a Department of Psychological Sciences , University of Liverpool , Liverpool , UK.
b Liverpool Cancer Psychology Service, Linda McCartney Centre, Royal Liverpool University Hospital , Liverpool , UK.
J Psychosoc Oncol. 2018 Sep-Oct;36(5):545-556. doi: 10.1080/07347332.2018.1440276. Epub 2018 Apr 3.
PURPOSE/OBJECTIVES: Adolescent and young adults who have survived cancer are at an increased risk of psychological distress. This study investigated whether metacognitive beliefs are associated with emotional distress and trauma symptoms in adolescent and young adult (AYA) survivors of cancer independent of known covariates, including current physical health difficulties.
Cross-sectional survey using multiple self-report measures.
Eighty-seven AYA survivors of cancer were recruited from follow-up appointments at an oncology unit and completed self-report questionnaires measuring emotional distress, posttraumatic stress symptoms, metacognitive beliefs, demographic information, and current physical health difficulties. Data were analysed using correlational and hierarchical multiple regression analyses.
Metacognitive beliefs explained an additional 50% and 41% of the variance in emotional distress and posttraumatic stress symptoms, respectively, after controlling for known covariate effects, including current physical health difficulties. Conclusions/Implications for Psychosocial Providers or Policy: The metacognitive model of psychopathology is potentially applicable to AYA survivors of cancer who present with elevated general distress and/or posttraumatic stress symptoms. Prospective studies are required to determine whether metacognitive beliefs and processes have a causal role in distress in AYA survivors of cancer.
目的/目标：患有癌症的青少年和年轻人面临心理困扰的风险增加。本研究调查了元认知信念是否与癌症青少年和年轻人幸存者的情绪困扰和创伤症状有关，而不考虑已知的协变量，包括当前的身体健康困难。
使用多种自我报告措施的横断面调查。
从肿瘤学单位的随访预约中招募了 87 名癌症青少年和年轻人幸存者，并完成了自我报告问卷，测量情绪困扰、创伤后应激症状、元认知信念、人口统计学信息和当前的身体健康困难。使用相关和分层多元回归分析来分析数据。
在控制已知协变量的影响（包括当前身体健康困难）后，元认知信念分别解释了情绪困扰和创伤后应激症状的额外 50%和 41%的方差。结论/对心理社会提供者或政策的影响：心理病理学的元认知模型可能适用于表现出一般困扰和/或创伤后应激症状升高的癌症青少年和年轻人幸存者。需要前瞻性研究来确定元认知信念和过程是否在癌症青少年和年轻人幸存者的困扰中具有因果作用。
