Perceived growth and decline following breast cancer: a comparison to age-matched controls 5-years later.

Perceived growth and decline following breast cancer: a comparison to age-matched controls 5-years later.
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乳腺癌后的生长和衰退感知:与 5 年后年龄匹配的对照进行比较。

DOI:
10.1002/pon.914
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发表时间:
2005
期刊:
影响因子:
3.6
通讯作者:
NowakVache,ErinJ
NowakVache,ErinJ
中科院分区:
医学2区
文献类型:
--
作者:
Tomich,PatriciaL;Helgeson,VickiS;NowakVache,ErinJ

文献摘要

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研究表明,经历过压力性生活事件的人,如癌症的诊断,往往会因为他们的经历而经历积极和消极的变化,但很少有研究将这些变化与经历过其他压力生活事件的对照组进行比较。我们比较了184名5年乳腺癌幸存者(I期、II期和III期;95%是高加索人)和184名年龄匹配的对照组在感受到源于应激事件的消长方面。幸存者报告了他们患癌症的经历,而对照组确定了5年前发生在他们身上的压力最大的事件。与对照组相比,幸存者报告了更多的增长(例如,对生活的欣赏)和更多的下降(例如,身体副作用)。然而,在心理压力方面的报告没有组间差异。当幸存者与以个人健康问题为压力源的对照组进行比较时,两组之间的许多增长差异仍然存在,但下降的差异消失了。这些发现表明,一些增长是乳腺癌独有的,但与乳腺癌相关的下降在很大程度上与与其他类型的健康问题有关的下降相似。版权所有©2005 John Wiley&Sons,Ltd.
Research indicates that individuals who experience stressful life events, such as a diagnosis of cancer, often experience both positive and negative changes as a result of their experiences, but little research has compared these changes with those of a control group who have experienced other stressful life events. We compared 184 5‐year breast cancer survivors (Stages: I, II, and III; 95% Caucasian) with 184 age‐matched controls in terms of perceived growth and decline that stem from stressful events. Survivors reported on their experience with cancer, whereas controls identified the most stressful event that happened to them 5 years ago. Survivors reported more growth (e.g. appreciation of life) and more decline (e.g. physical side effects) compared with controls. However, there were no group differences in reports of psychological stress. When survivors were compared with controls whose stressor was a personal health problem, many of the differences in growth between the two groups remained, but the differences in decline disappeared. These findings suggest that some growth is unique to breast cancer, but much of the decline associated with breast cancer is similar to the decline associated with other types of health problems. Copyright © 2005 John Wiley & Sons, Ltd.