Sharpley C F, Bitsika V, Wootten A C, Christie D R H
Brain-Behaviour Research Group, University of New England, Armidale, NSW, Australia.
Eur J Cancer Care (Engl). 2014 Jul;23(4):545-52. doi: 10.1111/ecc.12170. Epub 2014 Feb 10.
Although psychological resilience has been shown to 'buffer' against depression following major stressors, no studies have reported on this relationship within the prostate cancer (PCa) population, many of whom are at elevated risk of depression, health problems and suicide. To investigate the effects of resilience upon anxiety and depression in the PCa population, postal surveys of 425 PCa patients were collected from two sites: 189 PCa patients at site 1 and 236 at site 2. Background data plus responses to depression and resilience scales were collected. Results indicated that total resilience score was a significant buffer against depression across both sites. Resilience had different underlying component factor structures across sites, but only one (common) factor significantly (inversely) predicted depression. Within that factor, only some specific items significantly predicted depression scores, suggesting a focused relationship between resilience and depression. It may be concluded that measures of resilience may be used to screen depression at-risk PCa patients. These patients might benefit from resilience training to enhance their ability to cope effectively with the stress of their diagnosis and treatment. A focus upon specific aspects of overall resilience may be of further benefit in both these processes.
尽管心理韧性已被证明能在重大压力源后“缓冲”抑郁症，但尚无研究报道前列腺癌（PCa）患者群体中的这种关系，其中许多人患抑郁症、健康问题和自杀的风险较高。为了研究韧性对PCa患者群体焦虑和抑郁的影响，从两个地点收集了425名PCa患者的邮寄调查问卷：地点1的189名PCa患者和地点2的236名患者。收集了背景数据以及对抑郁和韧性量表的回答。结果表明，总韧性得分在两个地点都是抵御抑郁的重要缓冲因素。不同地点的韧性具有不同的潜在组成因素结构，但只有一个（共同）因素能显著（反向）预测抑郁。在该因素中，只有一些特定项目能显著预测抑郁得分，这表明韧性与抑郁之间存在特定关系。可以得出结论，韧性测量可用于筛查有抑郁风险的PCa患者。这些患者可能会从韧性训练中受益，以提高他们有效应对诊断和治疗压力的能力。在这两个过程中，关注整体韧性的特定方面可能会带来更大益处。
