Institut Català d'Oncologia, Barcelona, Spain.
Institut d'Investigació Biomèdica de Bellvitge, Barcelona, Spain.
Psychooncology. 2018 Aug;27(8):1971-1978. doi: 10.1002/pon.4753. Epub 2018 May 25.
Changes perceived as both positive (eg, posttraumatic growth [PTG]) and negative (eg, posttraumatic stress symptoms [PTSS]) have been associated with intensive Internet use among breast cancer survivors. In this multicenter study, we analyzed the role of PTG and PTSS on the amount of time spent looking for online cancer information, its content, and its psychological impact.
Posttraumatic stress symptoms and PTG were assessed in 182 breast cancer survivors by using the Post-traumatic Stress Disorder Checklist and Post-traumatic Growth Inventory questionnaires. Subjects also completed a questionnaire about their behavior when looking for online illness-related information (ie, time spent, type of contents, and psychological impact).
Posttraumatic stress symptoms positively correlated with the amount of time spent looking for cancer-related information, including both medical and psychosocial content. By contrast, PTG showed no relationships with the amount of time, but with a predominant search for cancer-related psychosocial information. The psychological impact of online information was associated with participants' levels of PTG and/or PTSS. Whereas PTG was related to a decrease of women's hope, PTSS was linked to the perception of being less conscious or inadequately informed about the illness, thereby increasing feelings of distress.
Posttraumatic stress symptoms and PTG show relationships with the amount of time spent online, the type of information accessed online, and the psychological impact of Internet use. Health professionals should prescribe online information according to the psychological response to cancer. There is a need for professional-led online resources to provide patients with timely information as well as support sites to facilitate psychological adjustment.
创伤后成长（PTG）和创伤后应激症状（PTSS）等被认为是积极的变化，以及被认为是消极的变化（例如，创伤后应激症状），都与乳腺癌幸存者的互联网使用强度有关。在这项多中心研究中，我们分析了 PTG 和 PTSS 对在线寻找癌症信息的时间、内容及其心理影响的作用。
通过使用创伤后应激障碍检查表和创伤后成长清单问卷，评估了 182 名乳腺癌幸存者的创伤后应激症状和 PTG。受试者还完成了一份关于他们在线寻找疾病相关信息时的行为的问卷（即，花费的时间、内容类型和心理影响）。
创伤后应激症状与寻找癌症相关信息的时间呈正相关，包括医学和心理社会内容。相比之下，PTG 与时间量无关，但与对癌症相关心理社会信息的主要搜索有关。在线信息的心理影响与参与者的 PTG 和/或 PTSS 水平有关。虽然 PTG 与女性希望感的降低有关，但 PTSS 与对疾病的意识较低或了解不足有关，从而增加了痛苦感。
创伤后应激症状和 PTG 与在线时间量、在线获取信息的类型以及互联网使用的心理影响有关。健康专业人员应根据对癌症的心理反应来规定在线信息。需要专业人员主导的在线资源，以便为患者提供及时的信息以及支持网站，以促进心理调整。
