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意义在睾丸癌幸存者心理社会幸福感预测中的作用。

The role of meaning in the prediction of psychosocial well-being of testicular cancer survivors.

作者信息

Fleer J, Hoekstra H J, Sleijfer D Th, Tuinman M A, Hoekstra-Weebers J E H M

机构信息

Department of Surgical Oncology, University of Groningen and University Medical Center Groningen, 9700 RB Groningen, The Netherlands.

出版信息

Qual Life Res. 2006 May;15(4):705-17. doi: 10.1007/s11136-005-3569-1.

Abstract

Stressful life events, such as cancer, may threaten the belief that life is meaningful and this may have a negative effect on well-being. This study aimed at: (1) examining meaning in testicular cancer survivors (TCSs); (2) changes in outlook on life after testicular cancer (TC); (3) the contribution of meaning in the prediction of psychosocial well-being and cancer-related distress. A total of 354 TCSs completed relevant questionnaires. Results showed that: (1) TCSs experience their lives as meaningful; (2) most TCSs (60%) report a more positive outlook on life since TC; (3) meaning is the most important predictor for psychosocial well-being, but its relationship with cancer-related distress is weak. These results indicate that the cancer experience did not (permanently) disrupt the sense of meaning in TCSs. Furthermore, results confirm the idea that a sense of meaning has a positive effect on psychosocial well-being. Meaning appeared to have little effect on cancer-related distress. However, previous research has shown that this relationship may be too complex to unravel with a cross-sectional design. Therefore, it is suggested to further investigate the underlying interacting mechanisms between meaning and cancer-related distress.

摘要

诸如患癌之类的生活应激事件可能会威胁到生活是有意义的这一信念,而这可能会对幸福感产生负面影响。本研究旨在:(1)探究睾丸癌幸存者(TCS)的生活意义;(2)睾丸癌(TC)后人生观的变化;(3)生活意义在预测心理社会幸福感和癌症相关困扰方面的作用。共有354名TCS完成了相关问卷。结果显示:(1)TCS认为他们的生活是有意义的;(2)大多数TCS(60%)表示自患睾丸癌以来对生活的看法更为积极;(3)生活意义是心理社会幸福感最重要的预测因素,但其与癌症相关困扰的关系较弱。这些结果表明,癌症经历并未(永久性地)扰乱TCS的意义感。此外,结果证实了生活意义感对心理社会幸福感有积极影响这一观点。生活意义似乎对癌症相关困扰影响不大。然而,先前的研究表明,这种关系可能过于复杂,无法通过横断面设计来阐明。因此,建议进一步研究生活意义与癌症相关困扰之间潜在的相互作用机制。

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