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易患前列腺癌不良结局的退伍军人的韧性和应激负荷。

Resiliency and Allostatic Load among Veterans at Risk for Adverse Prostate Cancer Outcomes.

机构信息

Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC.

Hollings Cancer Center, Medical University of South Carolina, Charleston, SC.

出版信息

Ethn Dis. 2020 Apr 2;30(Suppl 1):177-184. doi: 10.18865/ed.30.S1.177. eCollection 2020.

DOI:10.18865/ed.30.S1.177
PMID:32269459
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7138440/
Abstract

OBJECTIVE

To examine the relationships between resiliency, sociodemographic factors, and allostatic load among male Veterans.

DESIGN/STUDY PARTICIPANTS: Cross-sectional study with minority (African American or Hispanic) and non-minority (White) male Veterans undergoing prostate biopsy.

SETTING

Veterans Affairs Medical Center located in Charleston, SC.

MAIN OUTCOME MEASURES

Self-reported resilience measured using the two item sub-scale from the Connor-Davidson Resiliency Scale and allostatic load determined from biomarkers measured in blood.

RESULTS

In this small sample, bounce-back resilience and allostatic load level had a significant negative correlation, while adaptation resilience and allostatic load were slightly correlated, but the association was not statistically significant. Sixty-six percent of participants reported that they were able to adapt and 40% reported they were able to bounce back. Higher income and lower PSA level were significantly correlated with greater adaptation resilience. Minority men were significantly more likely than non-minority men to report that they are able to bounce back. Married men were also significantly more likely than unmarried men to report that they were able to bounce back.

CONCLUSION

It may be important to target resiliency training programs to Veterans based on their social determinants and to examine the effects of these programs on allostatic load.

摘要

目的

研究韧性、社会人口因素与男性退伍军人应激负荷之间的关系。

设计/研究参与者:进行前列腺活检的少数民族(非裔美国人和西班牙裔)和非少数民族(白种人)男性退伍军人的横断面研究。

地点

位于南卡罗来纳州查尔斯顿的退伍军人事务医疗中心。

主要观察指标

使用 Connor-Davidson 韧性量表的两个项目子量表评估的自我报告韧性,以及血液中测量的生物标志物确定的应激负荷。

结果

在这个小样本中,反弹韧性与应激负荷水平呈显著负相关,而适应韧性与应激负荷略有相关,但关联无统计学意义。66%的参与者报告他们能够适应,40%的参与者报告他们能够反弹。较高的收入和较低的 PSA 水平与更大的适应韧性显著相关。少数民族男性比非少数民族男性更有可能报告他们能够反弹。已婚男性也比未婚男性更有可能报告他们能够反弹。

结论

根据退伍军人的社会决定因素,为他们制定有针对性的韧性培训计划,并检查这些计划对应激负荷的影响可能很重要。

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