Deshields Teresa L, Heiland Mark F, Kracen Amanda C, Dua Priya
Siteman Counseling Service, Siteman Cancer Center, St. Louis, MO, United States.
National Agricultural Statistics Service, U.S. Department of Agriculture, St. Louis, MO, United States.
Psychooncology. 2016 Jan;25(1):11-8. doi: 10.1002/pon.3800. Epub 2015 Mar 18.
Resilience is a construct addressed in the psycho-oncology literature and is especially relevant to cancer survivorship. The purpose of this paper is to propose a model for resilience that is specific to adults diagnosed with cancer.
To establish the proposed model, a brief review of the various definitions of resilience and of the resilience literature in oncology is provided.
The proposed model includes baseline attributes (personal and environmental) which impact how an individual responds to an adverse event, which in this paper is cancer-related. The survivor has an initial response that fits somewhere on the distress-resilience continuum; however, post-cancer experiences (and interventions) can modify the initial response through a process of recalibration.
The literature reviewed indicates that resilience is a common response to cancer diagnosis or treatment. The proposed model supports the view of resilience as both an outcome and a dynamic process. Given the process of recalibration, a discussion is provided of interventions that might facilitate resilience in adults with cancer.
心理肿瘤学文献中探讨了复原力这一概念，它与癌症幸存者尤其相关。本文旨在提出一个针对被诊断患有癌症的成年人的复原力模型。
为建立所提出的模型，对复原力的各种定义以及肿瘤学领域的复原力文献进行了简要回顾。
所提出的模型包括基线属性（个人和环境方面），这些属性会影响个体对不良事件的反应方式，本文中的不良事件即与癌症相关的事件。幸存者最初的反应处于痛苦 - 复原力连续体的某个位置；然而，癌症后的经历（以及干预措施）可以通过重新校准过程改变最初的反应。
所回顾的文献表明，复原力是对癌症诊断或治疗的常见反应。所提出的模型支持将复原力视为一种结果和一个动态过程的观点。鉴于重新校准过程，本文讨论了可能有助于癌症成年患者增强复原力的干预措施。
