Pain Relief and Palliative Care Unit, Department of Radiology, Areteion Hospital, 115 26 Athens, Greece.
Psychol Health. 2009 Feb;24(2):135-48. doi: 10.1080/08870440701611194.
The aims of this study were to investigate the preparatory grief and traumatic distress in advanced cancer patients in a palliative care unit. A total of 94 advanced cancer patients completed the Preparatory Grief in Advanced Cancer Patients (PGAC) scale and the Greek version of the Impact of Events Scale- Revised (IES-R-Gr). The Eastern Cooperative Oncology Group was used to measure patients' performance status. Statistically significant associations were found between PGAC, patients' performance status, and all the IES-R-Gr scales (avoidance, intrusion, hyperarousal) and IES-R-Gr total score. The multiple regression analysis revealed that preparatory grief was predicted by patients' young age, poor performance status, as well as by their high levels of intrusion and hyperarousal, in a model explaining 51.5% of the total variance. Concluding, in advanced cancer patients, preparatory grief is significantly correlated with the impact of cancer and patients' physical condition, and seems to be influenced by components of the event impact, patients' age, and physical performance.
本研究旨在探讨姑息治疗病房中晚期癌症患者的预备性悲伤和创伤性困扰。共有 94 名晚期癌症患者完成了晚期癌症患者预备性悲伤量表（PGAC）和修订版事件影响量表-希腊语版（IES-R-Gr）。东部合作肿瘤学组用于衡量患者的体能状态。PGAC 与患者的体能状态以及 IES-R-Gr 的所有量表（回避、闯入、过度唤醒）和 IES-R-Gr 总分之间存在显著的相关性。多元回归分析显示，在一个可以解释总方差 51.5%的模型中，预备性悲伤可以由患者的年轻、较差的体能状态以及较高的闯入和过度唤醒水平来预测。结论：在晚期癌症患者中，预备性悲伤与癌症的影响和患者的身体状况显著相关，并且似乎受到事件影响的组成部分、患者年龄和身体表现的影响。
