Wan Xiao, Huang Haitao, Peng Qianwen, Zhang Yiming, Hao Jiwei, Lu Guangli, Chen Chaoran
College of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, Henan, China.
School of Business, Institute of Business Administration, Henan University, Kaifeng, China.
Front Psychol. 2022 Sep 29;13:926383. doi: 10.3389/fpsyg.2022.926383. eCollection 2022.
Posttraumatic growth (PTG) has been correlated with coping style among patients with breast cancer. However, to date, there is no consensus on the extent to which coping style is associated with PTG in patients with breast cancer. Therefore, we performed a meta-analysis to quantitatively synthesize previous findings. Based on the PRISMA method, this study employed a random effects model using the Stata software (version 16.0) to calculate the pooled correlation coefficient and examined a range of moderators: cancer stage, publication type, participants' age, and coping style measurement tools. Relevant studies, published from inception to 9 March 2022, were identified through a systematic search in PubMed, Embase, Web of Science, PsycINFO, WANFANG DATA, Chinese National Knowledge Infrastructure (CNKI), and China Science and Technology Journal Database (VIP) databases. Finally, 20 studies involving 3,571 breast cancer patients were included in this investigation. The results showed a high positive relation between confrontation coping and PTG and a moderate positive relation between avoidance coping and PTG (confrontation: = 0.456; avoidance: = 0.291). Additionally, a moderate negative relation was identified between acceptance-resignation coping and PTG ( = -0.289). Publication type and coping style measurement tools moderated the relation between coping style and PTG among breast cancer patients. The findings indicated that breast cancer patients should either confront the disease or avoid coping with it according to their disease state, which would facilitate better growth. More studies, especially, large prospective studies, are warranted to verify our findings.
[https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022319107], identifier [CRD42022319107].
创伤后成长(PTG)与乳腺癌患者的应对方式相关。然而,迄今为止,关于应对方式与乳腺癌患者PTG的关联程度尚无共识。因此,我们进行了一项荟萃分析,以定量综合先前的研究结果。基于PRISMA方法,本研究使用Stata软件(版本16.0)采用随机效应模型计算合并相关系数,并考察了一系列调节因素:癌症分期、出版物类型、参与者年龄和应对方式测量工具。通过在PubMed、Embase、Web of Science、PsycINFO、万方数据、中国知网(CNKI)和中国科技期刊数据库(VIP)数据库中进行系统检索,确定了从开始到2022年3月9日发表的相关研究。最终,本调查纳入了20项涉及3571例乳腺癌患者的研究。结果显示,面对应对与PTG之间存在高度正相关,回避应对与PTG之间存在中度正相关(面对应对: = 0.456;回避应对: = 0.291)。此外,认同-顺从应对与PTG之间存在中度负相关( = -0.289)。出版物类型和应对方式测量工具调节了乳腺癌患者应对方式与PTG之间的关系。研究结果表明,乳腺癌患者应根据自身病情状态面对疾病或避免应对疾病,这将有助于更好地成长。需要更多的研究,尤其是大型前瞻性研究,来验证我们的研究结果。
[https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022319107],标识符[CRD42022319107]。