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对癌症幸存者的积极和消极心理社会影响
Grace Yao1, Jin-Shei Lai2, Sofia F Garcia3
1Department of Psychology, College of Science, National Taiwan University, Taipei, 106319, Taiwan (R.O.C.).
Scientific reports
|September 7, 2023
概括
癌症幸存者经历了积极和消极的心理社会影响,积极的影响往往更强烈,特别是在社会影响和精神方面. 年龄,性别和社会经济地位等因素影响这些结果,指导未来的支持干预.
科学领域:
- 心理社会瘤学
- 患者报告的结果
- 癌症生存率研究 癌症生存率研究
背景情况:
- 了解癌症幸存者的多方面的心理社会经验对于改善生活质量至关重要.
- 患者报告结果测量信息系统 (PROMIS) 提供了验证的工具来评估这些影响.
- 以前的研究表明,癌症诊断和治疗后,有积极和消极的心理影响.
研究的目的:
- 通过PROMIS心理社会疾病影响指标,研究对癌症幸存者的心理社会影响.
- 要区分积极和消极的疾病影响,跨越自我概念,社会影响,应激反应和精神领域.
- 确定影响这些心理社会影响的人口和社会经济因素.
主要方法:
- 对509名癌症幸存者的调查,评估当前和回忆起诊断前的心理社会经历.
- 在四个子领域中利用了PROMIS积极和消极的疾病影响项目:自我概念 (SC),社会影响 (SI),应激反应 (SR) 和精神 (Sp).
- 用描述性统计,效果大小 (ES),变化系数 (CV) 和差异分析 (ANOVA) 来进行数据分析.
主要成果:
- 幸存者报告的积极影响 (ES平均值:0.30) 通常比负面影响 (ES平均值:0.23) 强.
- 积极影响在社会影响 (SI) 和精神 (Sp) 中更为普遍,而负面影响在应激反应 (SR) 中更为普遍.
- 年轻的幸存者,女性和受过高等教育或收入较低的人报告了不同的心理社会影响模式.
结论:
- 在癌症幸存者中,积极和消极的心理社会影响并存,在不同生活领域具有不同的强度.
- 包括年龄,性别,教育和收入在内的人口因素显著调节了这些心理社会经验.
- 这些发现支持制定有针对性的干预措施,以加强积极的应对机制并减轻负面影响,从而改善幸存者的整体福祉.
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