Department of Psychological & Brain Sciences, University of Iowa, Iowa City, IA, USA.
Institute of Clinical and Translational Sciences, University of Iowa Hospital & Clinics, Iowa City, IA, USA.
J Psychosoc Oncol. 2024;42(3):299-314. doi: 10.1080/07347332.2023.2244474. Epub 2023 Aug 17.
This study was designed to examine (1) whether ovarian cancer (OC) survivors would have greater well-being vs. elevated distress compared to community members during a universal health stressor (COVID-19) and (2) how resources and risk factors at diagnosis predicted vulnerability to a subsequent health-related stressor.
One hundred seventeen OC survivors were recruited from two academic medical centers and compared to a community-based sample on COVID-related distress and disruption. Latent class analysis identified differentially impacted groups of survivors.
Survivors reported lower distress than community members. Predictors of higher distress included shorter-term survivorship, greater disruption, and poorer emotional well--being (EWB) at diagnosis. Survivors were divided into high- and low-COVID-19-impact subgroups; high-impact individuals endorsed higher perceived stress and lower EWB at diagnosis.
Survivors reported lower COVID-related distress than community participants. While depression at diagnosis did not predict later distress, EWB was a strong predictor of response to a novel health-related stressor.
本研究旨在考察（1）在普遍的健康压力源（COVID-19）期间，卵巢癌（OC）幸存者与社区成员相比，幸福感是否更高，而不是苦恼程度更高，以及（2）诊断时的资源和风险因素如何预测对随后的与健康相关的压力源的脆弱性。
从两家学术医疗中心招募了 117 名 OC 幸存者，并与社区样本就与 COVID 相关的困扰和中断进行了比较。潜在类别分析确定了受影响程度不同的幸存者群体。
幸存者报告的困扰程度低于社区成员。较高困扰的预测因素包括较短的生存期、更大的干扰和诊断时较差的情绪健康（EWB）。幸存者被分为高和低 COVID-19 影响亚组；高影响个体在诊断时报告的感知压力更高，情绪健康状况更差。
与社区参与者相比，幸存者报告的 COVID 相关困扰程度较低。虽然诊断时的抑郁程度并未预测以后的困扰，但 EWB 是对新的与健康相关的压力源反应的强有力预测因素。
