在前列腺癌患有未保险和代表性不足的男性中,对癌症复发的恐惧
Eliya Shachar1, Sarah E Connor2, Jiayue Chen2
1Department of Urology, University of California, Los Angeles, CA, USA; Department of Obstetrics & Gynecology, University of California, Los Angeles, CA, USA; Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Urology
|January 14, 2026
概括
近三分之一的前列腺癌幸存者对癌症复发 (FCR) 感到高度恐惧,这是由情绪上的痛苦和遗憾驱动的,而不是临床因素. 为了心理健康,需要公平的幸存者护理.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 健康差异 在健康上的差异
背景情况:
- 对癌症复发的恐惧 (FCR) 是癌症幸存者的一个重要关注点.
- 了解FCR流行率和相关因素对于开发有针对性的干预措施至关重要,特别是在服务不足的人群中.
研究的目的:
- 确定高FCR在多样化,低收入前列腺癌幸存者队列中的流行率.
- 确定高FCR的人口,临床和心理社会预测因素.
主要方法:
- 使用FCR调查对150名前列腺癌幸存者的回顾性,横截面分析.
- 评估社会人口统计学,临床,生活质量 (SF-12v2,PCI-SF),症状困扰,精神,患者与医生的互动,以及治疗后悔数据.
主要成果:
- 28%的参与者报告了高FCR.
- 没有发现FCR与社会人口统计或临床变量 (年龄,种族/种族,治疗,阶段,等级,PSA,并发症) 之间的关联.
- 高FCR与较差的心理健康,较低的SF-12心理复合分数,情绪限制和显著更高的治疗后悔 (95.2%与28.7%) 强烈相关.
结论:
- 高FCR在没有保险的,代表性不足的前列腺癌幸存者中普遍存在,与情绪上的痛苦和遗憾有关,而不是客观的临床风险.
- 强调需要以患者为中心的幸存者护理,解决心理健康和知情决策的需要.
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