最悪の事態に備えるのか? 癌のモニタリング中のリアルタイムの不安と不確実性の管理
Sarah N Webster1, Emma E Biggs2, Laura E Simons3
1Department of Psychology, University of Miami.
まとめ
悪いニュースを待ち受けている 癌の生存者は スキャンの前に スキャンの不安や 再発の恐怖を 感じます この 恐れ は 良い 結果 に よっ て 減少 し ます が,それ に 対処 する 積極 的 な 戦略 は,不安 を 軽減 し ませ ん.
科学分野:
- 心理学
- 腫瘍学
- 健康心理学
背景:
- 癌の再発の恐怖は 癌の生存者の生活の質に影響を与える 重要な問題です
- 癌の監視中のスキャン不安のリアルタイムの危険因子に関する研究は限られている.
研究 の 目的:
- 思春期および若年成人がんの生存者における不安を予測する不確実性管理戦略を調査する.
- 監視スキャンにまつわる癌再発の恐れ (FCR) のリアルタイム体験を検証する.
主な方法:
- 55人の若年および若年成人がん生存者に対して使用された生態学的瞬間的評価設計.
- 生存者は不確実性の管理戦略 (抱擁,希望,楽観主義) を報告しました.
- 毎日FCRは スマートフォンのアプリで 11日間監視スキャンで追跡されました
主要な成果:
- スキャンの前に予測された最悪の高FCRと,毎日の高FCRの急激な増加を予測する.
- ブラッシングはスキャンの日により高いFCRと,スキャンの後のより速い減少と相関し,良い結果が得られました.
- 希望と楽観主義の戦略は,毎日のFCRレベルを予測しなかった.
結論:
- 悪いニュースを 待ち受けているのがん患者は 検査の不安を強めるかもしれません
- 希望や楽観主義のような ポジティブな対処戦略は 不安を和らげませんでした
- スキャン不安管理のための介入策を策定するための洞察を提示しています.
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