Posttraumatic growth and well-being among adolescents and young adults (AYAs) with cancer: a longitudinal study.
Posttraumatic growth and well-being among adolescents and young adults (AYAs) with cancer: a longitudinal study.
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DOI：
10.1007/s00520-017-3707-7
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发表时间：
2017-09
期刊：
影响因子：
--
通讯作者：
Cole S
中科院分区：
文献类型：
--
作者：
Husson O;Zebrack B;Block R;Embry L;Aguilar C;Hayes-Lattin B;Cole S
这项研究探讨了青少年和年轻人（AYAs）癌症患者的创伤后成长（PTG），以及随着时间的推移其相关性和轨迹。本研究还探讨了PTG对创伤后应激（PTS），健康相关生活质量（HRQoL）和心理困扰之间的关联的缓冲作用。在14-39岁的AYA癌症患者中进行了一项多中心、纵向、前瞻性研究。169例患者在基线后6、12和24个月（诊断的前4个月内）完成了PTG（PTGI）和PTS（PDS）的自我报告测量。在24个月随访时，还评估了HRQoL（SF-36）和心理困扰（BSI-18）。在参与者中，14%显示PTG增加，45%保持在稳定的高PTG水平，14%显示PTG降低，27%保持在稳定的低PTG水平。PTG保持高水平的AYA通常更年轻，女性，并接受化疗。当对PTS和社会人口统计学及临床协变量进行校正时，6个月随访时的PTG水平可预测24个月随访时的精神HRQoL（β = 0.19; p = 0.026）和心理困扰（β = −0.14; p = 0.043）。PTG和HRQoL之间没有相关性，PTS和PTG对结果的交互作用不显著，表明没有发生缓冲。这项研究表明，PTG是动态的，并预测心理健康的结果，但不缓冲PTS的影响。心理社会干预应侧重于促进PTG和减少PTS，以促进癌症诊断的AYA的调整。
This study examines posttraumatic growth (PTG) among adolescents and young adults (AYAs) with cancer, as well as its correlates and trajectories over time. The study also explores the buffering role of PTG on the associations between posttraumatic stress (PTS), health-related quality of life (HRQoL), and psychological distress. A multicenter, longitudinal, prospective study was conducted among AYA cancer patients aged 14–39 years. One hundred sixty-nine patients completed a self-report measure of PTG (PTGI) and PTS (PDS) 6, 12, and 24 months after baseline (within the first 4 months of diagnosis). At 24-month follow-up, HRQoL (SF-36) and psychological distress (BSI-18) were also assessed. Among participants, 14% showed increasing PTG, 45% remained at a stable high PTG level, 14% showed decreasing PTG, and 27% remained at a stable low PTG level. AYAs who remained high on PTG were more often younger, female, and received chemotherapy. PTG level at 6-month follow-up was predictive of mental HRQoL (β = 0.19; p = 0.026) and psychological distress (β = −0.14; p = 0.043) at 24-month follow-up when corrected for PTS and sociodemographic and clinical covariates. No relationship between PTG and physical HRQoL was found. The interactive effects of PTS and PTG on outcomes were not significant, indicating that buffering did not take place. This study indicates that PTG is dynamic and predicts mental well-being outcomes but does not buffer the effects of PTS. Psychosocial interventions should focus on promoting PTG and reducing PTS in order to promote the adjustment of AYAs diagnosed with cancer.
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影响因子：
3.1
作者：
Gianinazzi, Micol E.;Rueegg, Corina S.;Michel, Gisela
通讯作者：
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影响因子：
3.6
作者：
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影响因子：
3.3
作者：
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影响因子：
6.2
作者：
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影响因子：
3.6
作者：
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通讯作者：
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