Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona, Passeig de la Vall d'Hebron, 171, 08035, Barcelona, Spain.
Department of Medical Oncology, Complejo Hospitalario de Orense, Orense, Spain.
Support Care Cancer. 2021 Jun;29(6):3367-3373. doi: 10.1007/s00520-020-05954-4. Epub 2021 Jan 3.
BACKGROUND/OBJECTIVE: The impact a cancer diagnosis and its treatment are affected by psychosocial factors and how these factors interrelate among themselves. The objective of this study was to analyze the relationship between optimism and social support in spiritual wellbeing in cancer patients initiating chemotherapy.
A cross-sectional, multi-center (15 sites), prospective study was conducted with 912 cancer patients who had undergone curative surgery for a stage I-III cancer and were to receive adjuvant chemotherapy. They completed the Functional Assessment of Chronic Illness-Spiritual Well-being Scale (FACIT-Sp), Life Orientation Test-Revised (LOT-R), and the Multidimensional Scale of Perceived Social Support (MSPSS).
Significant differences on spirituality scales (meaning/peace and faith) were detected depending on age (≤ 65 vs > 65), sex, marital status, employment, and cancer treatment. Married or partnered participants had significantly higher meaning/peace scores compared to their non-partnered counterparts (p = 0.001). Women, > 65 years, unemployed, and patients treated with chemotherapy and radiotherapy had significantly higher faith scores versus men, ≤ 65 years, employed, and subjects only receiving adjuvant chemotherapy (all p < 0.030). Multivariate analyses indicated that meaning/peace and faith correlated positively with optimism and social support.
During oncological treatment, the positive effects of optimism and social support exhibit a positive correlation with spiritual coping. A brief assessment evaluation of these factors can aid in identifying at risk for a worse adaptation to the disease.
背景/目的：癌症诊断及其治疗受到心理社会因素的影响，这些因素之间相互关联。本研究的目的是分析癌症患者开始化疗时乐观与社会支持对精神健康的关系。
采用横断面、多中心（15 个地点）、前瞻性研究，纳入 912 例接受根治性手术治疗 I-III 期癌症并接受辅助化疗的癌症患者。他们完成了慢性疾病的功能评估-精神健康量表（FACIT-Sp）、生活取向测验修订版（LOT-R）和多维感知社会支持量表（MSPSS）。
根据年龄（≤65 岁与>65 岁）、性别、婚姻状况、就业和癌症治疗，精神健康量表（意义/平静和信仰）存在显著差异。已婚或伴侣组的意义/平静评分明显高于非伴侣组（p=0.001）。女性、>65 岁、失业以及接受化疗和放疗的患者与男性、≤65 岁、就业以及仅接受辅助化疗的患者相比，信仰评分明显更高（均 p<0.030）。多变量分析表明，意义/平静和信仰与乐观和社会支持呈正相关。
在肿瘤治疗过程中，乐观和社会支持的积极作用与精神应对呈正相关。对这些因素进行简要评估可以帮助识别适应疾病较差的风险。
