Department of Research Studies and Additional Projects, Cancer Patients Aid Association, Sumer Kendra, Mumbai, Maharashtra, India.
Psychooncology. 2019 Mar;28(3):629-634. doi: 10.1002/pon.5001. Epub 2019 Feb 6.
The mental adjustment to a breast cancer diagnosis is traumatic and stressful, with wide-ranging differences in the responses observed in Indian women. We investigated the association between demographic features and perceived social support during the adjustment of patients to breast cancer.
A total of 393 patients with breast cancer were included in the study. The patients were evaluated for mental adjustment to cancer and perceived social support on the Mental Adjustment to Cancer Scale and Multidimensional Scale of perceived social support. Regression analysis and bivariate correlation were performed to discern significant demographic features and social support in association with the adjustment to having breast cancer.
Multiple regression analysis revealed that mental adjustment factors accounted for 43% of the variance in fighting spirit and 41% of the variance in helplessness/hopelessness. The results of the multiple regression analysis suggested that age (t = -10.27, P < 0.000) and marital status (t = 3.03, P < 0.000) were predictive of patients' fighting spirit. Age was inversely (t = 9.81, P < 0.01) associated with fighting spirit, whereas family income (t = -3.82, P < 0.000) was inversely predictive of helplessness/hopelessness. Social support from significant others was predictive of a patient's fighting spirit and fatalism mental adjustment, while support from friends was predictive of helplessness/hopelessness.
Demographic factors such as young age and high education are associated with good mental adjustment to breast cancer. Perceived support from significant others may fulfill the need for the socioemotional aspects of patient support that lead to the adjustment to a breast cancer diagnosis in patients.
乳腺癌诊断带来的精神调整是创伤性和压力性的，印度女性的反应差异很大。我们研究了人口统计学特征与乳腺癌患者调整过程中感知到的社会支持之间的关系。
共纳入 393 例乳腺癌患者。采用癌症心理调整量表和多维感知社会支持量表评估患者的心理调整和感知社会支持情况。采用回归分析和双变量相关分析来确定与乳腺癌调整相关的显著人口统计学特征和社会支持。
多元回归分析显示，心理调整因素可以解释 43%的求生意志和 41%的无助/绝望感的变化。多元回归分析的结果表明，年龄（t=-10.27，P<0.000）和婚姻状况（t=3.03，P<0.000）与患者的求生意志有关。年龄与求生意志呈负相关（t=-9.81，P<0.01），而家庭收入（t=-3.82，P<0.000）与无助/绝望感呈负相关。来自重要他人的社会支持可以预测患者的求生意志和宿命论心理调整，而来自朋友的支持可以预测无助/绝望感。
年龄较小和受教育程度较高等人口统计学因素与乳腺癌的良好心理调整有关。来自重要他人的感知支持可以满足患者对社会情感方面支持的需求，从而帮助他们适应乳腺癌诊断。
