Predicting stress-related problems in long-term breast cancer survivors
Predicting stress-related problems in long-term breast cancer survivors
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DOI：
10.1016/j.jpsychores.2008.07.018
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发表时间：
2008-12-01
影响因子：
4.7
通讯作者：
Devins, Gerald M.
中科院分区：
文献类型：
--
作者：
Lebel, Sophie;Rosberger, Zeev;Devins, Gerald M.
引言：对于乳腺癌幸存者中与随后的压力相关问题相关的早期临床和社会心理因素知之甚少。方法：我们使用诊断后3、7、11和15个月收集的数据来预测86名乳腺癌幸存者在诊断后6年的压力相关问题。我们研究了两种常见的与压力相关的问题：(a)情绪困扰和(b)入侵和回避。假设的风险因素包括对癌症的感知压力；对未来的恐惧；健康状况不佳；最初的压力相关问题；回避应对;第二次癌症经历。假设的保护因素包括积极应对（寻求社会支持；积极解决问题）；乐观;还有社会支持。结果：在控制年龄和受教育程度的情况下，层次多元回归分析表明，3个月时积极解决问题的应对和7个月时情绪困扰显著预测6年情绪困扰(R-2= 0.24， P
Introduction: Little is known about the early clinical and psychosocial factors associated with subsequent stress-related problems in breast cancer Survivors. Methods: We used data collected at 3, 7, 11, and 15 months post-diagnosis to predict stress-related problems in 86 breast cancer survivors at 6 years post-diagnosis. We examined two common stress-related problems: (a) emotional distress and (b) intrusion and avoidance. Hypothesized risk factors included perceived stressfulness of the cancer; fear of the future; poor perceived health; initial stress-related problems; avoidance coping; and second cancer experience. Hypothesized protective factors included active coping (seeking social support; positive problem solving); optimism; and social support. Results: Hierarchical multiple regression analyses, controlling for age and education, indicated that positive problem-solving coping at 3 months and emotional distress at 7 months significantly predicted 6-year emotional distress (R-2=.24, P