Contribution of problem-solving skills to fear of recurrence in breast cancer survivors
Contribution of problem-solving skills to fear of recurrence in breast cancer survivors
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DOI：
10.1007/s10549-014-2929-3
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发表时间：
2014-05-01
影响因子：
3.8
通讯作者：
Iwata, Hiroji
中科院分区：
文献类型：
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作者：
Akechi, Tatuo;Momino, Kanae;Iwata, Hiroji
虽然对复发的恐惧是乳腺癌术后幸存者的主要担忧，但没有标准的策略可以减轻他们的痛苦。本研究调查了乳腺癌幸存者的问题解决能力与对复发的恐惧和心理困扰之间的关系。随机选择的非卧床女性乳腺癌患者参加了本研究。他们被要求完成对复发的关注量表（汽车）和医院焦虑和抑郁量表。多元回归分析被用来检查他们的关联。数据来自317名患者。患者的解决问题的能力显着相关的所有子量表的恐惧复发和整体的担忧，由汽车测量。此外，患者解决问题的能力与他们的焦虑和抑郁显著相关。我们的研究结果证明了临床试验，以调查心理社会干预计划的有效性，包括提高患者解决问题的能力，减少乳腺癌幸存者对复发的恐惧。
Although fear of recurrence is a major concern among breast cancer survivors after surgery, no standard strategies exist that alleviate their distress. This study examined the association of patients' problem-solving skills and fear of recurrence and psychological distress among breast cancer survivors. Randomly selected, ambulatory, female patients with breast cancer participated in this study. They were asked to complete the Concerns about Recurrence Scale (CARS) and the Hospital Anxiety and Depression Scale. Multiple regression analyses were used to examine their associations. Data were obtained from 317 patients. Patients' problem-solving skills were significantly associated with all subscales of fear of recurrence and overall worries measured by the CARS. In addition, patients' problem-solving skills were significantly associated with both their anxiety and depression. Our findings warrant clinical trials to investigate effectiveness of psychosocial intervention program, including enhancing patients' problem-solving skills and reducing fear of recurrence among breast cancer survivors.