Park Crystal L, Cho Dalnim
University of Connecticut, Department of Psychological Sciences, Storrs, CT, United States.
Psychooncology. 2017 Sep;26(9):1293-1300. doi: 10.1002/pon.4145. Epub 2016 May 16.
Spirituality is related to many aspects of cancer survivors' physical and psychological adjustment. Given their unique developmental issues, spiritual issues may be especially important to adolescent and young adult (AYA) survivors, yet little research has been conducted on spirituality with AYA survivors. The present study examines how two aspects of spirituality, spiritual well-being (comprising faith and meaning/peace), and spiritual struggle relate to later post-cancer adjustment.
At Time 1 (T1), 120 AYA survivors completed questionnaires on spirituality and adjustment (fear of recurrence, post-traumatic stress symptoms, perceived post-traumatic growth, psychological distress, and health-related quality of life). Eighty-three of these participants also completed these questionnaires at Time 2 (T2), one year later.
Our sample reported fairly low spiritual well-being (meaning/peace, faith) and spiritual struggle. As expected, T1 spiritual well-being was positively correlated with some aspects of psychological adjustment at T2, whereas T1 spiritual struggle was inversely correlated with T2 psychological adjustment. Both dimensions of T1 spiritual well-being, but not struggle, were positively associated with perceived T2 posttraumatic growth. In general, T1 spiritual well-being and struggle correlated with T2 psychological adjustment even when demographics and cancer-related variables were controlled.
These results suggest that while spirituality is not important to all AYA survivors, both spiritual well-being and struggle have important associations with adjustment and may warrant clinical attention. Future research is needed to more fully understand the role of spirituality in AYA survivors' adjustment in more depth. Copyright © 2016 John Wiley & Sons, Ltd.
精神性与癌症幸存者身体和心理调适的多个方面相关。鉴于青少年和青年（AYA）幸存者存在独特的发育问题，精神性问题对他们可能尤为重要，但针对AYA幸存者精神性的研究却很少。本研究考察精神性的两个方面，即精神幸福感（包括信仰与意义/安宁）和精神挣扎，与癌症康复后的调适情况之间的关系。
在时间点1（T1），120名AYA幸存者完成了关于精神性和调适情况（对复发的恐惧、创伤后应激症状、感知到的创伤后成长、心理困扰以及与健康相关的生活质量）的问卷调查。其中83名参与者在一年后的时间点2（T2）也完成了这些问卷。
我们的样本报告的精神幸福感（意义/安宁、信仰）和精神挣扎程度相当低。正如预期的那样，T1时的精神幸福感与T2时心理调适的某些方面呈正相关，而T1时的精神挣扎与T2时的心理调适呈负相关。T1时精神幸福感的两个维度，而非精神挣扎，与T2时感知到的创伤后成长呈正相关。总体而言，即使在控制了人口统计学和癌症相关变量的情况下，T1时的精神幸福感和精神挣扎与T2时的心理调适仍存在关联。
这些结果表明，虽然精神性对所有AYA幸存者并非都重要，但精神幸福感和精神挣扎都与调适情况有重要关联，可能值得临床关注。未来需要开展更多研究，以更全面、深入地了解精神性在AYA幸存者调适中的作用。版权所有© 2016约翰·威利父子有限公司。
