a Department of Psychology , University of Otago , Dunedin , Aotearoa/New Zealand.
b Oncology and Haematology Services , Dunedin Hospital , Dunedin , Aotearoa/New Zealand.
Psychol Health. 2019 Apr;34(4):422-437. doi: 10.1080/08870446.2018.1532511. Epub 2019 Jan 4.
The aim of this study was to explore the daily relationship between illness uncertainty, avoidance of uncertainty, well-being and treatment-related distress among patients with cancer receiving treatment with curative intent. It was hypothesised that daily illness uncertainty, daily avoidance of uncertainty and daily treatment-related distress would be negatively associated with daily well-being. It was also hypothesised that daily illness uncertainty and daily avoidance of uncertainty would be positively associated with daily treatment-related distress.
Thirty-one patients receiving oncology treatment with curative intent completed a daily diary for seven consecutive days. Data were analysed using multilevel modelling.
Daily illness uncertainty, avoidance of illness uncertainty, treatment-related distress and well-being.
As hypothesised, on days when patients with cancer reported heightened treatment-related distress they experienced diminished well-being. And on days when patients reported more experiential avoidance of illness uncertainty, they also experienced heightened levels of treatment-related distress. No other daily associations were significant.
These findings indicate that patients with cancer experience day-to-day fluctuations in distress and well-being throughout oncology treatment. Avoidance of illness uncertainty-related thoughts and/or emotions are associated with daily distress, but not daily well-being.
本研究旨在探讨有治愈意图的癌症患者在接受治疗过程中，疾病不确定性、不确定性回避、幸福感和与治疗相关的困扰之间的日常关系。研究假设每日疾病不确定性、每日不确定性回避和每日与治疗相关的困扰与每日幸福感呈负相关。研究还假设每日疾病不确定性和每日不确定性回避与每日与治疗相关的困扰呈正相关。
31 名接受有治愈意图的肿瘤治疗的患者连续七天完成每日日记。使用多层次模型对数据进行分析。
每日疾病不确定性、回避疾病不确定性、与治疗相关的困扰和幸福感。
正如假设的那样，当癌症患者报告治疗相关困扰加剧时，他们的幸福感就会降低。当患者报告更多的疾病不确定性回避体验时，他们也会经历更高水平的治疗相关困扰。没有其他日常关联是显著的。
这些发现表明，癌症患者在整个肿瘤治疗过程中会经历日常的困扰和幸福感波动。对疾病不确定性相关的想法和/或情绪的回避与每日困扰有关，但与每日幸福感无关。
