Psychosocial Oncology and Supportive Care, Department of Public Health and Caring Sciences, Uppsala University, Sweden.
Eur J Cancer. 2010 Apr;46(6):1062-8. doi: 10.1016/j.ejca.2010.01.021. Epub 2010 Feb 26.
Quality of life, anxiety, and depression among persons diagnosed with cancer during adolescence up to 4 years after diagnosis, and in comparison with a reference group were investigated.
The cancer group (N=61) completed the SF-36 mental health and vitality and the HADS anxiety and depression subscales shortly after and at 6, 12, 18, 24, 36 and 48 months after diagnosis. A reference group (N=300) randomly drawn by Statistics Sweden from their civil register of the Swedish population completed the same instruments at one assessment. Data were collected by telephone interviews.
Up to 6 months after diagnosis the cancer group reports lower levels of mental health and vitality and a higher level of depression than the reference group. At 18 months after diagnosis a reverse situation occurs and at 48 months after diagnosis the cancer group reports a higher level of vitality and lower levels of anxiety and depression than the reference group.
The findings suggest that a positive psychological change may develop in the aftermath of cancer during adolescence. However, efforts should be made to enable clinicians and nursing staff to identify and to provide psychological support to individuals who experience low quality of life and high emotional distress. If these problems remain undetected and appropriate support is not provided the distress may become a barrier to physical recovery, resulting in a vicious cycle of physical and mental disability.
调查青少年期被诊断患有癌症的人群在诊断后 4 年内的生活质量、焦虑和抑郁状况，并与对照组进行比较。
癌症组（N=61）在诊断后不久以及 6、12、18、24、36 和 48 个月时，使用 SF-36 心理健康和活力以及 HADS 焦虑和抑郁分量表完成了评估。瑞典统计局从瑞典人口的公民登记册中随机抽取的对照组（N=300）在一次评估中完成了相同的工具。数据通过电话访谈收集。
在诊断后 6 个月内，癌症组报告的心理健康和活力水平较低，抑郁水平较高，而对照组则报告了更高的水平。在 18 个月后，情况发生逆转，而在诊断后 48 个月，癌症组报告的活力水平较高，焦虑和抑郁水平较低。
这些发现表明，青少年癌症后可能会出现积极的心理变化。然而，应该努力使临床医生和护理人员能够识别并为那些生活质量低、情绪困扰高的人提供心理支持。如果这些问题未被发现且未提供适当的支持，那么困扰可能会成为身体恢复的障碍，导致身体和心理残疾的恶性循环。
