Mager Wendy M, Andrykowski Michael A
Departments of Psychology and Behavioral Science, University of Kentucky College of Medicine, Lexington, KY 40536-0086, USA.
Psychooncology. 2002 Jan-Feb;11(1):35-46. doi: 10.1002/pon.563.
The purpose of this study was to explore relationships between breast cancer survivors' experiences during the diagnostic consultation and their subsequent long-term psychological adjustment. Sixty women (M age=53 years) who had been diagnosed with local or regional breast cancer (Stage 0-IIIA) an average of 28 months prior were interviewed by telephone. Measures included: Cancer Diagnostic Interview Scale, Anxiety subscale of the Hospital Anxiety and Depression Scale, Posttraumatic Stress Disorder Checklist - Civilian Version, Center for Epidemiologic Studies Depression Scale, and ad hoc items regarding memory for, and satisfaction with, the diagnostic consultation. After controlling for demographic and clinical variables, the three CDIS subscales accounted for 12% of the variance in women's PCL-C scores (F change=3.46, p<0.05). The CDIS-Caring subscale was a significant predictor in the 'best-fit' regression model for each of the three indices of long-term distress (all B's>-0.23, p<0.05). In contrast, the CDIS-Competence subscale was not a significant predictor in any of the 'best-fit' models. Additionally, women's satisfaction with physician behavior during the diagnostic consultation was unrelated to all adjustment measures (r's<0.10, p's>0.50). Findings suggest that women's perceptions of physicians' interpersonal skills during the diagnostic consultation are associated with later psychological adjustment.
本研究的目的是探讨乳腺癌幸存者在诊断咨询期间的经历与其随后的长期心理调适之间的关系。对平均在28个月前被诊断为局部或区域乳腺癌（0-IIIA期）的60名女性（平均年龄 = 53岁）进行了电话访谈。测量指标包括：癌症诊断访谈量表、医院焦虑抑郁量表的焦虑分量表、创伤后应激障碍检查表 - 平民版、流行病学研究中心抑郁量表，以及关于对诊断咨询的记忆和满意度的特设项目。在控制了人口统计学和临床变量后，癌症诊断访谈量表的三个分量表解释了女性创伤后应激障碍检查表 - 平民版得分方差的12%（F变化 = 3.46，p < 0.05）。癌症诊断访谈量表的关怀分量表是长期痛苦的三个指标各自的“最佳拟合”回归模型中的显著预测因子（所有B值 > -0.23, p < 0.05）。相比之下，癌症诊断访谈量表的能力分量表在任何“最佳拟合”模型中都不是显著预测因子。此外，女性对诊断咨询期间医生行为的满意度与所有调适测量指标均无关联（相关系数 < 0.10，p值 > 0.50）。研究结果表明，女性在诊断咨询期间对医生人际技能的认知与后期的心理调适相关。
