Life goals in patients with cancer: a systematic review of the literature.
Life goals in patients with cancer: a systematic review of the literature.
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DOI：
10.1002/pon.3852
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发表时间：
2016-04
期刊：
影响因子：
3.6
通讯作者：
Rand KL
中科院分区：
文献类型：
--
作者：
Hullmann SE;Robb SL;Rand KL
本系统回顾癌症患者生活目标研究的目的是：1)确定生活目标特征和被检查的过程；2)描述用于评估生活目标结构的工具；3)确定用于指导研究的理论模型；4)总结癌症经历对生活目标特征、过程和心理结果的影响。我们使用MEDLINE、PubMed、CINAHL和PsycINFO数据库进行了这项系统综述。纳入标准为：1)发表于1993年至2014年之间，2)英语语言，3)癌症患者人群，以及4)评估生活目标特征和/或目标过程的原创研究文章。共筛选了197篇文章，其中27篇纳入最终评审。七个生活目标特征和七个生活目标过程被确定，不到一半的研究调查了目标特征和过程之间的关系。大约一半已确定的生活目标构念没有提供概念性定义。研究使用经过验证的和作者开发的工具来评估目标结构。他们确定了24种不同的理论模型，其中最常被引用的是自我调节理论。总体而言，文献表明癌症影响患者的生活目标特征和过程，生活目标障碍与较差的心理结局有关。癌症经历对人生目标的影响是一个重要的新兴研究领域，它将受益于概念和理论的清晰性以及测量的一致性。
Purposes of this systematic review of life goal research in cancer patients were to: 1) identify life goal characteristics and processes being examined, 2) describe instruments used to assess life goal constructs, 3) identify theoretical models being used to guide research, and 4) summarize what is known about the impact of the cancer experience on life goal characteristics, processes, and psychological outcomes. We conducted this systematic review using MEDLINE, PubMed, CINAHL, and PsycINFO databases. Inclusion criteria were: 1) published between 1993 and 2014, 2) English language, 3) cancer patient population, and 4) original research articles that assessed life goal characteristics and/or goal processes. One-hundred ninety-seven articles were screened and 27 included in the final review. Seven life goal characteristics and seven life goal processes were identified, and less than half of studies investigated associations between goal characteristics and processes. Conceptual definitions were not provided for about half of the identified life goal constructs. Studies used both validated and author-developed instruments to assess goal constructs. Twenty-four different theoretical models were identified, with self-regulation theory most frequently cited. Overall, the literature suggests that cancer impacts patients’ life goal characteristics and processes, and life goal disturbance is related to poorer psychological outcomes. The impact of the cancer experience on life goals is an important and emerging area of research that would benefit from conceptual and theoretical clarity and measurement consistency.