Coping in long-term survivors of childhood cancer: relations to psychological distress
Coping in long-term survivors of childhood cancer: relations to psychological distress
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DOI：
10.1002/pon.3073
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发表时间：
2013-04-01
期刊：
影响因子：
3.6
通讯作者：
Niemeyer, Charlotte M.
中科院分区：
文献类型：
--
作者：
Wenninger, Kerstin;Helmes, Almut;Niemeyer, Charlotte M.
目的本研究的目的是描述儿童癌症幸存者的应对策略及其与心理困扰的关系。方法对164名确诊后至少7年的儿童癌症幸存者进行问卷调查，评估其人口统计学、健康信息、心理困扰和不同应对方式（回收率：61%）。采用简明症状量表（BSI-18）和创伤后诊断量表（PDS）的八项简表测量心理困扰。应对方式采用认知控制策略量表（CCSS）、疾病感知量表修订版（IPQ-R）和白色熊抑制量表（WBSI）进行评估。结果：较高水平的痛苦与女性、没有恋爱关系以及医疗晚期效应的存在有关。这些预测因素解释了心理困扰12%的方差。当应对变量也进入方程，解释的方差增加到50%。在我们的样本中，心理困扰最重要的决定因素是抑制消极思想的倾向和低水平的乐观主义。结论这些结果有助于更好地了解儿童癌症后长期心理适应困难的相关因素。认知策略，这是相关的，或可能会增加并发心理困扰的风险，在具体的，避免消极的想法和缺乏积极的未来的期望，应在心理咨询与幸存者痛苦的症状。版权所有（c）2012约翰威利父子有限公司
Objective The goal of this study was to describe coping strategies and their associations with psychological distress in young adult survivors of childhood cancer. Methods One hundred and sixty-four childhood cancer survivors, at least 7years after diagnosis, completed questionnaires assessing demographics, health information, psychological distress, and different ways of coping (return rate: 61%). The Brief Symptom Inventory-18 (BSI-18) and the Post-traumatic Diagnostic Scale's (PDS) eight-item short form were used to measure psychological distress. Coping was assessed with the Cognitive Control Strategies Scale (CCSS), the Illness Perception Questionnaire-Revised (IPQ-R), and the White Bear Suppression Inventory (WBSI). Results Higher levels of distress were associated with the female sex, not being in a relationship, and with the presence of medical late effects. These predictors explained 12% of the variance in psychological distress. When coping variables were also entered into the equation, the amount of explained variance increased to 50%. The most important determinants of psychological distress in our sample were a tendency to suppress negative thoughts and a low level of optimism. Conclusion These results contribute to a better understanding of the correlates of difficulties in long-term psychological adjustment after childhood cancer. Cognitive strategies, which are associated with or may increase the risk for concurrent psychological distress, in specific, avoidance of negative thoughts and a lack of positive future expectations, should be addressed in psychological counseling with survivors suffering from symptoms of distress. Copyright (c) 2012 John Wiley & Sons, Ltd.