Resource Loss, Resource Gain, and Psychological Resilience and Dysfunction Following Cancer Diagnosis: A Growth Mixture Modeling Approach
Resource Loss, Resource Gain, and Psychological Resilience and Dysfunction Following Cancer Diagnosis: A Growth Mixture Modeling Approach
复制标题
DOI：
10.1037/a0020809
复制
发表时间：
2010-09-01
影响因子：
4.2
通讯作者：
Fu, Yiu Tung
中科院分区：
文献类型：
--
作者：
Hou, Wai Kai;Law, Chi Ching;Fu, Yiu Tung
目的：本研究调查癌症确诊后一年内心理困扰的轨迹及其与心理社会资源变化的关系。设计：234例中国人结直肠癌患者在确诊后12周内(T1)、3个月后(T2)和12个月后(T3)再次进行评估。采用混合生长模型对纵向数据进行分析。主要观察指标：用医院焦虑抑郁量表(HADS)测量3个时间点的心理苦恼程度。结果：生长混合模型分为四类：慢性窘迫(7-9%)。迟发性痛苦(10%-13%)、恢复(13%-16%)和弹性(65%-67%)。长期苦恼的人比迟发性苦恼的人更容易表现出身体功能和社会关系质量的丧失，比恢复的人更有可能表现出身体功能、乐观和希望的丧失，但比迟发的苦恼和韧性的人更有可能表现出乐观人格的稳定/获得。有弹性的人更有可能报告乐观人格的稳定/进步，而不是那些处于恢复状态的人。结论：了解癌症患者在诊断和治疗过程中的不同结局轨迹和应对资源的相关变化，对于开展持续的心理服务具有重要意义。
Objective: This study investigated trajectories of psychological distress and their relationships with change in psychosocial resources in the year following cancer diagnosis. Design: Chinese colorectal cancer (CRC) patients (n = 234) were assessed within 12 weeks of diagnosis (T1) and again at 3-month (T2) and 12-month (T3) follow-ups. Growth mixture modeling was used to analyze the longitudinal data. Main Outcome Measures: Psychological distress was measured at the three time-points using Hospital Anxiety and Depression Scale (HADS). Results: Growth mixture models identified four classes: chronic distress (7-9%). delayed distress (10-13%), recovery (13-16%), and resilient (65-67%). People in chronic distress were more likely to demonstrate loss in physical functioning and social relational quality than those in delayed distress, and loss in physical functioning, optimism, and hope than those in recovery, but more likely to demonstrate stability/gain in optimistic personalities than those in delayed distress and resilient. People in resilient were more likely to report stability/gain in optimistic personalities than those in delayed distress but not those in recovery. Conclusion: Understanding differential outcome trajectories and associated change in coping resources has implications for developing ongoing psychological services for cancer patients during the diagnosis and treatment process.