Post-traumatic growth among elderly women with breast cancer compared to breast cancer-free women
Post-traumatic growth among elderly women with breast cancer compared to breast cancer-free women
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DOI：
10.3109/0284186x.2012.744878
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发表时间：
2013-02-01
期刊：
影响因子：
3.1
通讯作者：
Dalton, Susanne O.
中科院分区：
文献类型：
--
作者：
Brix, Sofie Andersen;Bidstrup, Pernille Envold;Dalton, Susanne O.
背景。虽然乳腺癌（BC）可能有负面的心理后遗症，但它也可能是一种存在的挑战，可以促进个人成长。然而，只有一项研究是关于患有BC的女性是否比没有BC的女性经历更多的创伤后生长（PTG）。我们检查了有和没有BC的女性的PTG，以及BC的特征和治疗是否与PTG相关。材料和方法。我们使用了来自饮食、癌症和健康队列的问卷调查数据，包括774名患有BC的女性和666名随机抽样的63-81岁无BC的女性。PTG是用PTG量表来测量的，在这个量表中，女性确定了她们自己的创伤或改变生活的事件。线性回归用于比较有和没有BC的妇女的PTG，并检查BC特征与治疗和PTG之间的关系。结果。尽管与没有BC的女性相比，患有BC的女性在“对生活的欣赏”和“与他人的关系”方面明显经历了更多的PTG，但根据BC状况，总体PTG没有统计学上的显著差异，这表明PTG并不局限于患有BC的女性。肿瘤大小、阳性淋巴结数量、乳房切除术和接受内分泌治疗与PTG总体和/或特定PTG结构域呈正相关，表明疾病的严重程度在PTG的发展中起作用。结论。为了避免对个人成长造成不必要的压力，医疗保健专业人员不应期望患有BC的女性比没有BC的女性经历更多的PTG。
Background. Although breast cancer (BC) may have negative psychological sequelae, it may also be experienced as an existential challenge, which can derive personal growth. Only one study has been conducted, however, on whether women with BC experience more post-traumatic growth (PTG) than BC-free women. We examined PTG in women with and without BC and whether the characteristics and treatment of BC were associated with PTG. Material and methods. We used data from the questionnaire administered in the Diet, Cancer and Health cohort and included 774 women with BC and 666 randomly sampled BC-free women aged 63-81 years. PTG was measured with the PTG inventory, for which the women identified their own traumatic or life-changing event. Linear regression was used to compare PTG in women with and without BC and to examine the association between BC characteristics and treatment and PTG. Results. Although women with BC experienced significantly more PTG in the domains 'appreciation of life' and 'relating to others' compared to BC-free women, no statistically significant difference in overall PTG was observed according to BC status, indicating that PTG is not limited to women with BC. Tumor size, number of positive lymph nodes, having undergone mastectomy and having received endocrine treatment were positively associated with overall PTG and/or specific PTG domains, implying that the severity of disease plays a role in the development of PTG. Conclusion. In order to avoid unnecessary pressure for personal growth, healthcare professionals should not expect that women with BC experience more PTG than BC-free women.