Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan.
Psychooncology. 2010 Jan;19(1):71-6. doi: 10.1002/pon.1531.
To characterize gastrointestinal cancer survivors' ability to psychologically adjust, we examined the relationship between psychological characteristics (quality of life (QOL), anxiety, depression, and post-traumatic stress symptoms) and self-efficacy (perceived ability to initiate coping strategies). Forty-seven subjects (32 males and 15 females) were recruited from outpatient clinics or general surgical wards after readmission for therapy unrelated to cancer. All had undergone treatment for gastrointestinal cancer. Japanese version of the Functional Assessment of Cancer Therapy--General (FACT-G), Japanese version of Hospital Anxiety and Depression Scale (HADS), Japanese version of Impact of Event Scale--Revised (IES-R), and The Self-Efficacy Scale for Advanced Cancer (SEAC) were administered. Correlation analyses revealed a statistically significant positive correlation between three subscales of SEAC and QOL (total of FACT-G value) and a significant negative correlation between anxiety, depression (the total of HADS value), post-traumatic stress symptoms (the total of IES-R value), and SEAC. In multiple regression analysis, the influence from Affect Regulation Efficacy (subscale of SEAC) was the largest in anxiety and post-traumatic stress symptoms while the influence from Activities of Daily Living Efficacy (subscale of SEAC) was the largest in QOL and depression. Our findings revealed that a strong relationship between self-efficacy and psychological adjustment, and that there should be several psychological intervention forms performed at various treatment stages to enhance self-efficacy in this population of gastrointestinal cancer survivors. These results also imply the effectiveness of interventions on self-efficacy for gastrointestinal cancer survivors and the influence of psychological factors such as QOL, anxiety, depression, and post-traumatic stress symptoms.
为了描述胃肠道癌症幸存者的心理调节能力，我们研究了心理特征（生活质量（QOL）、焦虑、抑郁和创伤后应激症状）和自我效能感（对发起应对策略的能力的感知）之间的关系。47 名受试者（32 名男性和 15 名女性）从门诊或普通外科病房招募，他们因与癌症无关的治疗而再次入院。所有受试者均接受过胃肠道癌症治疗。使用癌症治疗功能评估一般量表（FACT-G）日语版、医院焦虑和抑郁量表（HADS）日语版、修订版事件影响量表（IES-R）日语版和晚期癌症自我效能量表（SEAC）对他们进行评估。相关性分析显示，SEAC 的三个分量表与 QOL（FACT-G 总分）呈正相关，与焦虑、抑郁（HADS 总分）、创伤后应激症状（IES-R 总分）呈负相关。在多元回归分析中，Affect Regulation Efficacy（SEAC 的一个分量表）对焦虑和创伤后应激症状的影响最大，而 Activities of Daily Living Efficacy（SEAC 的一个分量表）对 QOL 和抑郁的影响最大。我们的研究结果表明，自我效能感与心理调节之间存在很强的关系，对于胃肠道癌症幸存者，应该在各个治疗阶段进行几种心理干预形式，以增强其自我效能感。这些结果还暗示了对胃肠道癌症幸存者的自我效能感干预的有效性，以及 QOL、焦虑、抑郁和创伤后应激症状等心理因素的影响。
