Appraisal of the cancer experience by older long-term survivors
Appraisal of the cancer experience by older long-term survivors
复制标题
DOI：
10.1002/pon.630
复制
发表时间：
2003-04-01
期刊：
影响因子：
3.6
通讯作者：
Kahana, B
中科院分区：
文献类型：
--
作者：
Bowman, KF;Deimling, GT;Kahana, B
癌症生存最好被视为一个持续一生的过程。对癌症的评估会随着时间的推移而变化，并且可能要到治疗完成后很长时间才会明确。目前的研究使用 Lazarus 和 Folkman (1984) 的压力评估应对框架，探讨了与老年长期幸存者对癌症经历的压力和无关评估相关的因素。层次回归分析调查了个人因素（幸存者的人口统计特征、对癌症对家庭成员影响的信念）和情境因素（癌症的特征）对幸存者对癌症是一种压力生活事件的评估的个体和累积影响。压力评估的最强相关因素是人的因素。压力更大的评估与：(1) 相信诊断/治疗会导致更大的家庭痛苦，(2) 更年轻，(3) 是白人。不相关的评估在双变量分析中具有边际显着相关性，并且不包括在回归分析中。讨论了对卫生保健专业人员和患者/家庭干预措施的影响。版权所有 (C) 2002 John Wiley Sons, Ltd.
Cancer survivorship is best viewed as a process that continues across the life span. Appraisals of cancer change over time and may not be explicit until long after treatment completion. The current study, using the Lazarus and Folkman (1984) stress-appraisal-coping framework, explored factors related to both a stressful and an irrelevant appraisal of the cancer experience by older long-term survivors. Hierarchical regression analysis investigated the individual and cumulative effects of person factors (survivors' demographic characteristics, beliefs about the effect of cancer on family members) and situation factors (characteristics of cancer) on survivors' appraisals that cancer was a stressful life event. The strongest correlates of the stress appraisal were person factors. A more stressful appraisal was associated with: (1) the belief that diagnosis/treatment caused greater family distress, (2) being younger, and (3) being White. The irrelevant appraisal had a marginally significant correlate in bivariate analysis and was not included in regression analysis. Implications for health-care professionals and patient/family interventions are discussed. Copyright (C) 2002 John Wiley Sons, Ltd.