (3) Functional Assessment of Cancer Therapy-Spiritual Well-being. Results: Women with cervical cancer, 26-64 years of age, identified moderate levels of SBA, PD, and SWB. Relationships were found between PD, BSB and CSB, and unwanted sexual experiences. Significant inverse correlations between religious faith, BSB, unwanted sexual experiences, and SWB were noted. Unwanted sexual experiences were a significant predictor of SBA. Conclusion: SBA places women at risk for increased burden. Recognizing SBA in vulnerable cancer survivors is important to providing holistic nursing care.

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研究宫颈癌妇女的自责归因负担。

背景：对过去性行为或个人性格的自责可能与宫颈癌的发病有关。目的：通过（1）研究自责、心理困扰（PD）和精神健康（SWB）之间的关系；（2）确定行为自责（BSB）和性格自责（CSB）之间的差异；以及（3）描述自责与过去不想要的性经历之间的关联，了解宫颈癌女性患者的自责负担（SBA）。研究方法在美国东南部一家癌症中心就诊的女性（N = 106）完成了一项在线调查，包括一份人口统计学问卷和三种工具：(1) SBA 癌症量表；(2) 癌症心理适应量表-自我报告的心理压力分量表；(3) 癌症治疗功能评估-精神健康。结果：年龄在 26-64 岁之间的宫颈癌妇女的 SBA、PD 和 SWB 水平适中。PD、BSB 和 CSB 与不想要的性经历之间存在关系。宗教信仰、BSB、不想要的性经历和 SWB 之间存在显著的反相关关系。意外性经历是 SBA 的重要预测因素。结论SBA 使女性面临负担加重的风险。认识到脆弱癌症幸存者的 SBA 对于提供整体护理非常重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Holistic Nursing NURSING-

CiteScore

4.30

自引率

10.00%

发文量

期刊介绍： Manuscripts are solicited that deal with the processes of knowledge development and application including research, concept analysis and theory development, practical applications of research and theory, clinical case studies and analysis, practice applications in general, educational approaches and evaluation, and aesthetic expressions of holistic knowledge. While the journal seeks to support work grounded in evidence, the editorial philosophy suggests that there are many diverse sources of “evidence” beyond the realm of what is called “empirical” and that many methods are appropriate for discovering evidence and generating knowledge.