The importance of perceived stress management skills for patients with prostate cancer in active surveillance.
The importance of perceived stress management skills for patients with prostate cancer in active surveillance.
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DOI：
10.1007/s10865-014-9594-1
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发表时间：
2015-04
影响因子：
3.1
通讯作者：
Penedo FJ
中科院分区：
文献类型：
--
作者：
Yanez B;Bustillo NE;Antoni MH;Lechner SC;Dahn J;Kava B;Penedo FJ
关于压力管理技能是否以及如何改善选择主动监测的前列腺癌患者的适应能力，人们知之甚少。本研究探讨了两种类型的感知压力管理技能（PSMS），特别是放松的能力和应对的信心，调节前列腺癌（PC）的关注和心理困扰之间的关系。参与者是71名积极监视的不同种族的男子。应对信心调节PC关注和侵入性想法之间的关系（p<0.01）。在低水平的应对信心下，PC关注与侵入性想法呈正相关，β= 0.95，p<0.001，但当应对信心高时，PC关注与侵入性想法无关，β= 0.19，p> 0.05。应对信心也缓和PC治疗的关注（PC关注的子量表）和侵入性的想法之间的关系。在低水平的应对信心下，PC治疗关注与侵入性想法呈正相关，β= 0.73，p<0.001，但当应对信心高时，β= 0.20，p> 0.05。研究结果强调了干预措施的重要性，旨在改善应对男性进行积极的监测。
Little is known about whether and how stress management skills may improve adjustment for men diagnosed with prostate cancer who opt for active surveillance. This study examined whether two types of perceived stress management skills (PSMS), specifically the ability to relax and confidence in coping, moderated the relationship between prostate cancer (PC) concerns and psychological distress. Participants were 71 ethnically diverse men in active surveillance. Coping confidence moderated the relationship between PC concerns and intrusive thoughts (p< .01). At low levels of coping confidence, PC concerns was positively related to intrusive thoughts, β= .95, p< .001, but not when coping confidence was high, β= .19, p>.05. Coping confidence also moderated the relationship between PC treatment concerns (a subscale of PC concerns) and intrusive thoughts. At low levels of coping confidence, PC treatment concerns was positively associated with intrusive thoughts, β=.73, p<.001, but not when coping confidence was high, β= .20, p> .05. Findings underscore the importance of interventions aimed at improving coping in men undergoing active surveillance.
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