Sociocultural determinants of men's reactions to prostate cancer diagnosis
Sociocultural determinants of men's reactions to prostate cancer diagnosis
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DOI：
10.1002/pon.1574
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发表时间：
2010-05-01
期刊：
影响因子：
3.6
通讯作者：
Coyne, James C.
中科院分区：
文献类型：
--
作者：
Halbert, Chanita Hughes;Wrenn, Glenda;Coyne, James C.
目的：为了更好地了解男性被诊断为前列腺癌时的反应，并确定影响这些反应的因素，我们进行了一项观察性研究，以确定男性心理反应的社会文化预测因素。方法：参与者是70名非洲裔美国人和124名白人前列腺癌患者，他们完成了一次结构化的电话采访，从对癌症的侵入性想法和试图避免与癌症相关的想法和感受方面评估心理反应。结果：男性对被诊断为前列腺癌的反应没有种族差异；然而，对疾病特定压力的更大感知、当前时间定向水平的增加以及更多的社会约束对回避反应有显著的正向影响。更大的压力感知对侵入性思维也有显著的积极影响。结论：这项研究的结果强调了个性化方法的必要性，以帮助男性解决他们被诊断为前列腺癌的想法和感受。这些努力应包括一些战略，帮助男子更有效地与社会支助资源进行沟通，并处理与时间取向有关的文化信仰和价值观。版权所有(C)2009 John Wiley&Sons，Ltd.
Objective: To develop a better understanding of how men react to being diagnosed with prostate cancer and identify factors that influence these responses, we conducted an observational study to identify sociocultural predictors of men's psychological reactions.Methods: Participants were 70 African American and 124 white prostate cancer patients who completed a structured telephone interview that evaluated psychological reactions in terms of intrusive thoughts about cancer and attempts to avoid cancer-related thoughts and feelings. Perceptions of disease-specific stress, cultural beliefs and values, and social constraints were also assessed during the interview.Results: There were no racial differences in men's reactions to being diagnosed with prostate cancer; however, greater perceptions of disease-specific stress, increasing levels of present temporal orientation, and more social constraints had significant positive effects on avoidant reactions. Greater perceptions of stress also had a significant positive effect on intrusive thoughts.Conclusions: The results of this study highlight the need for individualized approaches to help men address their thoughts and feelings about being diagnosed with prostate cancer. These efforts should include strategies that help men to communicate more effectively with social support resources and address cultural beliefs and values related to temporal orientation. Copyright (C) 2009 John Wiley & Sons, Ltd.