Effects of a randomized gratitude intervention on death-related fear of recurrence in breast cancer survivors.
Effects of a randomized gratitude intervention on death-related fear of recurrence in breast cancer survivors.
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DOI：
10.1037/hea0000400
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发表时间：
2016-12
期刊：
影响因子：
--
通讯作者：
Siegel SD
中科院分区：
文献类型：
--
作者：
Otto AK;Szczesny EC;Soriano EC;Laurenceau JP;Siegel SD
乳腺癌幸存者最普遍和最痛苦的担忧之一是对癌症复发的恐惧（FOR），其中最突出的一个方面是担心癌症复发可能导致死亡。本研究的主要目的是测试一个简短的、低成本的感恩干预对整体的FOR和与死亡相关的FOR的影响，假设追求有意义的目标是一个理论驱动的假定中介。为了重复已发表的类似感恩诱导干预的测试，积极影响（PA）也被认为是一个结果。67名患有早期乳腺癌的女性被随机分配到为期六周的在线感恩干预组和为期六周的在线对照组。在治疗前和治疗后以及治疗结束后1个月和3个月评估结果。在为期六周的干预期间，通过评估来测量中介——有意义的目标追求。结果显示，与对照组相比，感恩干预组患者的死亡相关FOR显著减少。此外，有意义的目标追求（而非PA）显著调节了这种效应。感恩干预也被发现可以防止在控制条件下观察到的PA下降。总的来说，研究结果支持这样一种观点，即短暂的感恩干预可以通过刺激对有意义目标的追求，从而减少与死亡相关的FOR，从而促进健康和对癌症的心理适应。
Among the most prevalent and distressing concerns endorsed by breast cancer survivors is fear of cancer recurrence (FOR), and one of the most salient facets is the worry that a recurrence of cancer could cause one’s death. The primary goal of the present study was to test the effects of a brief, low-cost gratitude intervention on overall FOR and death-related FOR, positing pursuit of meaningful goals as a theoretically-driven putative mediator. To replicate published tests of similar gratitude-eliciting interventions, positive affect (PA) was also considered as an outcome. Sixty-seven women with early-stage breast cancer were randomly assigned to either a six-week online gratitude intervention or a six-week online control condition. Outcomes were assessed at pre- and post-treatment as well as 1 month and 3 months after the end of treatment. The mediator, meaningful goal pursuit, was measured via assessments over the six-week intervention period. Results revealed that patients in the gratitude intervention experienced a significant decrease in death-related FOR compared to the control condition. Moreover, this effect was significantly mediated by meaningful goal pursuit (and not by PA). The gratitude intervention was also found to prevent declines in PA observed in the control condition. Overall, findings support the notion that a brief gratitude intervention can promote well-being and psychological adaptation to cancer by stimulating the pursuit of meaningful goals and subsequently reducing death-related FOR.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
3.8
作者：
Butow PN;Bell ML;Smith AB;Fardell JE;Thewes B;Turner J;Gilchrist J;Beith J;Girgis A;Sharpe L;Shih S;Mihalopoulos C;members of the Conquer Fear Authorship Group
通讯作者：
members of the Conquer Fear Authorship Group
影响因子：
1.7
作者：
Feldman, DB;Snyder, CR
通讯作者：
Snyder, CR
影响因子：
10.3
作者：
Brewster, Abenaa M.;Hortobagyi, Gabriel N.;Esteva, Francisco J.
通讯作者：
Esteva, Francisco J.
影响因子：
3.7
作者：
Lebel, Sophie;Maheu, Christine;Catton, Pamela
通讯作者：
Catton, Pamela