Association of Intimate Partner Violence and Childhood Sexual Abuse with Cancer-Related Well-Being in Women
Association of Intimate Partner Violence and Childhood Sexual Abuse with Cancer-Related Well-Being in Women
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DOI：
10.1089/jwh.2012.3708
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发表时间：
2012-11-01
影响因子：
3.5
通讯作者：
Bush, Heather M.
中科院分区：
文献类型：
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作者：
Coker, Ann L.;Follingstad, Diane;Bush, Heather M.
背景：有限的证据表明，亲密伴侣暴力（IPV）可能与较差的癌症预后有关。我们假设IPV的时间和类型以及儿童期性虐待（CSA）可能会产生负面影响抑郁症，感知压力，和癌症相关well-being.Methods：这是一个横断面研究的妇女诊断为乳腺癌，宫颈癌，或结直肠癌在前12个月包括在肯塔基州癌症登记。通过电话采访了怀孕妇女（n = 553）。多变量协方差分析（MANCOVA）被用来确定IPV（37%的终生患病率）和类型之间的关联，时间，以及相关的癌症相关的幸福指标的范围，调整混杂factors.Results：IPV（p = 0.002）和CSA（p = 0.03）与六个相关的幸福指标。具体而言，终生和当前IPV与较低的癌症治疗功能评估-乳腺癌（FACT-B）相关（p = 0.006）和慢性病治疗功能评估-精神健康量表（FACIT-SP）（p = 0.03）评分，诊断时感知压力较高（p = 0.006）和诊断时的抑郁症状评分（p < 0.0001），而CSA与FACT-B降低相关（p = 0.02）、并发症数量增加（p = 0.03）和当前应激水平较高（p = 0.04）。当前和过去的IPV，以及心理虐待，与较差的幸福感与最近的癌症diagnosis.Conclusions的妇女：我们的研究结果提供的证据表明，IPV和CSA的负面影响癌症相关的幸福指标。这些数据表明，终生IPV和其他压力源的识别可以提供医疗保健提供者可以用来最好地支持和潜在地改善女性癌症患者的健康的信息。
Background: Limited evidence suggests that intimate partner violence (IPV) may be associated with poorer cancer outcomes. We hypothesized that timing and type of IPV as well as childhood sexual abuse (CSA) may negatively affect depression, perceived stress, and cancer-related well-being.Methods: This was a cross-sectional study of women diagnosed with either breast, cervical, or colorectal cancer in the prior 12 months included in the Kentucky Cancer Registry. Consenting women were interviewed by phone (n = 553). Multivariate analysis of covariance (MANCOVA) was used to determine the association between IPV (37% lifetime prevalence) and type, timing, and the range of correlated cancer-related well-being indicators, adjusting for confounding factors.Results: IPV (p = 0.002) and CSA (p = 0.03) were associated with the six correlated well-being indicators. Specifically, lifetime and current IPV were associated with lower Functional Assessment of Cancer Therapy-Breast Cancer (FACT-B) (p = 0.006) and Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-SP) (p = 0.03) scores, higher perceived stress at diagnosis (p = 0.006), and depressive symptom scores at diagnosis (p < 0.0001), whereas CSA was associated with lower FACT-B (p = 0.02), increased number of co-morpid conditions (p = 0.03), and higher current stress levels (p = 0.04). Current and past IPV, as well as psychologic abuse, were associated with poorer well-being among women with a recent cancer diagnosis.Conclusions: Our results provide evidence that both IPV and CSA negatively influence cancer-related well-being indicators. These data suggest that identification of lifetime IPV and other stressors may provide information that healthcare providers can use to best support and potentially improve the well-being of female cancer patients.