Biopsychosocial correlates of hope in Asian patients with cancer: a systematic review.
Biopsychosocial correlates of hope in Asian patients with cancer: a systematic review.
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DOI：
10.1136/bmjopen-2016-012087
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发表时间：
2016-10-06
期刊：
影响因子：
2.9
通讯作者：
Griva K
中科院分区：
文献类型：
--
作者：
Mahendran R;Chua SM;Lim HA;Yee IJ;Tan JY;Kua EH;Griva K
研究亚洲国家癌症患者希望和绝望的相关因素，以及用于测量希望和绝望的工具。在CINAHL、Embase、PsycINFO、PubMed和Scopus数据库中使用搜索词进行了全面的系统评价，包括癌症、希望、绝望和单个亚洲国家的名称。仅纳入了对亚洲成年癌症人群的定量研究，考察了希望或绝望。从数据库中共检索到2062篇独特的文章，并选择32项研究纳入本综述。希望和绝望最常分别用赫斯希望指数和癌症心理调整量表来衡量。与希望和绝望最一致相关的生物心理社会因素包括社会人口变量（教育、就业和经济地位）；临床因素（癌症分期、身体状况和症状）；以及社会心理因素（情绪困扰、社会支持和联系、生活质量、控制或自我效能，以及调整和恢复力）。由于大多数研究来自东亚，因此需要更多来自南亚和东南亚的研究。这篇综述强调了文化差异影响与希望相关因素的可能性，表明跨文化研究特别有助于理解这些差异背后的原因，尽管未来对希望的综述还应包括对绝望的研究，以全面理解这一概念。最后，可以进行更多的纵向研究，以评估与希望和绝望相关的因素是否会随着时间和疾病进展而改变。
To examine the factors associated with hope and hopelessness in patients with cancer in Asian countries, and the instruments used to measure hope and hopelessness. A comprehensive systematic review was conducted with search terms, including cancer, hope, hopelessness and individual Asian country names, on CINAHL, Embase, PsycINFO, PubMed and Scopus databases. Only quantitative studies on adult cancer populations in Asia examining hope or hopelessness were included. A total of 2062 unique articles were retrieved from the databases, and 32 studies were selected for inclusion in this review. Hope and hopelessness were most frequently measured with the Herth Hope Index and the Mental Adjustment to Cancer Scale, respectively. The biopsychosocial factors that were most consistently associated with hope and hopelessness included sociodemographic variables (education, employment and economic status); clinical factors (cancer stage, physical condition and symptoms); and psychosocial factors (emotional distress, social support and connections, quality of life, control or self-efficacy, as well as adjustment and resilience). There is a need for more studies from South and Southeast Asia as most studies hailed from East Asia. This review highlighted the possibility of cultural differences influencing factors related to hope, suggesting that cross-cultural studies specifically would facilitate understanding behind these variations, although future reviews on hope should also include studies on hopelessness for a comprehensive understanding of the concept. Finally, more longitudinal research could be conducted to assess whether the factors associated with hope and hopelessness change over time and disease progression.