癌症复发恐惧的相互联系组成部分:一个网络方法
Melanie P J Schellekens1, Yvonne L Luigjes-Huizer2, Allan Ben Smith3
1Department of Medical and Clinical Psychology, Center of Research in Psychological Disorders and Somatic Diseases (CoRPS), Tilburg University, School of Social and Behavioral Sciences.
概括
对癌症复发的恐惧 (FCR) 通常与特定的症状和触发因素有关,特别是担忧和身体感觉. 识别这些核心组成部分可以帮助确定需要对功能障碍进行心理支持的幸存者.
科学领域:
- 心理学 心理学 心理学
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症复发的恐惧 (FCR) 影响了绝大多数癌症幸存者.
- 然而,并非所有经历FCR的幸存者都需要专业的心理护理,需要对其组件有细微的了解.
研究的目的:
- 调查FRC组件 (症状,触发因素,感知风险,应对) 和FRC严重程度之间的相互联系.
- 确定哪些FRR组件与功能障碍最强烈相关.
主要方法:
- 网络分析了来自9个国家的3370名癌症幸存者的横截面数据.
- 应用最短路径分析来确定FRC组件,严重程度和功能障碍之间的直接联系.
主要成果:
- FCR的严重程度主要与症状和触发因素有关.
- 功能障碍主要与应对策略有关.
- 焦虑和身体触发因素成为导致更高FCR严重程度和更大的功能障碍的直接贡献者.
结论:
- 焦虑和身体触发因素被确定为影响日常生活的中央FCR组件.
- 建议在临床查中评估功能障碍,焦虑和身体触发因素以及FCR严重程度.
- 未来的研究应该利用密集的纵向设计来探索这些组件在个体内的动态相互作用.
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