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创伤后成长:在癌症幸存者中寻找积极意义,可调节侵入性思维对年轻成年人适应的影响。

Post-traumatic growth: finding positive meaning in cancer survivorship moderates the impact of intrusive thoughts on adjustment in younger adults.

机构信息

University of Connecticut, CT 06269-1020, USA.

出版信息

Psychooncology. 2010 Nov;19(11):1139-47. doi: 10.1002/pon.1680.

Abstract

OBJECTIVE

We examined whether post-traumatic growth would moderate the impact of intrusive thoughts on a range of dimensions of well-being in a sample of younger adult survivors of various types of cancer.

METHODS

167 participants completed questionnaires regarding intrusive thoughts, post-traumatic growth, mental and physical health-related quality of life, positive and negative affect, life satisfaction, and spiritual well-being. Multiple regression analyses controlling for relevant background and cancer-related variables tested the interaction effects of post-traumatic growth and intrusive thoughts.

RESULTS

Intrusive thoughts were related to poorer adjustment on all indices except physical health-related quality of life. However, post-traumatic growth moderated the effects of intrusive thoughts on positive and negative affect, life satisfaction, and spiritual well-being in a protective fashion. That is, for those higher in post-traumatic growth, higher levels of intrusive thoughts were related to better adjustment.

CONCLUSIONS

The positive meaning that individuals assign to their cancer experience as reflected in their reports of post-traumatic growth appears to be important in determining the impact of intrusive thoughts on post-cancer adjustment.

摘要

目的

本研究旨在考察创伤后成长是否能够调节侵入性思维对癌症患者多种幸福感维度的影响,该研究纳入了各类型癌症的年轻成年幸存者作为研究样本。

方法

167 名参与者完成了关于侵入性思维、创伤后成长、身心健康相关生活质量、正性负性情绪、生活满意度和精神幸福感的问卷。多回归分析控制了相关背景和癌症相关变量,以检验创伤后成长和侵入性思维的交互作用。

结果

侵入性思维与除身心健康相关生活质量以外的所有指标的调整不良相关。然而,创伤后成长以一种保护的方式调节了侵入性思维对正性负性情绪、生活满意度和精神幸福感的影响。也就是说,对于创伤后成长程度较高的个体,较高水平的侵入性思维与更好的调整相关。

结论

个体在报告创伤后成长时所赋予的癌症经历的积极意义,似乎对侵入性思维对癌症后调整的影响具有重要意义。

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