Hopelessness as a predictor of depressive symptoms for breast cancer patients coping with recurrence
Hopelessness as a predictor of depressive symptoms for breast cancer patients coping with recurrence
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DOI：
10.1002/pon.1394
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发表时间：
2009-03-01
期刊：
影响因子：
3.6
通讯作者：
Andersen, Barbara L.
中科院分区：
文献类型：
--
作者：
Brothers, Brittany M.;Andersen, Barbara L.
目的：绝望抑郁理论提供了一个框架来测试绝望感和社会支持作为最近诊断为乳腺癌复发的女性抑郁症状的预测因子。方法：患者（N=67）在接受复发诊断（初始）的几周内进行评估，并在4个月后再次进行评估结果：控制当前的躯体症状和抑郁症状，诊断时的绝望感是患者抑郁症状维持的重要预测因子。该理论的一个推论也得到了证实：社会支持（即浪漫伴侣的存在/缺失）与绝望感相互作用。结论：报告绝望感和孤独感（即没有伴侣）的女性特别容易受到影响后来的抑郁症状。这些数据为绝望理论提供了支持，并为那些应对癌症预后恶化的人提供了抑郁症状的风险因素。版权所有（C）2008约翰威利父子有限公司
Objective: The Hopelessness Theory of Depression provides the framework to test feelings of hopelessness and social support as predictors of depressive symptoms in women recently diagnosed with a recurrence of breast cancer.Methods: Patients (N=67) were assessed within weeks of receiving their recurrence diagnosis (initial) and again 4 months later (follow-up).Results: Controlling for their current physical and depressive symptoms, hopelessness at diagnosis was a significant predictor of the maintenance of depressive symptoms among patients. A corollary of the theory was also confirmed: social support (i.e. the presence/absence of a romantic partner) interacted with hopelessness.Conclusions: Women who reported feelings of hopelessness and who were alone (i.e. without a partner) were especially vulnerable to later depressive symptoms. The data provide support for the Hopelessness Theory and suggest factors conferring risk for depressive symptoms for those coping with a worsened cancer prognosis. Copyright (C) 2008 John Wiley & Sons, Ltd.