Zhou Eric S, Penedo Frank J, Bustillo Natalie E, Benedict Catherine, Rasheed Mikal, Lechner Suzanne, Soloway Mark, Kava Bruce R, Schneiderman Neil, Antoni Michael H
Department of Psychology, University of Miami, Coral Gables, Miami, Florida 33124, USA.
J Support Oncol. 2010 Sep-Oct;8(5):196-201. doi: 10.1016/j.suponc.2010.09.004.
Survivors of prostate cancer experience treatment-related physical side effects that can compromise emotional well-being for years post-treatment. There is limited research investigating how social support and the use of coping may affect the emotional well-being of this population following treatment. The aim of this study was to investigate how social support and coping impact emotional well-being 2 years after treatment in survivors of localized prostate cancer who have received either radical prostatectomy or radiotherapy. Psychosocial and disease-specific measures were administered to an ethnically and demographically diverse sample of 180 men treated for localized prostate cancer at baseline and at 2-year follow-up. Regression analyses demonstrated that higher levels of social support at baseline predicted better emotional well-being 2 years later. Furthermore, higher levels of adaptive coping at baseline partially mediated the relationship between social support and emotional well-being. Supportive relationships may contribute to improved emotional well-being following treatment by facilitating the use of adaptive coping strategies. Attention should be given to strengthening social support networks and educating survivors of prostate cancer on adaptive coping techniques.
前列腺癌幸存者会经历与治疗相关的身体副作用，这些副作用可能在治疗后的数年里损害其情绪健康。关于社会支持和应对方式的运用如何影响该人群治疗后的情绪健康，相关研究有限。本研究的目的是调查社会支持和应对方式如何影响接受根治性前列腺切除术或放射治疗的局限性前列腺癌幸存者治疗后2年的情绪健康。对180名接受局限性前列腺癌治疗的男性进行了心理社会和疾病特异性测量，这些男性在种族和人口统计学上具有多样性，测量在基线和2年随访时进行。回归分析表明，基线时较高水平的社会支持预示着2年后更好的情绪健康。此外，基线时较高水平的适应性应对方式部分介导了社会支持与情绪健康之间的关系。支持性的人际关系可能通过促进适应性应对策略的运用，有助于治疗后情绪健康的改善。应重视加强社会支持网络，并对前列腺癌幸存者进行适应性应对技巧的教育。
