Post-traumatic growth: finding positive meaning in cancer survivorship moderates the impact of intrusive thoughts on adjustment in younger adults

Post-traumatic growth: finding positive meaning in cancer survivorship moderates the impact of intrusive thoughts on adjustment in younger adults
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DOI:
10.1002/pon.1680
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发表时间:
2010-11-01
期刊:
影响因子:
3.6
通讯作者:
Blank, Thomas O.
Blank, Thomas O.
中科院分区:
医学2区
文献类型:
--
作者:
Park, Crystal L.;Chmielewski, Jennifer;Blank, Thomas O.

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目的:我们在不同类型癌症的年轻成年幸存者样本中研究创伤后成长是否会缓和侵入性思想对一系列健康维度的影响。方法:167名参与者完成了关于侵入性思想、创伤后成长、精神和身体健康相关的生活质量、积极和消极影响、生活满意度和精神幸福感的问卷调查。控制相关背景和癌症相关变量的多元回归分析检验了创伤后成长和侵入性思想的相互作用。结果:侵入性思想与除身体健康相关生活质量外的所有指标的适应能力较差有关。然而,创伤后成长以一种保护性的方式缓和了侵入性思想对积极和消极影响、生活满意度和精神健康的影响。也就是说,对于那些创伤后成长高的人来说,高水平的侵入性想法与更好的适应有关。结论:个体赋予其癌症经历的积极意义反映在他们创伤后成长的报告中,似乎在确定侵入性思想对癌症后适应的影响方面是重要的。版权所有John Wiley & Sons, Ltd. 2009
Objective: We examined whether post-traumatic growth would moderate the impact of intrusive thoughts on a range of dimensions of well-being in a sample of younger adult survivors of various types of cancer.Methods: 167 participants completed questionnaires regarding intrusive thoughts, post-traumatic growth, mental and physical health-related quality of life, positive and negative affect, life satisfaction, and spiritual well-being. Multiple regression analyses controlling for relevant background and cancer-related variables tested the interaction effects of post-traumatic growth and intrusive thoughts.Results: Intrusive thoughts were related to poorer adjustment on all indices except physical health-related quality of life. However, post-traumatic growth moderated the effects of intrusive thoughts on positive and negative affect, life satisfaction, and spiritual well-being in a protective fashion. That is, for those higher in post-traumatic growth, higher levels of intrusive thoughts were related to better adjustment.Conclusions: The positive meaning that individuals assign to their cancer experience as reflected in their reports of post-traumatic growth appears to be important in determining the impact of intrusive thoughts on post-cancer adjustment. Copyright (C) 2009 John Wiley & Sons, Ltd.