Optimism, social support and psychosocial functioning among women with breast cancer
Optimism, social support and psychosocial functioning among women with breast cancer
复制标题
DOI：
10.1002/pon.992
复制
发表时间：
2006-07-01
期刊：
影响因子：
3.6
通讯作者：
Liscum, Kathleen R.
中科院分区：
文献类型：
--
作者：
Friedman, Lois C.;Kalidas, Mamta;Liscum, Kathleen R.
人格、社会心理、人口和医学变量已被确定为适应乳腺癌和生活质量（QoL）的相关因素。大多数研究都考察了以中产阶级高加索人为主要样本的性格、社会支持和对癌症的适应之间的关系，因此限制了他们研究结果的普遍性。某县综合医院肿瘤乳腺门诊的81名女性门诊患者主要服务于贫困的西班牙裔和非裔美国人患者，他们完成了人口统计和医疗信息、健康相关生活质量、癌症特异性痛苦、情绪障碍、性格乐观和对社会支持满意度的评估。年龄大、接受治疗和乐观程度高占情绪幸福感方差的41% （p < 0.01）。无乳腺癌家族史、接受治疗和乐观情绪占功能幸福感方差的43% （p < 0.01）。乐观和社会支持满意度占社会/家庭幸福感方差的43% （p < 0.01）。缺乏治疗（尚未治疗）和悲观占癌症特异性痛苦方差的31% （p < 0.01）。最后. .乳腺癌家族史和悲观情绪占情绪障碍方差的48% （p < 0.001）。乳腺癌家族史和悲观情绪与情绪障碍相关（p < 0.001）。在任何变量中，没有发现种族/民族的组间差异。鼓励积极的期望和促进社会支持可以帮助公共部门医疗环境中的妇女应对诊断和治疗乳腺癌的压力需求，无论种族/族裔如何。版权所有(c) 2005 John Wiley & Sons, Ltd。
Personality, psychosocial, demographic and medical variables have been identified as correlates of adjustment to breast cancer and quality of life (QoL). Most studies have examined relationships between personality, social support and adjustment to cancer in predominantly middle-class Caucasian samples, thus limiting the generalizability of their findings. Eighty-one female outpatients at a medical oncology breast clinic in a county general hospital serving primarily indigent Hispanic and African-American patients completed measures assessing demographic and medical information, health-related QoL, cancer-specific distress, mood disturbance, dispositional optimism and satisfaction with social support. Older age, receipt of treatment and greater optimism accounted for 41% of the variance in emotional well-being (p < 0.01). Absence of family history of breast cancer, receipt of treatment and optimism accounted for 43% of the variance in functional well-being (p < 0.01). Optimism and satisfaction with social support accounted for 43% of the variance in social/family well-being (p < 0.01). Absence of treatment (not yet treated) and pessimism accounted for 31% of the variance in cancer-specific distress (p < 0.01). Finally.. family history of breast cancer and pessimism accounted for 48% of the variance in mood disturbance (p < 0.001). Family history of breast cancer and pessimism were related to mood disturbance (p < 0.001). No between-group differences were found for race/ethnicity for any of the variables. Encouraging positive expectations and facilitating social support may help women in public sector medical settings cope with the stressful demands of diagnosis and treatment of breast cancer regardless of race/ethnicity. Copyright (c) 2005 John Wiley & Sons, Ltd.