Stanton Annette L, Ganz Patricia A, Rowland Julia H, Meyerowitz Beth E, Krupnick Janice L, Sears Sharon R
Department of Psychology, 1285 Franz Hall, Box 951563, University of California-Los Angeles, 90095-1563, USA.
Cancer. 2005 Dec 1;104(11 Suppl):2608-13. doi: 10.1002/cncr.21246.
The transition from the period of diagnosis and medical treatment of cancer to survivorship (i.e., the reentry phase) is an understudied phase in the cancer trajectory. The objectives of this report were 1) to illustrate several adaptive tasks of the reentry phase, 2) to provide examples of research on factors that predict positive adjustment during this phase, and 3) to discuss interventions that address the adaptive tasks of early cancer survivorship. Although the pertinent empirical literature is scarce, accounts from cancer survivors, healthcare professionals, and qualitative researchers converge to suggest several themes in adaptive tasks during reentry. Drawing from the authors' work and that of others, the authors have described common expectancies held by many individuals approaching reentry (e.g., "I shouldn't need support"), typical concerns during this phase (e.g., concern over cancer recurrence), and personal and contextual factors that can facilitate and hinder adjustment. Promising psychosocial interventions have been developed for individuals in the reentry period. Continued research will be necessary to characterize this important phase of cancer survivorship.
从癌症诊断和治疗阶段过渡到癌症生存阶段（即重新融入阶段），是癌症发展进程中一个尚未得到充分研究的阶段。本报告的目的是：1）阐述重新融入阶段的若干适应性任务；2）列举关于预测该阶段积极适应因素的研究实例；3）讨论针对早期癌症幸存者适应性任务的干预措施。尽管相关实证文献匮乏，但癌症幸存者、医疗保健专业人员及定性研究人员的描述趋于一致，表明重新融入阶段的适应性任务存在若干主题。借鉴作者及其他人员的研究成果，作者描述了许多即将进入重新融入阶段的个体的共同期望（如“我不应需要支持”）、该阶段的典型担忧（如对癌症复发的担忧）以及有助于和阻碍适应的个人及环境因素。针对处于重新融入阶段的个体，已开发出了有前景的心理社会干预措施。有必要持续开展研究，以明确癌症生存这一重要阶段的特征。
