A prospective study of cancer-related benefit finding in uveal melanoma patients
A prospective study of cancer-related benefit finding in uveal melanoma patients
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DOI：
10.1007/s10865-020-00175-w
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发表时间：
2020-09-16
影响因子：
3.1
通讯作者：
Stanton, Annette L.
中科院分区：
文献类型：
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作者：
Herts, Kate L.;Jorge-Miller, Alexandra;Stanton, Annette L.
葡萄膜黑色素瘤是一种罕见的癌症，人们对其造成的社会心理影响知之甚少。研究了获益发现（一种潜在的有利结果）的预测因素和结果。成人（n = 107）在诊断葡萄膜黑色素瘤前、诊断后1周、3个月和12个月完成评估。采用全信息最大似然估计方法进行路径分析。客观疾病对视力的影响不能预测获益（p < 0.05）。方法导向的应对在诊断前和一周后显著预测12个月后的获益（p < 0.01）。3个月时的回避型应对调节了12个月时的积极情绪与利益发现的同时关系（p < 0.001）。这是对葡萄膜黑色素瘤患者获益预测因素的首次研究，表明更大的以方法为导向的应对预示着更高的获益。此外，回避可能会限制利益发现与社会心理结果的关联。
Little is known about contributors to the psychosocial impact of uveal melanoma, a rare cancer. Predictors and outcomes of benefit finding, a potentially favorable outcome, were investigated. Adults (n = 107) completed assessments prior to diagnosis of uveal melanoma and one week, three months and 12 months after diagnosis. Path analyses with the full information maximum likelihood estimation method were conducted. Objective disease impact on vision did not predict benefit finding (p > .05). Approach-oriented coping prior to diagnosis and one week later significantly predicted greater benefit finding 12 months later (p < .01). Avoidance-oriented coping at three months moderated the concurrent relationship of benefit finding and positive affect at 12 months (p < .001). This first study of predictors of benefit finding in uveal melanoma patients suggests that greater approach-oriented coping prospectively predicts higher benefit finding. Further, avoidance may condition the association of benefit finding with psychosocial outcomes.