Thornton Andrea A, Perez Martin A
Department of Psychology, City of Hope National Medical Center, Duarte, CA 91010-3000, USA.
Psychooncology. 2006 Apr;15(4):285-96. doi: 10.1002/pon.953.
We examined posttraumatic growth (PTG) in men treated for prostate cancer and their partners 1 year after surgery. Levels of PTG in prostate cancer survivors and their partners were similar and modest. For survivors, higher levels of presurgery negative affect, and coping by using positive reframing and emotional support were associated with higher levels of PTG 1 year following surgery. For partners, PTG 1 year after the patient's surgery was higher in partners who were partnered to employed patients, were less educated, endorsed higher cancer-specific avoidance symptoms of stress at presurgery, and used positive reframing coping. Quality of life was largely unrelated to PTG in survivors or partners. Findings suggest that psychological disruption associated with the cancer experience and coping are related to PTG in prostate cancer survivors and their partners.
我们对前列腺癌患者及其伴侣术后1年的创伤后成长(PTG)情况进行了研究。前列腺癌幸存者及其伴侣的PTG水平相似且适中。对于幸存者而言,术前消极情绪水平较高,以及通过积极重新认知和情感支持进行应对,与术后1年较高的PTG水平相关。对于伴侣来说,患者术后1年,与有工作的患者为伴、受教育程度较低、术前认可较高的癌症特异性应激回避症状且采用积极重新认知应对方式的伴侣,其PTG水平更高。生活质量在很大程度上与幸存者或伴侣的PTG无关。研究结果表明,与癌症经历和应对相关的心理困扰与前列腺癌幸存者及其伴侣的PTG有关。