Coping and quality of life among women extensively treated for gynecologic cancer
Coping and quality of life among women extensively treated for gynecologic cancer
复制标题
DOI：
10.1002/pon.930
复制
发表时间：
2006-02-01
期刊：
影响因子：
3.6
通讯作者：
Anderson, B
中科院分区：
文献类型：
--
作者：
Costanzo, ES;Lutgendorf, SK;Anderson, B
本研究调查了面临广泛化疗和晚期疾病长期应激源的晚期妇科癌症患者中参与性和回避性应对策略的使用情况。患者与接受更有限治疗的早期患者的参照组进行比较。与参照组相比，接受广泛治疗的女性更频繁地使用参与和回避策略，包括积极应对、寻求社会支持和精神脱离。积极应对和寻求社会支持等敬业度应对策略的使用与生活质量或情绪的关系不显著。然而，回避性应对策略，包括脱离接触和认知回避，与较差的幸福感和更痛苦的情绪密切相关。此外，接受广泛治疗的患者和有限治疗参照组的患者之间的应对与生活质量之间的关系也不同。在接受广泛治疗的患者中，回避和寻求辅助支持的使用与较差的结果相关，但在有限治疗组中则不相关。目前的研究结果表明，在患有严重疾病和接受广泛治疗的癌症患者中，应对模式和结果可能更加明显，而回避性应对策略可能对这些患者的情绪和生活质量特别有害。版权所有(C)2005 John Wiley&Sons，Ltd.
The current study examined the use of engagement and avoidant coping strategies among advanced-stage gynecologic cancer patients who were facing the long-term stressors of extensive chemotherapy and advanced disease. Patients were compared to a reference group of early-stage patients who had received more limited treatment. Compared to the reference group, extensively-treated women more frequently utilized both engagement and avoidant strategies including active coping, seeking social support, and mental disengagement. Use of engagement coping strategies such as active coping and seeking social support were not significantly related to quality of life or mood. However, avoidant coping strategies, including disengagement and cognitive avoidance, were strongly associated with poorer well-being and more distressed mood. Moreover, relationships between coping and quality of life differed between the extensively-treated patients and patients in the limited treatment reference group. The use of avoidance and seeking instrumental support were associated with poorer outcomes among extensively-treated patients but not among the limited treatment group. Results of the current study suggest that coping patterns and outcomes may be more pronounced among cancer patients contending with severe disease and extensive treatment and that avoidant coping strategies may be particularly detrimental with respect to these patients' mood and quality of life. Copyright (c) 2005 John Wiley & Sons, Ltd.