Cancer survivorship and psychological distress in later life
Cancer survivorship and psychological distress in later life
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DOI：
10.1002/pon.614
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发表时间：
2002-11-01
期刊：
影响因子：
3.6
通讯作者：
Schaefer, ML
中科院分区：
文献类型：
--
作者：
Deimling, GT;Kahana, B;Schaefer, ML
最近的社会心理肿瘤学研究指出，癌症幸存者所经历的压力具有创伤性。这些研究大多集中在儿童、年轻幸存者及其家人身上。本研究提出了一个概念模型，用于理解可能与老年人癌症存活率相关的一般心理困扰（焦虑、敌意和抑郁）和创伤后应激症状（过度觉醒、回避和侵入性）。对180名长期癌症幸存者的调查结果被用来说明该模型的关键特征。多变量分析结果显示，大多数老年癌症长期幸存者没有表现出临床水平的创伤后应激障碍（PTSD），尽管超过25%的患者表现出临床水平的抑郁症。然而，许多幸存者表现出与癌症及其治疗的持续影响有关的心理困扰的重要症状。当前的癌症相关症状是抑郁症（β = 0.27, p = 0.046）和PTSD超唤醒子维度（β = 0.377, p = 0.004）的最强预测因子。即使其他压力源和非癌症疾病症状的影响在统计上得到控制，这些影响仍然存在。此外，在这个样本中，创伤后应激障碍的症状与传统的心理困扰测量显着相关。版权所有:John Wiley Sons, Ltd。
Recent research in psychosocial oncology has pointed to the traumatic nature of the stress experienced by cancer survivors. Most of this research has focused on children, young adults survivors and their families. This investigation proposes a conceptual model for understanding general psychological distress (anxiety, hostility and depression) and symptoms of posttraumatic stress (hyper-arousal, avoidance and intrusiveness) that may be associated with cancer survivorship among older adults. Findings from a survey of 180 older adult, long-term cancer survivors are used to illustrate the key features of this model. Results of multivariate analysis show that most older adult long-term cancer survivors do not demonstrate clinical levels of posttraumatic stress disorder (PTSD), although over 25% evidence clinical levels of depression. However, many survivors display important symptoms of psychological distress that are related to the continuing effects of cancer and its treatment. Current cancer-related symptoms are the strongest predictors of depression (beta = 0.27, p = 0.046) and the PTSD sub-dimension of hyper-arousal (beta = 0.377, p = 0.004). These effects persist even when the effects of other stressors and non-cancer illness symptoms are statistically controlled. Additionally, it appears in this sample that symptoms of PTSD are significantly correlated with traditional measures of psychological distress. Copyright (C) 2002 John Wiley Sons, Ltd.