Comprehensive Cancer Centre South (CCCS), Eindhoven Cancer Registry, Eindhoven, The Netherlands.
Psychol Health. 2009 Jun;24(5):583-95. doi: 10.1080/08870440701671362.
This study evaluates posttraumatic growth, benefit finding and well-being, and their mutual association in a random sample of disease-free 10-year breast cancer survivors. The population-based Eindhoven Cancer Registry (ECR) was used to select all women diagnosed with breast cancer in 1993 in six hospitals. Of the 254 breast cancer survivors, 183 (72%) returned a completed questionnaire. Measures included the Posttraumatic Growth Inventory (posttraumatic growth), the Perceived Disease Impact Scale (benefit finding) and the CentERdata Health monitor (life satisfaction, health status and psychological well-being). Self-reported health status and psychological well-being were similar in survivors compared to general population norms, whereas life satisfaction was significantly higher among survivors. In addition, posttraumatic growth was seen in the following domains: relationships with others, personal strength and appreciation of life. The number of patients reporting benefit finding was high (79%, N = 145). Benefit finding showed a moderately positive correlation with posttraumatic growth. In addition, women who stated that their satisfaction with life was high reported higher levels of posttraumatic growth in comparison to women who did not. Radiotherapy was negatively associated with posttraumatic growth. Women with a higher tumour stage at diagnosis experienced less benefit finding in comparison to women with a lower tumour stage at diagnosis. The above results can help to identify those patients who will probably experience posttraumatic growth and benefit finding after cancer. However, it is important to be aware that the positive effects of cancer on a patient's life do not occur in all cancer patients and all phases of the disease trajectory.
本研究评估了无病 10 年乳腺癌幸存者随机样本中的创伤后成长、获益发现和幸福感，以及它们之间的相互关联。研究使用基于人群的埃因霍温癌症登记处（ECR）选择了六家医院在 1993 年诊断出的所有乳腺癌女性。在 254 名乳腺癌幸存者中，有 183 名（72%）人返回了一份完整的问卷。测量包括创伤后成长量表（posttraumatic growth）、疾病影响量表（benefit finding）和 CentERdata 健康监测仪（生活满意度、健康状况和心理健康）。与一般人群的健康状况和心理健康相比，幸存者的自我报告健康状况和心理健康状况相似，而生活满意度明显更高。此外，创伤后成长出现在以下领域：人际关系、个人力量和对生活的欣赏。报告获益发现的患者数量较多（79%，N=145）。获益发现与创伤后成长呈中度正相关。此外，与那些生活满意度不高的女性相比，那些报告生活满意度高的女性报告了更高水平的创伤后成长。放射治疗与创伤后成长呈负相关。与诊断时肿瘤分期较低的女性相比，诊断时肿瘤分期较高的女性获益发现较少。上述结果有助于确定那些在癌症后可能会经历创伤后成长和获益发现的患者。然而，重要的是要意识到癌症对患者生活的积极影响并非发生在所有癌症患者和疾病轨迹的所有阶段。
