应对策略和抑郁症状的变化:来自于在服务不足社区面临癌症的个人协作护理干预的见解
Taylor Nicholas1, Heidi A Hamann1,2,3, Sarah N Price4
1Department of Psychology, University of Arizona, Tucson, Arizona, USA.
Journal of psychosocial oncology
|August 12, 2025
概括
对于接受抑郁症干预的癌症患者,基线应对没有预测抑郁症变化. 然而,避免应对的增加与抑郁症的恶化有关,突出了应对.
科学领域:
- 心理学 心理学 心理学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 应对策略是癌症患者抑郁症状的关键预测因素.
- 应对在心理社会干预中对服务不足的癌症患者群体的作用需要进一步研究.
- 癌症护理中的抑郁症管理需要了解应对动态.
研究的目的:
- 为了检查应对策略和抑郁症严重程度变化在服务不足的癌症患者之间的关系.
- 在12周的干预期间,研究应对策略作为抑郁症的预测者和调节者.
- 解决少数群体癌症护理干预措施中关于应对和抑郁症的知识差距.
主要方法:
- 137名服务不足的癌症患者完成了基线和12周后续评估.
- 用适应应对问题的定向 (COPE) 库存来衡量应对能力.
- 用患者健康问卷-9 (PHQ-9) 评估抑郁症的严重程度.
主要成果:
- 参与者显著增加了以方法为导向的应对能力,减少了以避免为导向的应对能力.
- 基线应对策略没有预测抑郁症严重程度的变化.
- 随着时间的推移,以避免为导向的应对能力增加与抑郁症状的改善程度较低有关.
结论:
- 应对策略在癌症患者的抑郁症干预期间演变.
- 虽然应对方法增加了,但避免应对维持/增加与持续的抑郁症状相关.
- 干预措施应考虑并潜在地针对应对策略,以有效管理癌症护理中的抑郁症.
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