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晚期癌症患者的创伤性应激与积极变化

Traumatic distress and positive changes in advanced cancer patients.

作者信息

Mystakidou Kyriaki, Parpa Efi, Tsilika Eleni, Pathiaki Maria, Galanos Antonis, Vlahos Lambros

机构信息

Pain Relief and Palliative Care Unit, Department of Radiology, Areteion Hospital, School of Medicine, University of Athens, 27 Korinthias Street, 15 26 Athens, Greece.

出版信息

Am J Hosp Palliat Care. 2007 Aug-Sep;24(4):270-6. doi: 10.1177/1049909107299917.

DOI:10.1177/1049909107299917
PMID:17895492
Abstract

This study investigated the traumatic distress and posttraumatic growth in 58 advanced cancer patients receiving palliative treatment in a Pain Relief and Palliative Care Unit. The patients completed the Greek version of the Impact of Events Scale-Revised and the Posttraumatic Growth Inventory. Statistically significant associations were found among Impact of Events Scale-Revised-Greek "Relating to Others" (r = 0.311, P = .017), "New Possibilities" ( r = 0.248, P = .050), and "Appreciation of Life" ( r = 0.419, P = .001), and the Posttraumatic Growth Inventory scores (r = 0.323, P = .013). Similarly, "Appreciation of Life" correlated significantly with "Avoidance" (r = 0.318, P = .015), "Intrusion" (r = 0.365, P = .005), and "Hyperarousal" (r = 0.398, P = .002). Statistically significant associations were also found between "Relating to Others" and "Intrusion" (r = 0.414, P = .001). The study concluded that in advanced cancer patients, the higher the impact event, the more improvement in their relationships with others, enhanced life appreciation, and more positive consequences after trauma.

摘要

本研究调查了在一家止痛与姑息治疗科接受姑息治疗的58例晚期癌症患者的创伤性应激和创伤后成长情况。患者完成了希腊版的事件影响量表修订版(Impact of Events Scale-Revised)和创伤后成长量表(Posttraumatic Growth Inventory)。结果发现,事件影响量表修订版希腊版中的“与他人的关系”(r = 0.311,P = 0.017)、“新的可能性”(r = 0.248,P = 0.050)和“对生活的感激”(r = 0.419,P = 0.001)与创伤后成长量表得分(r = 0.323,P = 0.013)之间存在统计学上的显著关联。同样,“对生活的感激”与“回避”(r = 0.318,P = 0.015)、“闯入”(r = 0.365,P = 0.005)和“过度觉醒”(r = 0.398,P = 0.002)也显著相关。“与他人的关系”和“闯入”之间也存在统计学上的显著关联(r = 0.414,P = 0.001)。该研究得出结论,在晚期癌症患者中,影响事件越强烈,他们与他人的关系改善就越大,对生活的感激增强,创伤后的积极后果也越多。

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引用本文的文献

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The Fami-life study: protocol of a prospective observational multicenter mixed study of psychological consequences of grieving relatives in French palliative care units on behalf of the family research in palliative care (F.R.I.P.C research network).Fami-life 研究:法国姑息治疗病房中丧亲之痛亲属的心理后果前瞻性观察性多中心混合研究方案,代表姑息治疗中的家庭研究(F.R.I.P.C 研究网络)。
BMC Palliat Care. 2019 Dec 9;18(1):111. doi: 10.1186/s12904-019-0496-4.
2
A prospective study of posttraumatic growth as assessed by self-report and family caregiver in the context of advanced cancer.一项通过自我报告和家庭护理人员评估的创伤后成长的前瞻性研究,其背景为晚期癌症。
Psychooncology. 2011 May;20(5):479-87. doi: 10.1002/pon.1746.
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Posttraumatic growth and adjustment among individuals with cancer or HIV/AIDS: a meta-analysis.
癌症或艾滋病患者的创伤后成长与适应:荟萃分析。
Clin Psychol Rev. 2010 Jun;30(4):436-47. doi: 10.1016/j.cpr.2010.02.004. Epub 2010 Mar 2.