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Major depression disorder may causally associate with the increased breast cancer risk: Evidence from two-sample mendelian randomization analyses.重度抑郁症可能与乳腺癌风险增加存在因果关系:来自两样本孟德尔随机化分析的证据。
Cancer Med. 2023 Jan;12(2):1984-1996. doi: 10.1002/cam4.5043. Epub 2022 Jul 19.
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Prevalence of depression, trait anxiety, and social support during the diagnostic phases of breast cancer.乳腺癌诊断阶段的抑郁、特质焦虑及社会支持患病率
J Taibah Univ Med Sci. 2021 Mar 17;16(4):497-503. doi: 10.1016/j.jtumed.2021.01.013. eCollection 2021 Aug.
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Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies.抑郁和焦虑与癌症发病率和死亡率的关系:队列研究的系统评价和荟萃分析。
Mol Psychiatry. 2020 Jul;25(7):1487-1499. doi: 10.1038/s41380-019-0595-x. Epub 2019 Nov 19.
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Number of Risky Lifestyle Behaviors and Breast Cancer Risk.危险生活方式行为的数量与乳腺癌风险
JNCI Cancer Spectr. 2018 Jul 19;2(3):pky030. doi: 10.1093/jncics/pky030. eCollection 2018 Jul.
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Mindfulness and metacognition in facing with fear of recurrence: A proof-of-concept study with breast-cancer women.面对恐惧复发时的正念和元认知:一项针对乳腺癌女性的概念验证研究。
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6
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8
Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.全球癌症统计数据 2018:GLOBOCAN 对全球 185 个国家/地区 36 种癌症的发病率和死亡率的估计。
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9
A comparison of metacognitive factors among patients with cancer and the control group.癌症患者与对照组之间元认知因素的比较。
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10
Possible role of stress, coping strategies, and life style in the development of breast cancer.压力、应对策略和生活方式在乳腺癌发生发展中的潜在作用。
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乳腺癌女性的主观和个人特征:疾病风险和病程的因子模型。

Subjective and Personal Characteristics of Women with Breast Cancer: A Factorial Model of Disease Risks and the Course of Disease.

机构信息

Psychology Faculty, National Research Tomsk State University, Tomsk, Russia.

Psychology and Pedagogy, Chelyabinsk State University, Chelyabinsk, Russia.

出版信息

Asian Pac J Cancer Prev. 2023 Nov 1;24(11):3931-3938. doi: 10.31557/APJCP.2023.24.11.3931.

DOI:10.31557/APJCP.2023.24.11.3931
PMID:38019253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10772762/
Abstract

OBJECTIVE

The purpose of this study was to evaluate psychological factors influencing the incidence of breast cancer in women.

METHODS

Basic beliefs, coping strategies, hardiness, subjective control, personal helplessness and independence were studied in 184 women, of which 80 women diagnosed with breast cancer, 104 women without a cancer diagnosis. All study participants completed psychodiagnostic methods and sociodemographic questionnaires. First, we analyzed differences in the psychological characteristics of women depending on the presence of an oncological diagnosis (F - Fisher's test). Second, we conducted factor analysis (principal component analysis with Varimax with Kaiser Normalization) to obtain psychological risk factors for breast cancer in women.

RESULTS

Distinctive psychological characteristics of women with breast cancer have been discovered. Women with breast cancer underestimate their worth and importance (p=0.021), as well as their luck (p=0.006) and the ability to control events in their lives (p=0.019). Women with breast cancer are very independent (arrogance) (p=0.000), rarely use confrontation-type coping (p=0.05), positive reappraisal (p=0.05), and planful problem-solving (p=0.035). Women diagnosed with breast cancer have an external locus of control (p=0.002), and are low hardiness (p=0.029). The listed features that distinguish women with breast cancer from cancer-free women were considered as probabilistic psychological risk factors for breast cancer. As a result of factor analysis, a model was obtained that included psychological factors associated with breast cancer in women: Independence (arrogance) (28.88% of variance), Belief system (24.83% of variance), Maladaptive coping (20.17% of variance).

CONCLUSIONS

Extreme independence, beliefs about one's failure, insignificance and inability to control life, as well as maladaptive coping are probabilistic psychological risk factors for breast cancer among Russian women.

摘要

目的

本研究旨在评估影响女性乳腺癌发病的心理因素。

方法

在 184 名女性中研究了基本信念、应对策略、坚韧、主观控制、个人无助和独立性,其中 80 名女性被诊断患有乳腺癌,104 名女性未被诊断患有癌症。所有研究参与者均完成了心理诊断方法和社会人口学问卷。首先,我们分析了存在肿瘤诊断的女性在心理特征上的差异(F- Fisher 检验)。其次,我们进行了因子分析(主成分分析与 Varimax 与 Kaiser 标准化),以获得女性乳腺癌的心理危险因素。

结果

发现了乳腺癌女性的独特心理特征。乳腺癌女性低估了自己的价值和重要性(p=0.021),以及自己的运气(p=0.006)和对生活中事件的控制能力(p=0.019)。乳腺癌女性非常独立(傲慢)(p=0.000),很少使用对抗型应对(p=0.05)、积极的重新评价(p=0.05)和有计划的解决问题(p=0.035)。被诊断患有乳腺癌的女性具有外部控制点(p=0.002),且坚韧程度较低(p=0.029)。将这些特征与未患癌症的女性进行区分,这些特征被认为是乳腺癌的概率心理危险因素。通过因子分析,得到了一个包含女性乳腺癌相关心理因素的模型:独立性(傲慢)(28.88%的方差)、信念系统(24.83%的方差)、适应不良应对(20.17%的方差)。

结论

极端独立、对失败、不重要和无法控制生活的信念,以及适应不良的应对是俄罗斯女性乳腺癌的概率心理危险因素。