Trevino Kelly M, Maciejewski Paul K, Fasciano Karen, Greer Joseph, Partridge Ann, Kacel Elizabeth L, Block Susan, Prigerson Holly G
Department of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute, Boston, MA, USA.
J Support Oncol. 2012 May-Jun;10(3):124-30. doi: 10.1016/j.suponc.2011.08.005. Epub 2012 Jan 29.
Little is known about how young adults (YAs) cope with cancer or about the relationship between coping and psychological distress in YAs with advanced cancer.
The goals of this study were to identify coping strategies used by YAs with advanced cancer and examine the relationship between these coping strategies and psychological distress.
Using structured clinical interviews with 53 YAs (aged 20-40 years) with advanced cancer, researchers assessed coping methods, depression, anxiety, and grief. A principal components factor analysis identified underlying coping factors. Regression analyses examined the relationship between these coping factors and depression, anxiety, and grief.
Six coping factors emerged and were labeled as proactive, distancing, negative expression, support-seeking, respite-seeking, and acceptance coping. Acceptance and support-seeking coping styles were used most frequently. Coping by negative expression was positively associated with severity of grief after researchers controlled for depression, anxiety, and confounding variables. Support-seeking coping was positively associated with anxiety after researchers controlled for depression and grief.
This study was limited by a cross-sectional design, small sample size, and focus on YAs with advanced cancer.
YAs with advanced cancer utilize a range of coping responses that are uniquely related to psychological distress.
关于年轻成年人（YAs）如何应对癌症，以及晚期癌症年轻成年人的应对方式与心理困扰之间的关系，我们所知甚少。
本研究的目的是确定晚期癌症年轻成年人使用的应对策略，并检验这些应对策略与心理困扰之间的关系。
研究人员通过对53名年龄在20至40岁之间的晚期癌症年轻成年人进行结构化临床访谈，评估了他们的应对方式、抑郁、焦虑和悲伤情绪。主成分因子分析确定了潜在的应对因素。回归分析检验了这些应对因素与抑郁、焦虑和悲伤之间的关系。
出现了六个应对因素，分别被标记为积极应对、疏离、消极表达、寻求支持、寻求喘息和接受应对。接受应对和寻求支持的应对方式使用最为频繁。在研究人员控制了抑郁、焦虑和混杂变量后，消极表达应对与悲伤的严重程度呈正相关。在研究人员控制了抑郁和悲伤后，寻求支持应对与焦虑呈正相关。
本研究受限于横断面设计、样本量小以及仅关注晚期癌症年轻成年人。
晚期癌症年轻成年人采用了一系列与心理困扰独特相关的应对反应。
