Posttraumatic growth and PTSD symptomatology among colorectal cancer survivors: a 3-month longitudinal examination of cognitive processing.
Posttraumatic growth and PTSD symptomatology among colorectal cancer survivors: a 3-month longitudinal examination of cognitive processing.
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DOI：
10.1002/pon.1367
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发表时间：
2009-01
期刊：
影响因子：
3.6
通讯作者：
Andrykowski, Michael A.
中科院分区：
文献类型：
--
作者：
Salsman, John M.;Segerstrom, Suzanne C.;Brechting, Emily H.;Carlson, Charles R.;Andrykowski, Michael A.
关键词：
癌症经历可以被理解为一种心理社会转变，产生积极和消极的结果。认知处理可以促进心理调整。从州癌症登记处招募了 55 名治疗后结直肠癌幸存者（M=65.9 岁；SD=12.7），平均诊断后 13 个月，并完成了基线和三个月的问卷调查，评估性格（社会期望）、认知处理（认知侵入、认知演练）和心理调整变量（创伤后成长 (PTG)、创伤后应激障碍） （PTSD）症状、抑郁、焦虑、积极情感）。 PTSD 症状与抑郁、焦虑呈正相关，与积极情感呈负相关。相反，PTG 评分与 PTSD 症状、抑郁、焦虑和积极情感无关。此外，PTG 独立于社会期望。值得注意的是，在控制诊断和教育年龄后，多元回归分析表明认知处理（侵入、排练）对心理调整具有不同的预测作用。基线认知侵入预测三个月的 PTSD 症状，基线认知预演有预测三个月 PTG 的趋势。需要进一步的研究来阐明 PTG 与其他心理调整指标之间的关联，进一步描述认知处理的本质，并了解结直肠癌幸存者的 PTG 随着时间的推移的轨迹。
The experience of cancer can be understood as a psychosocial transition, producing both positive and negative outcomes. Cognitive processing may facilitate psychological adjustment. Fifty-five post-treatment, colorectal cancer survivors (M=65.9 years old; SD=12.7), an average of thirteen months post-diagnosis, were recruited from a state cancer registry and completed baseline and three-month questionnaires assessing dispositional (social desirability), cognitive processing (cognitive intrusions, cognitive rehearsal) and psychological adjustment variables (posttraumatic growth (PTG), posttraumatic stress disorder (PTSD) symptomatology, depression, anxiety, positive affectivity). PTSD symptomatology was positively associated with depression, anxiety and negatively associated with positive affectivity. In contrast, PTG scores were unrelated to PTSD symptomatology, depression, anxiety, and positive affectivity. In addition, PTG was independent of social desirability. Notably, after controlling for age at diagnosis and education, multiple regression analyses indicated cognitive processing (intrusions, rehearsal) was differentially predictive of psychological adjustment. Baseline cognitive intrusions predicted three-month PTSD symptomatology and there was a trend for baseline cognitive rehearsal predicting three-month PTG. Additional research is needed to clarify the association between PTG and other indices of psychological adjustment, further delineate the nature of cognitive processing, and understand the trajectory of PTG over time for survivors with colorectal cancer.
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