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癌症后的积极变化:癌症患者中其他因素背景下的创伤后成长。

Positive changes following cancer: posttraumatic growth in the context of other factors in patients with cancer.

机构信息

Institute of Psychology, Faculty of Arts, University of Prešov, Ul. 17. novembra 1, 080 01, Prešov, Slovakia,

出版信息

Support Care Cancer. 2014 Aug;22(8):2023-9. doi: 10.1007/s00520-014-2217-0. Epub 2014 Mar 25.

Abstract

PURPOSE

The incidence of posttraumatic growth (PTG) has mostly been researched after typical traumatic events such as war, violence, bereavement, vehicle accidents, and so forth. This research has shown that PTG also occurs after cancer. This article presents the results of research which focused on PTG and what was related to its incidence, such as the specific reaction to trauma, among patients with hematological cancer (N = 72). The differences in the levels of PTG were analyzed from the perspective of demographic characteristics, characteristics of the disease, and treatment.

METHODS

PTG was measured using the Posttraumatic Growth Inventory-Czech version (PTGI-CZ). The associated variables were measured using instruments in measuring benefit findings [Benefit Finding Scale for Children-Czech version (BFSC-CZ)], distress tolerance [Distress Tolerance Scale (DTS)], hope [Adult Hope Trait Scale (AHTS)], and optimism [Revised Life Orientation Test (LOT-R)].

RESULTS

Regression analysis found that a higher perception of benefits of the disease (benefit findings) and a greater effort to regulate feelings of distress (distress regulation) explained 67.1% of the variance of PTG.

CONCLUSIONS

There were no significant differences in the level of PTG in terms of demographic indicators, type of cancer, current state of disease, or type of treatment. It was found that it was important for patients to perceive that their disease had been beneficial in a certain way. It was also important that patients made a great effort to regulate distress, which can occur when coping with the negative consequences of a disease, and at the same time, it is important for the process of PTG.

摘要

目的

创伤后成长(PTG)的发生率主要在经历典型创伤事件后进行研究,如战争、暴力、丧亲、车辆事故等。研究表明,癌症后也会发生 PTG。本文介绍了一项专注于 PTG 及其相关因素的研究结果,这些因素与血液病患者(N=72)的创伤特定反应有关。从人口统计学特征、疾病特征和治疗的角度分析了 PTG 水平的差异。

方法

使用创伤后成长量表-捷克语版(PTGI-CZ)测量 PTG。使用测量益处发现的工具[儿童益处发现量表-捷克语版(BFSC-CZ)]、耐痛苦能力[耐痛苦量表(DTS)]、希望[成人希望特质量表(AHTS)]和乐观[修订生活取向测验(LOT-R)]来测量相关变量。

结果

回归分析发现,对疾病益处的更高感知(益处发现)和更大努力调节痛苦感(痛苦调节)解释了 PTG 变异的 67.1%。

结论

在人口统计学指标、癌症类型、疾病当前状态或治疗类型方面,PTG 的水平没有显著差异。研究发现,患者认为自己的疾病在某种程度上有益是很重要的。患者还需要努力调节痛苦,这在应对疾病的负面后果时很重要,同时,这对 PTG 过程也很重要。

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