Barrineau Mary Jon, Zarit Steven H, King Heather A, Costanzo Erin S, Almeida David M
Department of Human Development and Family Studies, Penn State University, University Park, PA, USA.
Psychooncology. 2014 Sep;23(9):1027-33. doi: 10.1002/pon.3509. Epub 2014 Feb 26.
The current study examined the role that somatic amplification plays in placing cancer survivors at an increased risk of impairments in daily well-being, specifically severity of physical symptoms, positive affect and negative affect.
Participants were drawn from Midlife Development in the United States National Study of daily health and well-being (MIDUS) and the National Study of Daily Experiences (NSDE, Project 2). One hundred eleven individuals with a cancer history were compared with a matched comparison group of individuals who did not have a cancer history.
Results show that across both groups, somatic amplification is associated with higher negative affect and higher severity of physical symptoms. However, results also show that a somatic amplification by cancer status interaction predicts severity of physical symptoms. The significant interaction indicates that in the comparison group, level of physical symptom severity is the same regardless of whether the individual is high or low on somatic amplification. However, in the group of individuals with a cancer history, individuals who are high on somatic amplification report more severe physical symptoms than individuals who are low on somatic amplification.
These findings suggest that heightened attention to minor bodily symptoms impacts individuals with a cancer history differently than individuals who have not experienced cancer, and therefore, may have important implications for the manner in which continued care is provided to cancer survivors.
本研究探讨躯体放大在使癌症幸存者日常幸福感受损风险增加中所起的作用，特别是身体症状的严重程度、积极情绪和消极情绪方面。
参与者来自美国中年发展日常健康与幸福感全国研究（MIDUS）和日常经历全国研究（NSDE，项目2）。将111名有癌症病史的个体与一组匹配的无癌症病史个体进行比较。
结果显示，在两组中，躯体放大均与更高的消极情绪和更高的身体症状严重程度相关。然而，结果还表明，癌症状态与躯体放大的交互作用可预测身体症状的严重程度。显著的交互作用表明，在对照组中，无论个体的躯体放大程度是高还是低，身体症状严重程度水平相同。然而，在有癌症病史的个体组中，躯体放大程度高的个体报告的身体症状比躯体放大程度低的个体更严重。
这些发现表明，对轻微身体症状的高度关注对有癌症病史的个体和未经历过癌症的个体产生的影响不同，因此，可能对为癌症幸存者提供持续护理的方式具有重要意义。
