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乳腺癌患者如何体验参与一项心理肿瘤学随访研究?

[How do breast cancer patients experience participation in a psycho-oncologic follow-up study?].

作者信息

Buddeberg C, Bergant A, Wolf C

机构信息

Abteilung für Psychosoziale Medizin, Psychiatrische Poliklinik, Universitätsspital Zürich.

出版信息

Z Psychosom Med Psychoanal. 1991;37(2):172-84.

PMID:1853649
Abstract

62 breast cancer patients participating in a prospective psychooncological research project were asked about their attitude toward the study after a one year follow-up period. 40 percent of the women had an indifferent opinion about the study. They felt neither burdened nor unburdened by their collaboration on the study. 32 percent had a positive and 28 percent a negative attitude toward the study. Patients with a positive attitude were more often singles and were more often in unfavourable stages of their cancer when entering the study. However they felt the interviews and rating scales rather helpful for coping with their disease. The women with a negative attitude were more often burdened by psychological problems already before the diagnosis of cancer was made and showed more signs of depression, distrust and cognitive withdrawal in their coping strategies. The results indicate that in psychooncological prospective studies the development of patients' attitude toward the study should be considered more carefully.

摘要

在一项为期一年的随访期结束后,参与一项前瞻性心理肿瘤学研究项目的62名乳腺癌患者被问及他们对该研究的态度。40%的女性对该研究持无所谓的态度。她们觉得参与该研究既没有负担也没有轻松的感觉。32%的人持积极态度,28%的人持消极态度。持积极态度的患者在进入研究时更多为单身,且癌症分期更不利。然而,他们觉得访谈和评分量表对应对疾病很有帮助。持消极态度的女性在癌症诊断之前就更多地受到心理问题的困扰,并且在应对策略中表现出更多抑郁、不信任和认知退缩的迹象。结果表明,在心理肿瘤学前瞻性研究中,应更仔细地考虑患者对研究态度的发展。

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