Ruini Chiara, Vescovelli Francesca, Albieri Elisa
Department of Psychology, University of Bologna, Viale Berti Pichat, 5, 40127, Bologna, Italy.
J Clin Psychol Med Settings. 2013 Sep;20(3):383-91. doi: 10.1007/s10880-012-9340-1.
Research investigating possible relations between Post-traumatic growth (PTG) and clinical indexes--such as psychosocial distress, physical and psychological well-being--is lacking in medical settings. The aim of this study was to look into such relationships in breast cancer survivors (Bcs) and in healthy control subjects who experienced other stressful events. Sixty Bcs and 60 healthy women reporting other stressful events were compared according to the following scales: Post-traumatic Growth Inventory, Psychological Well-being Scales (PWB), Symptom Questionnaire and Psychosocial Index. Bcs reported significantly higher levels of PTG and distress, and lower levels of PWB compared to healthy women. Bcs with high levels of PTG showed increased levels of physical well-being and decreased distress. Healthy women under stressful circumstances reporting high levels of PTG showed increased levels of PWB. PTG levels were higher in Bcs and associated with decreased psychological distress and somatisation. These results carry important implications for clinical assessment, as well as for planning interventions to improve well-being and resilience in oncology.
在医疗环境中，缺乏关于创伤后成长（PTG）与临床指标（如心理社会困扰、身心健康）之间可能关系的研究。本研究的目的是探究乳腺癌幸存者（BCs）以及经历过其他应激事件的健康对照者中的此类关系。根据以下量表对60名乳腺癌幸存者和60名报告经历过其他应激事件的健康女性进行了比较：创伤后成长量表、心理健康量表（PWB）、症状问卷和心理社会指数。与健康女性相比，乳腺癌幸存者报告的PTG和困扰水平显著更高，而PWB水平更低。PTG水平高的乳腺癌幸存者身体健康水平提高，困扰减少。处于应激状态下且PTG水平高的健康女性心理健康水平提高。乳腺癌幸存者的PTG水平更高，且与心理困扰和躯体化减少相关。这些结果对临床评估以及制定改善肿瘤患者幸福感和恢复力的干预措施具有重要意义。
