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探讨癌症幸存者和无癌症病史女性在怀孕期间心理方面的差异。

Exploring differences in psychological aspects during pregnancy between cancer survivors and women without a history of cancer.

机构信息

CRIdee, Department of Psychology, Catholic University of Milan, Milan, Italy.

Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology IRCCS, Milan, Italy.

出版信息

Support Care Cancer. 2020 May;28(5):2255-2263. doi: 10.1007/s00520-019-05048-w. Epub 2019 Aug 28.

Abstract

Young cancer survivors often wish to bear a child after oncological treatments, as they might not have started or completed their families. As young cancer survivors have a higher risk of developing psychological difficulties, this study investigated whether there were significant differences in psychological aspects between pregnant women who received a cancer diagnosis in the past and pregnant women without a history of cancer. A total of 123 pregnant women, of which 36 were cancer survivors and 87 women without a history of cancer, were recruited during their last trimester at different hospitals in Northern Italy. Patients were asked to complete a socio-demographic profile and questionnaires measuring mood states, post-traumatic symptoms, centrality of the pregnancy and cancer event, quality of life, and prenatal attachment. Cancer survivors had significantly higher levels of PTSD symptoms, perceived pregnancy as more central to their identity and life story, perceived lower quality of life and had lower intensity of prenatal attachment compared with the control group. Centrality of the cancer event did not correlate with any psychological variables. Preliminary results suggest that a past cancer diagnosis can influence the mother's psychological functioning and the development of the relationship with their child.

摘要

年轻的癌症幸存者在接受肿瘤治疗后,往往希望生育子女,因为他们可能尚未组建或完成家庭。由于年轻的癌症幸存者出现心理问题的风险较高,因此本研究调查了过去被诊断患有癌症的孕妇和没有癌症病史的孕妇在心理方面是否存在显著差异。本研究共招募了 123 名孕妇,其中 36 名是癌症幸存者,87 名是没有癌症病史的孕妇,她们在意大利北部的不同医院处于妊娠晚期。要求患者完成社会人口统计学特征和问卷调查,包括情绪状态、创伤后症状、妊娠和癌症事件的中心性、生活质量和产前依恋。与对照组相比,癌症幸存者的 PTSD 症状明显更严重,她们认为妊娠对其身份和生活故事更重要,生活质量更低,产前依恋程度也更低。癌症事件的中心性与任何心理变量均无相关性。初步结果表明,过去的癌症诊断可能会影响母亲的心理功能和与孩子的关系发展。

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