Long-term fear of recurrence in young breast cancer survivors and partners.
Long-term fear of recurrence in young breast cancer survivors and partners.
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DOI：
10.1002/pon.4008
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发表时间：
2017-01
期刊：
影响因子：
3.6
通讯作者：
Champion VL
中科院分区：
文献类型：
--
作者：
Cohee AA;Adams RN;Johns SA;Von Ah D;Zoppi K;Fife B;Monahan PO;Stump T;Cella D;Champion VL
对乳腺癌复发的恐惧是长期幸存者及其伴侣最普遍和最具破坏性的痛苦来源。然而，很少有研究关注复发恐惧的预测因素。本研究的目的是测试社会认知加工理论（SCPT）在预测45岁或以下的长期乳腺癌幸存者及其伴侣对复发的恐惧方面的有效性。在一项大型横断面研究中，诊断后3-8年的乳腺癌幸存者（N=222）及其伴侣完成了一项调查，评估了人口统计学特征、对复发的恐惧、社会约束和认知处理（侵入性思维和认知回避）。中介分析分别为幸存者和合作伙伴，以确定认知处理将调解社会约束和恐惧复发之间的关系。对于幸存者[F（3，213）= 47.541，R2= 0.401，p<0.001]和伴侣[F（3，215）= 27.917，R2= 0.280，p<0.001]，认知处理介导了社会约束和复发恐惧之间的关系。人口统计学变量没有显着预测复发的恐惧。正如预测的那样，认知加工介导了社会约束和恐惧复发之间的关系。结果扩大了效用的SCPT长期幸存者和他们的合作伙伴，支持其使用的干预设计。
Fear of a breast cancer recurrence is the most prevalent and disruptive source of distress for long-term survivors and their partners. However, few studies have focused on predictors of fear of recurrence. The aim of this study is to test the efficacy of the Social Cognitive Processing Theory (SCPT) in predicting fear of recurrence in long-term breast cancer survivors diagnosed at age 45 or younger and their partners. In a large cross-sectional study, breast cancer survivors (N=222) 3–8 years from diagnosis and their partners completed a survey assessing demographic characteristics, fear of recurrence, social constraints, and cognitive processing (intrusive thoughts and cognitive avoidance). Mediation analyses were conducted for survivors and partners separately to determine if cognitive processing would mediate the relationship between social constraints and fear of recurrence. Cognitive processing mediated the relationship between social constraints and fear of recurrence both for survivors [F(3,213)= 47.541, R2=.401, p<.001] and partners [F(3,215)= 27.917, R2=.280, p<.001). Demographic variables were not significant predictors of fear of recurrence. As predicted, cognitive processing mediated the relationship between social constraints and fear of recurrence. Results expand the utility of the SCPT in long-term survivors and their partners by supporting its use in intervention design.