Bellizzi Keith M, Blank Thomas O
The Office of Cancer Survivorship, National Cancer Institute, 6116 Executive Blvd, Suite 404, MSC 8336, Bethesda, MD 20892, USA.
J Cancer Surviv. 2007 Mar;1(1):44-8. doi: 10.1007/s11764-007-0005-2.
Despite a shift in the cancer culture and language used to describe individuals diagnosed with this disease, the extent to which individuals with cancer adopt a particular cancer-related identity and the impact of these identities in relation to their well-being is virtually unknown.
Using a cross-sectional study design and a metropolitan tumor registry, a mail questionnaire to examine post-treatment quality of life was sent to prostate cancer (PCa) survivors. The sample consisted of 490 PCa survivors, ranging in age from 49-88 (M = 69.7; SD = 7.8), one to eight years after diagnosis. The outcome measure used in these analyses was the PANAS to assess positive and negative affect.
The most frequently reported cancer-related identity was "someone who has had PCa" (57%). The least reported self view was "victim" (1%). Twenty-six percent of men self-identified as "survivors" while 6% thought of themselves as "cancer conquerors." Only 9% self-identified as a "patient." Multivariate analyses, adjusted for potential confounders, show respondents who identified themselves as "survivors" or "cancer conquerors" reported significantly higher scores on positive affect than men who self-identified as "patients" (p < .001).
Although the majority of respondents identified themselves as "someone who has had cancer," identifying as a "survivor" or "someone who has conquered cancer" appears to have adaptive value for positive mood.
Those who perceive themselves as survivors of prostate cancer may derive some benefit in well-being associated with this self assessment.
尽管在描述癌症患者的癌症文化和语言方面发生了转变，但癌症患者接受特定癌症相关身份认同的程度以及这些身份认同对其幸福感的影响实际上仍不为人知。
采用横断面研究设计并利用大都市肿瘤登记处，向前列腺癌（PCa）幸存者发送了一份用于调查治疗后生活质量的邮寄问卷。样本包括490名PCa幸存者，年龄在49 - 88岁之间（M = 69.7；SD = 7.8），诊断后1至8年。这些分析中使用的结果测量指标是用于评估积极和消极情绪的PANAS。
最常被报告的癌症相关身份是“患过前列腺癌的人”（57%）。最少被报告的自我认知是“受害者”（1%）。26%的男性将自己认定为“幸存者”，而6%的人认为自己是“癌症征服者”。只有9%的人将自己认定为“患者”。在对潜在混杂因素进行调整后的多变量分析显示，将自己认定为“幸存者”或“癌症征服者”的受访者在积极情绪方面的得分显著高于将自己认定为“患者”的男性（p <.001）。
尽管大多数受访者将自己认定为“患过癌症的人”，但将自己认定为“幸存者”或“战胜癌症的人”似乎对积极情绪具有适应性价值。
那些将自己视为前列腺癌幸存者的人可能会从这种自我评估相关的幸福感中获得一些益处。
