Promoting adjustment after treatment for cancer
Promoting adjustment after treatment for cancer
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DOI：
10.1002/cncr.21246
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发表时间：
2005-12-01
期刊：
影响因子：
6.2
通讯作者：
Sears, SR
中科院分区：
文献类型：
--
作者：
Stanton, AL;Ganz, PA;Sears, SR
从癌症的诊断和治疗阶段到生存阶段(即再入阶段)是癌症轨迹中一个未被充分研究的阶段。这份报告的目标是1)说明再入阶段的几个适应性任务，2)提供关于这一阶段预测积极调整的因素的研究实例，以及3)讨论解决早期癌症生存的适应性任务的干预措施。虽然相关的经验性文献很少，但来自癌症幸存者、医疗保健专业人员和定性研究人员的描述汇聚在一起，提出了再入过程中适应性任务的几个主题。从作者的工作和其他人的工作中，作者描述了许多接近重返社会的人所持有的共同期望(例如，“我不应该需要支持”)，这一阶段的典型关切(例如，对癌症复发的担忧)，以及可能促进和阻碍适应的个人和背景因素。为重返大气层期间的个人制定了有希望的心理社会干预措施。继续研究将是必要的，以确定癌症存活的这一重要阶段。
The transition from the period of diagnosis and medical treatment of cancer to survivorship (i.e., the reentry phase) is an understudied phase in the cancer trajectory. The objectives of this report were 1) to illustrate several adaptive tasks of the reentry phase, 2) to provide examples of research on factors that predict positive adjustment during this phase, and 3) to discuss interventions that address the adaptive tasks of early cancer survivorship. Although the pertinent empirical literature is scarce, accounts from cancer survivors, healthcare professionals, and qualitative researchers converge to suggest several themes in adaptive tasks during reentry. Drawing from the authors' work and that of others, the authors have described common expectancies held by many individuals approaching reentry (e.g., "I shouldn't need support"), typical concerns during this phase (e.g., concern over cancer recurrence), and personal and contextual factors that can facilitate and hinder adjustment. Promising psychosocial interventions have been developed for individuals in the reentry period. Continued research will be necessary to characterize this important phase of cancer survivorship.