University of New England, Armidale, New South Wales, Australia.
Am J Mens Health. 2013 Sep;7(5):414-22. doi: 10.1177/1557988313477126. Epub 2013 Feb 11.
Although there is some evidence that psychological resilience may "buffer" against depression following major stressors, no data have been reported on the nature and variability of this buffering effect among prostate cancer patients during the 5 years following their initial diagnosis. Patients from two sites in Australia and who had received their initial diagnosis within 5 years (n = 255) were surveyed, and the results indicated that there was a significant inverse relationship between resilience and depression in the overall data, but that was mostly accounted for by a single factor of the resilience scale ("Confidence to cope with change"). Variability in that buffering effect was noted over time since diagnosis, with peaks during the first 6 months, at 24 and 60 months. These findings support the argument to develop focused psychiatric interventions at various periods following a diagnosis of prostate cancer.
虽然有一些证据表明心理弹性可以“缓冲”重大压力源后抑郁的发生，但在初始诊断后 5 年内，针对前列腺癌患者，这种缓冲效应的性质和可变性尚无数据报道。对来自澳大利亚两个地点且在 5 年内接受初始诊断的患者（n = 255）进行了调查，结果表明，在整体数据中，韧性和抑郁之间存在显著的反比关系，但这主要归因于韧性量表的一个单一因素（“应对变化的信心”）。自诊断以来，这种缓冲效应的可变性随时间而变化，在诊断后的前 6 个月、24 个月和 60 个月达到峰值。这些发现支持了在前列腺癌诊断后各个时期开展有针对性的精神干预的观点。
