妇科癌症生存者社会支持的直接和缓冲效应。
Direct and buffering effects of social support among gynecologic cancer survivors.
机构信息
Department of Psychology, The Ohio State University, 1835 Neil Avenue, 159 Psychology Building, Columbus, OH 43210, USA.
出版信息
Ann Behav Med. 2010 Feb;39(1):79-90. doi: 10.1007/s12160-010-9160-1.
BACKGROUND
There are few studies of QoL among long-term gynecologic cancer survivors; available data suggest significant sequelae of disease and treatment. Research clarifying circumstances that improve difficult survivorship trajectories is lacking.
PURPOSE
The present study examines whether social support moderates the relationship between physical functioning and psychological outcomes by testing the stress-buffering hypothesis.
METHODS
Participants (N = 260) were gynecologic cancer survivors (cervical, n = 47; endometrial, n = 133; ovarian, n = 69; vulvar, n = 11). Compromised physical health was conceptualized as multidimensional. Social support (SNI, PSS-Fa, PSS-Fr, ISEL) was tested as a buffer of adverse psychological outcomes (IES-R, CES-D).
RESULTS
Results for traumatic stress provided evidence for buffering; whereas social support was of general benefit for depressive symptoms. Effects varied by source and type of support.
CONCLUSIONS
These results suggest that circumstances for gynecologic cancer survivors burdened with physical symptoms may be worse for those with fewer support resources, providing needed insight into a common target of psychosocial interventions for cancer survivors.
背景
很少有研究关注长期妇科癌症幸存者的生活质量；现有数据表明疾病和治疗会带来严重的后遗症。缺乏研究来阐明改善困难生存轨迹的情况。
目的
本研究通过检验应激缓冲假说，考察社会支持是否调节身体功能与心理结果之间的关系。
方法
参与者（N=260）为妇科癌症幸存者（宫颈癌，n=47；子宫内膜癌，n=133；卵巢癌，n=69；外阴癌，n=11）。将身体状况不佳概念化为多维的。社会支持（SNI、PSS-Fa、PSS-Fr、ISEL）被测试为不良心理结果（IES-R、CES-D）的缓冲器。
结果
创伤后应激的结果提供了缓冲的证据；而社会支持对抑郁症状普遍有益。影响因支持的来源和类型而异。
结论
这些结果表明，身体症状负担较重的妇科癌症幸存者，如果支持资源较少，情况可能会更糟，这为癌症幸存者的心理社会干预的常见目标提供了必要的见解。
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