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对癌症复发的恐惧和早期乳腺癌的适应幸存率:潜伏的个人资料分析

Gabriella Bentley¹, Osnat Zamir¹, Rawan Dahabre¹

¹School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem, Israel.

Stress and health : journal of the International Society for the Investigation of Stress

|February 11, 2026

概括

癌症复发的恐惧 (FCR) 影响了乳腺癌幸存者. 大多数人适应得很好,但有些人与身体形象和痛苦作斗争,特别是如果在早期患有抑郁症. 早期干预是关键的.

科学领域:

在瘤学瘤学.
心理学心理学心理学
公共卫生公共卫生

背景情况:

对癌症复发 (FCR) 的恐惧是乳腺癌 (BC) 幸存者的重要关注点.
诊断后的适应包括身体形象和弹性 ("反弹").
了解FCR个人资料的心理社会预测因素对于幸存者护理至关重要.

研究的目的:

在BC幸存者诊断后18个月内探索FCR和适应概况.
识别与这些个人资料相关的心理社会预测因素.
检查身体形象,弹性和FCR之间的相互作用.

主要方法:

来自四个国家的494名妇女 (I-IIIBC阶段) 的横截面研究.
诊断时收集的数据,诊断后的3个月和18个月.
利用验证的调查问卷评估FCR,身体形象,弹性,焦虑,抑郁和社会支持.

主要成果:

确定了三种FCR和适应概况:适应性 (67%),痛苦 (19%) 和身体形象障碍 (14%).
适应性配置文件显示了低的FCR和高的身体形象/弹性.
较高的FCR与较低的身体形象和弹性有关,特别是在痛苦和身体形象损伤的个人资料中.
早期抑郁症 (诊断后3个月) 预测了更具挑战性的FCR应对概况.

结论:

大多数乳腺癌幸存者适应良好,但显著的少数人经历了FCR和适应的持续挑战.
幸存期早期的抑郁症状是适应能力较差的一个关键预测因素.
早期对抑郁症的查和及时的心理社会干预对于改善乳腺癌幸存者的结果至关重要.

关键词:

身体形象身体形象身体形象反弹回来反弹回来乳腺癌乳腺癌乳腺癌对癌症的恐惧癌症复发隐性类分析隐性类分析个人资料个人资料

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