PREDICTORS OF CANCER PROGRESSION IN YOUNG-ADULT MEN AND WOMEN - AVOIDANCE, INTRUSIVE THOUGHTS, AND PSYCHOLOGICAL SYMPTOMS

PREDICTORS OF CANCER PROGRESSION IN YOUNG-ADULT MEN AND WOMEN - AVOIDANCE, INTRUSIVE THOUGHTS, AND PSYCHOLOGICAL SYMPTOMS
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DOI:
10.1037/0278-6133.13.6.539
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发表时间:
1994-11-01
期刊:
影响因子:
4.2
通讯作者:
HOWELL, DC
HOWELL, DC
中科院分区:
心理学2区
文献类型:
--
作者:
EPPINGJORDAN, JE;COMPAS, BE;HOWELL, DC

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心理症状、回避和侵入性想法被前瞻性地作为癌症进展的预测因子进行了为期1年的研究。66名男性和女性癌症患者参与了研究,他们的诊断和最初的疾病严重程度评级不同。心理因素,疾病严重程度和治疗类型的措施,获得了近时间的诊断和疾病状态(无癌症,持续或复发的癌症,或死亡)1年后。在诊断时的横断面分析显示,最初的心理变量彼此相关,但与最初的疾病预后无关。纵向研究结果显示,在控制了初始疾病参数和年龄后,回避预测1年后的疾病状态;然而,无论是心理症状还是侵入性想法和情绪都不能解释疾病结局的额外差异。
Psychological symptoms, avoidance, and intrusive thoughts were examined prospectively as predictors of cancer progression over a period of 1 year. Sixty-six male and female cancer patients who differed in their diagnoses and initial disease-severity ratings participated. Measures of psychological factors, disease severity, and type of treatment were obtained near time of diagnosis and disease status (no cancer, continued or recurrent cancer, or deceased) 1 year later. Cross-sectional analyses near the time of diagnosis showed that initial psychological variables were intercorrelated with one another but unrelated to initial disease prognosis. Longitudinal findings revealed that, after controlling for initial disease parameters and age, avoidance predicted disease status 1 year later; however, neither psychological symptoms nor intrusive thoughts and emotions accounted for additional variance in disease outcomes.