The Daily Experience of Somatic Anxiety and Worry in Lung Cancer Survivors

描述（由申请人提供）： 肺癌幸存者的躯体焦虑和担忧的日常经历几乎所有的癌症幸存者都报告经历过令人痛苦的认知和情绪反应（例如，焦虑、担心、恐惧）与其健康状况的关系，特别是在治疗结束后。躯体焦虑和担忧（SAW）对生活质量有不利影响。虽然SAW在癌症幸存者中无处不在，但实际上对加剧或减少这种现象的程度的因素一无所知。在这项研究中进行的研究框架内的认知心理模型的症状感知SAW的经验。具体而言，该模型预测，SAW的日常经验是有关（a）内部集中注意力调节，（B）躯体归因风格，（c）躯体症状，（d）神经质，（e）日常压力。参与者将是在宾夕法尼亚州立大学癌症研究所（Penn State Cancer Institute）就诊的成人（18岁以上）非小细胞肺癌幸存者，处于第1或第2阶段，并且在治疗出院后至少60天，最长24个月。参与者将完成一系列简短的措施，然后将连续八个晚上被召集完成简短的电话采访。在访谈过程中，参与者将被问及当天的压力经历，经历的躯体症状，以及任何伴随的SAW。解释SAW的模型的拟合优度将使用结构方程模型进行评估。该研究还将研究最能和最不能预测SAW的压力体验，并确定一天的体验对随后几天SAW体验的影响程度。最后，我们将确定一天的SAW水平在多大程度上影响随后几天的躯体症状，压力和SAW的数量。最终，本研究的目标是开发一种经验支持的心理社会预防/干预方法，以SAW与癌症幸存者。基础研究结果应直接转化为心理社会预防/干预策略与癌症幸存者经历SAW，以及提供了一个推动额外的基础和应用研究SAW。 公共卫生相关性：这项研究将首次揭示肺癌幸存者的躯体焦虑和担忧（SAW）的日常表现。通过调查肺癌幸存者中SAW的预测因素，我们的研究结果将为预防和干预工作提供信息，以提高肺癌幸存者以及其他预计寿命相对较短的幸存者的生活质量。

DESCRIPTION (provided by applicant): The Daily Experience of Somatic Anxiety and Worry in Lung Cancer Survivors Virtually all cancer survivors report experiencing distressing cognitive and emotional reactions (e.g., anxiety, worry, fear) to the status of their health, particularly after discharge from treatment. Somatic anxiety and worry (SAW) has a detrimental impact on quality of life. While SAW is ubiquitous in cancer survivors, virtually nothing is known about the factors that exacerbate or diminish the degree to which the phenomenon is experienced. The research undertaken in this study frames the experience of SAW within a cognitive psychological model of symptom perception. Specifically, the model predicts that the daily experience of SAW is related to (a) internally focused attention regulation, (b) a somatic attributional style, (c) somatic symptoms, (d) neuroticism, and (e) daily stress. Participants will be adult (18 years+), non-small cell, lung cancer survivors seen at the Penn State Cancer Institute, at either Stage 1 or 2, and are a minimum of 60- days, and a maximum of 24-months, post-discharge from treatment. Participants will complete a brief battery of measures and will then be called over eight consecutive evenings to complete a brief telephone interview. During the interview, participants will be asked about the day's stressful experiences, somatic symptoms experienced, and any concomitant SAW. The goodness of fit of the model explaining SAW will be assessed using structural equation modeling. The study will also examine the kinds of stress experiences that are most and least predictive of SAW, and determine the degree to which one day's experiences influence the degree to which SAW is experienced on subsequent days. Finally, we will determine the degree to which the level of SAW on one day influences the number of somatic symptoms, stress, and SAW experienced on subsequent days. Ultimately, the goal of this research is to develop an empirically supported psychosocial prevention/intervention approach to SAW with cancer survivors. The basic research findings should be directly translatable to psychosocial prevention/intervention strategies with cancer survivors experiencing SAW, as well as provide an impetus for additional basic and applied research on SAW. PUBLIC HEALTH RELEVANCE: This study will be the first to shed light on the day-to-day manifestation of somatic anxiety and worry (SAW) in lung cancer survivors. By investigating the predictors of SAW in lung cancer survivors, our results will inform prevention and intervention efforts to improve the quality of life of lung cancer survivors, as well as other survivors with relatively short projected life spans.