探索癌症相关疲劳的保护性和延续性因素的动态相互联系
Anne S van Roozendaal1, Melanie P J Schellekens1,2, Rosalie A M van Woezik1
1Helen Dowling Institute, Centre for Psycho-Oncology, Scientific Research Department, Bilthoven, The Netherlands.
Psycho-oncology
|October 30, 2023
概括
与癌症相关的疲劳 (CRF) 是复杂的,但网络分析显示自我有效性和允许休息是关键的保护因素. 提高自我效能的干预措施可能会减少患者的疲劳.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 健康 行为 健康行为
背景情况:
- 癌症相关疲劳 (CRF) 影响大约25%的癌症幸存者治疗后.
- 慢性脊髓炎是一种多因素的疾病,受到各种保护性和延续性因素的影响.
- 以前的研究往往侧重于双变联,需要对复杂的相互关系有更深入的理解.
研究的目的:
- 探索癌症患者疲劳,保护因素 (休息,接受,自我效能) 和延续因素 (担忧,灾难化,内) 的动态相互联系.
- 应用多变量网络方法来对CRF进行全面分析.
- 为了确定影响癌症幸存者的疲劳的关键因素.
主要方法:
- 通过EnergyInSight问卷使用了至少21天的生态瞬间评估 (EMA).
- 收集了30名癌症患者在CRF心理护理等待名单上的数据.
- 使用多级向量自回归分析来检查网络结构.
主要成果:
- 在当代网络中,更高的接受度和自我效能与更低的疲劳相关;其他因素与更高的疲劳有关.
- 最强的并发关联是在担心/内和接受/允许休息之间.
- 时间分析显示,更高的自我效能先于更低的疲劳,更高的疲劳先于增加休息需求.
结论:
- 自我有效性和允许休息成为对CRF的关键保护因素.
- 旨在提高自我效能的心理干预措施有望减少与癌症相关的疲劳.
- 网络分析为影响CRF的因素的复杂相互作用提供了宝贵的见解.
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