From the Faculty of Graduate Studies Oranim Academic College of Education, Kiryat Tiv'on, Israel.
Cancer J. 2021;27(2):83-89. doi: 10.1097/PPO.0000000000000505.
This study examined the relations between subjective stress and strategies for coping with stress (emotion control strategies and self-compassion), as well as the relations between emotional distress and fatigue.
The study used a cross-sectional survey design. Participants were 170 women aged 24 to 82 years with diagnoses of breast cancer stages I to III who were 1 to 12 months postchemotherapy, with no current evidence of disease and no previous cancer diagnosis. Participants were recruited by consecutive sampling, and the overall response rate was 85%.
Higher subjective stress was associated with higher emotional control (r = 0.23, P < 0.01), and both were associated with higher emotional distress (r = 0.63, P < 0.001; r = 0.20, P < 0.05). Lower self-compassion was associated with higher emotional distress (r = -0.20, P < 0.05). Fatigue exhibited a high association with emotional distress (r = 0.67, P < 0.001), which increased as subjective stress increased. Older age was associated with emotional control (r = 0.16, P < 0.05), whereas younger age was associated with emotional distress. Time elapsed since chemotherapy was negatively associated with both emotional distress (r = -0.19, P < 0.05) and fatigue (r = -0.18, P < 0.05). A strong positive association emerged between fatigue and emotional distress (r = 0.67, P < 0.001).
The results of this study underline the importance of self-compassion as a coping strategy to decrease emotional distress among breast cancer survivors.
本研究考察了主观压力与应对压力的策略（情绪控制策略和自我同情）之间的关系，以及情绪困扰与疲劳之间的关系。
本研究采用横断面调查设计。参与者为 170 名年龄在 24 岁至 82 岁之间、患有 I 期至 III 期乳腺癌且化疗后 1 至 12 个月、无疾病证据且无先前癌症诊断的女性。参与者通过连续抽样招募，总体应答率为 85%。
较高的主观压力与较高的情绪控制（r = 0.23，P < 0.01）相关，两者均与较高的情绪困扰相关（r = 0.63，P < 0.001；r = 0.20，P < 0.05）。较低的自我同情与较高的情绪困扰相关（r = -0.20，P < 0.05）。疲劳与情绪困扰高度相关（r = 0.67，P < 0.001），随着主观压力的增加而增加。年龄较大与情绪控制相关（r = 0.16，P < 0.05），而年龄较小与情绪困扰相关。距化疗时间的流逝与情绪困扰（r = -0.19，P < 0.05）和疲劳（r = -0.18，P < 0.05）均呈负相关。疲劳与情绪困扰之间存在强烈的正相关关系（r = 0.67，P < 0.001）。
本研究结果强调了自我同情作为应对策略的重要性，可减少乳腺癌幸存者的情绪困扰。
