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摩托车和乳腺癌:同伴支持和挑战对困扰和创伤后成长的影响。

Motorcycles and breast cancer: the influence of peer support and challenge on distress and posttraumatic growth.

机构信息

National Human Genome Research Institute, National Institutes of Health, Bethesda, USA.

出版信息

Support Care Cancer. 2012 Aug;20(8):1849-58. doi: 10.1007/s00520-011-1287-5. Epub 2011 Oct 9.

Abstract

PURPOSE

Peer support programs based on exercise or challenge activities may have potential to improve well-being for women diagnosed with breast cancer. The current study investigated the role of social comparison and social identity based on group membership on posttraumatic growth (PTG) and distress.

METHODS

Fifty-one women diagnosed with breast cancer who participated in a 1,000 mi group motorcycle ride completed pre- and post-ride surveys. Participants had a mean age of 49.82 years (SD = 7.04) and their average time since diagnosis was 6.39 years (SD = 3.89).

RESULTS

Cancer-related distress significantly decreased after the ride. PTG did not significantly differ after the ride, which may have been a result of a ceiling effect on this measure. Hierarchical regression analyses showed that pre-ride PTG (p < 0.01) and upward social comparison during the ride (p < 0.05) were related to post-ride PTG. Pre-ride distress was the only variable to remain significantly related to post-ride distress (p < 0.01).

CONCLUSIONS

The results of the current study highlight the potential for challenge-based activities to provide a positive peer support environment for women diagnosed with breast cancer. Identifying factors that promote personal growth and reduce cancer-related distress allow us to create a model for the delivery of these challenge-based peer support activities.

摘要

目的

基于锻炼或挑战活动的同伴支持计划可能有潜力改善被诊断患有乳腺癌的女性的幸福感。本研究调查了基于群体成员身份的社会比较和社会认同在后创伤性成长(PTG)和困扰方面的作用。

方法

51 名被诊断患有乳腺癌的女性参加了为期 1000 英里的团体摩托车骑行,在骑行前后完成了调查。参与者的平均年龄为 49.82 岁(SD=7.04),平均诊断后时间为 6.39 年(SD=3.89)。

结果

骑行后,与癌症相关的困扰显著减轻。PTG 在骑行后没有显著差异,这可能是由于该测量存在上限效应。分层回归分析显示,骑行前的 PTG(p<0.01)和骑行过程中的向上社会比较(p<0.05)与骑行后的 PTG 相关。骑行前的困扰是唯一与骑行后困扰仍显著相关的变量(p<0.01)。

结论

本研究的结果强调了基于挑战的活动为被诊断患有乳腺癌的女性提供积极的同伴支持环境的潜力。确定促进个人成长和减少与癌症相关困扰的因素使我们能够为这些基于挑战的同伴支持活动的提供建立一个模型。

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