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拉丁裔晚期癌症患者的家庭功能与心理社会症状

Family functioning and psychosocial symptoms among Latinx patients coping with advanced cancer.

机构信息

School of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, Ponce, PR, USA.

Department of Psychiatry and Human Behavior, School of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, New York, NY, USA.

出版信息

Palliat Support Care. 2023 Jun;21(3):461-464. doi: 10.1017/S1478951522001201.

Abstract

OBJECTIVES

This brief report aims to describe and determine the association of family functioning (e.g., cohesion and expressiveness) with psychosocial needs among Spanish Latinx patients coping with advanced cancers.

METHODS

Descriptive and correlation analyses were performed on data from 103 patients coping with advanced cancer (Stages III and IV). The measures used were the Family Relationships Index, the Hospital Anxiety and Depression Scale, and the Functional Assessment of Cancer Therapy: General.

RESULTS

Results indicated that most of the participants had low family function (65%). Participants with higher family functioning (35%) had high levels of quality of life [(103) .318,  < .002]. A higher level of quality of life was also strongly associated with lower levels of anxiety [(95) -.653,  < .000], lower levels of depression [(95) -.733,  < .000], and lower levels of hopelessness [(95) -.585,  = .000]. A total of 22.3% of Latinx advanced cancer patients reported poor cohesiveness; those with low cohesiveness also had higher levels of depression [(103) -.28,  = .004] and anxiety [(103) -.27,  = .005]. Correlations between expressiveness and hopelessness were significant; namely, those with higher expressiveness had lower hopelessness [(103) -.274,  = .005].

SIGNIFICANCE OF RESULTS

Findings present a high correlation between family functioning and psychosocial symptoms.

摘要

目的

本简要报告旨在描述并确定家庭功能(例如,凝聚力和表达性)与西班牙裔拉丁裔患者应对晚期癌症的心理社会需求之间的关联。

方法

对 103 名晚期癌症(第三和第四阶段)患者的数据进行描述性和相关性分析。使用的测量工具包括家庭关系指数、医院焦虑和抑郁量表以及癌症治疗功能评估:一般。

结果

结果表明,大多数参与者的家庭功能较低(65%)。家庭功能较高(35%)的参与者生活质量水平较高[(103).318,<.002]。生活质量水平较高也与焦虑水平较低[(95) -.653,<.000]、抑郁水平较低[(95) -.733,<.000]和绝望水平较低[(95) -.585,=.000]密切相关。共有 22.3%的拉丁裔晚期癌症患者报告家庭凝聚力差;凝聚力低的患者抑郁水平较高[(103) -.28,=.004]和焦虑水平较高[(103) -.27,=.005]。表达性和绝望感之间存在显著相关性;即,表达性较高的患者绝望感较低[(103) -.274,=.005]。

结果的意义

研究结果表明家庭功能与心理社会症状之间存在高度相关性。

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