在患有癌症的成年人中,从身体症状负担到痛苦的级联途径
Emily Fritzson1, Caroline Salafia1, Keith M Bellizzi1
1Department of Human Development & Family Sciences, University of Connecticut.
概括
癌症幸存者的身体症状可以通过情绪失调增加对癌症复发 (FCR) 的恐惧,从而导致更大的心理痛苦. 解决症状和改善情绪处理是幸存者的关键.
科学领域:
- 心理学 心理学 心理学
- 在瘤学瘤学.
- 健康心理学 心理健康心理学
背景情况:
- 在癌症幸存者中,心理痛苦是常见的.
- 害怕癌症复发 (FCR) 有助于痛苦.
- 一个概念模型将癌症线索,不适应的情绪处理,FCR和痛苦联系在一起.
研究的目的:
- 在癌症幸存者中前性测试FCR和心理痛苦模型.
- 检查连接身体症状,情绪失调,FCR和痛苦 (PTSS,焦虑) 的途径.
主要方法:
- 在12个月内对486名癌症幸存者进行前性研究.
- 路径分析检查了身体症状负担,情绪失调,FCR,PTSS和焦虑之间的关系.
- 在治疗后的早期生存期间收集的数据.
主要成果:
- 身体症状负担预测了情绪失调.
- 情绪失调预测FCR升高.
- 增加的FCR预测了增加的心理痛苦 (PTSS,焦虑).
- 通过情绪失调和FCR发现了显著的间接影响.
结论:
- 这些发现支持FCR和应急的概念模型.
- 评估和解决身体症状负担至关重要.
- 提高情绪处理能力可以减轻癌症幸存者的痛苦.
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