Predictors of Psychological Distress After Diagnosis in Breast Cancer Patients and Patients with Benign Breast Problems
Predictors of Psychological Distress After Diagnosis in Breast Cancer Patients and Patients with Benign Breast Problems
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DOI：
10.1016/j.psym.2010.11.012
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发表时间：
2011-01-01
期刊：
影响因子：
3.4
通讯作者：
Miyaoka, Hitoshi
中科院分区：
文献类型：
--
作者：
Ando, Noriko;Iwamitsu, Yumi;Miyaoka, Hitoshi
目的：本研究的目的是确定诊断前评估的年龄和心理特征如何预测诊断后立即披露的门诊患者的心理困扰。方法：本研究为纵向前瞻性研究，对象为乳腺癌患者和良性乳腺问题（BBP）患者。患者被要求完成问卷调查，以确定以下水平：特质焦虑（状态-特质焦虑量表），消极情绪抑制（考陶德情绪控制量表），生活压力事件（生活经历调查），和心理困扰（情绪状态的轮廓）诊断前。在被告知诊断结果后，他们被要求完成一份测量心理痛苦的问卷。我们共分析了38名诊断为乳腺癌的女性和95名诊断为BBP的女性。结果如下：双向方差分析（诊断前、诊断后X癌症、良性）显示，乳腺癌患者诊断后的心理困扰显著高于BBP患者。多元回归模型解释了乳腺癌组的显着方差（模型调整后R-2 = 0.545，p < 0.001），只有特质焦虑具有统计学意义（β = 0.778，p < 0.001）。在BBP组中，多元回归分析得出了显著结果（模型调整R-2 = 0.462，p < 0.001），特质焦虑和消极生活变化是统计学上显著的因素（β = 0.449和0.324; p < 0.01）。结论：在两组中，诊断前评估的特质焦虑是诊断后心理困扰的重要预测因素，并可能有前景作为心理脆弱的妇女的筛查方法。（Psychosomatics 2011; 52：56-64）
Objective: The objective of this study was to determine how age and psychological characteristics assessed prior to diagnosis could predict psychological distress in outpatients immediately after disclosure of their diagnosis. Methods: This is a longitudinal and prospective study, and participants were breast cancer patients and patients with benign breast problems (BBP). Patients were asked to complete questionnaires to determine levels of the following: trait anxiety (State-Trait Anxiety Inventory), negative emotional suppression (Courtauld Emotional Control Scale), life stress events (Life Experiences Survey), and psychological distress (Profile of Mood Status) prior to diagnosis. They were asked to complete a questionnaire measuring psychological distress after being told their diagnosis. We analyzed a total of 38 women diagnosed with breast cancer and 95 women diagnosed with a BBP. Results: A two-way analysis of variance (prior to, after diagnosis X cancer, benign) showed that psychological distress after diagnosis among breast cancer patients was significantly higher than in patients with a BBP. The multiple regression model accounted for a significant amount of variance in the breast cancer group (model adjusted R-2 = 0.545, p < 0.001), and only trait anxiety was statistically significant (beta = 0.778, p < 0.001). In the BBP group, the multiple regression analysis yielded a significant result (model adjusted R-2 = 0.462, p < 0.001), with trait anxiety and negative life changes as statistically significant factors (beta = 0.449 and 0.324 respectively; p < 0.01). Conclusions: In both groups, trait anxiety assessed prior to diagnosis was the significant predictor of psychological distress after diagnosis, and might have prospects as a screening method for psychologically vulnerable women. (Psychosomatics 2011; 52:56-64)