绝望作为乳腺癌患者应对复发时抑郁症状的预测指标。
Hopelessness as a predictor of depressive symptoms for breast cancer patients coping with recurrence.
作者信息
Brothers Brittany M, Andersen Barbara L
机构信息
Department of Psychology, The Ohio State University, Columbus, OH 43210-1222, USA.
出版信息
Psychooncology. 2009 Mar;18(3):267-75. doi: 10.1002/pon.1394.
Abstract
OBJECTIVE
The Hopelessness Theory of Depression provides the framework to test feelings of hopelessness and social support as predictors of depressive symptoms in women recently diagnosed with a recurrence of breast cancer.
METHODS
Patients (N=67) were assessed within weeks of receiving their recurrence diagnosis (initial) and again 4 months later (follow-up).
RESULTS
Controlling for their current physical and depressive symptoms, hopelessness at diagnosis was a significant predictor of the maintenance of depressive symptoms among patients. A corollary of the theory was also confirmed: social support (i.e. the presence/absence of a romantic partner) interacted with hopelessness.
CONCLUSIONS
Women who reported feelings of hopelessness and who were alone (i.e. without a partner) were especially vulnerable to later depressive symptoms. The data provide support for the Hopelessness Theory and suggest factors conferring risk for depressive symptoms for those coping with a worsened cancer prognosis.
摘要
目的
抑郁绝望理论提供了一个框架，用于检验绝望感和社会支持作为近期被诊断为乳腺癌复发的女性抑郁症状预测因素的情况。
方法
对67名患者在接受复发诊断后的几周内（初始阶段）进行评估，并在4个月后再次评估（随访阶段）。
结果
在控制了患者当前的身体和抑郁症状后，诊断时的绝望感是患者抑郁症状持续存在的一个重要预测因素。该理论的一个推论也得到了证实：社会支持（即是否有浪漫伴侣）与绝望感相互作用。
结论
报告有绝望感且独自一人（即没有伴侣）的女性尤其容易出现后期抑郁症状。这些数据为绝望理论提供了支持，并表明了那些应对癌症预后恶化的人出现抑郁症状的风险因素。
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