Department of Human Development and Family Sciences, University of Connecticut, Storrs, CT 06269, USA.
Department of Psychological Sciences, University of Connecticut, Storrs, CT 06269, USA.
Ann Behav Med. 2024 Mar 12;58(4):253-263. doi: 10.1093/abm/kaae003.
While many studies have investigated the sociodemographic, clinical, and psychosocial factors associated with perceived positive change after cancer, longitudinal work examining how emotion regulation, and resilience impact perceptions of life change among newly diagnosed cancer survivors is lacking.
This study examined the prevalence of perceived positive and negative life changes following cancer and explored the role of emotion regulation and resilience on perceived change over 6 months.
Data from 534 recent survivors of breast, prostate, or colorectal cancer (Mage = 59.3, 36.5% male) collected at baseline (Time 1) and 6-month follow-up (Time 2) were analyzed. Multivariate linear regressions were estimated separately to examine if resilience or emotion regulation were associated with perceived change at Time 2 after controlling for relevant sociodemographic and psychosocial measures.
At both time points, greater than 90% of participants reported at least one perceived positive change while fewer than a third reported a negative change. Indices of emotion regulation and resilience were positively related to perceived positive change at both time points and negatively related to perceived negative change at Time 1. Emotion regulation but not resilience was negatively associated with perceived negative change at Time 2.
Findings suggest that cancer survivors who are less resilient and struggle with emotion regulation are more susceptible to perceptions of fewer positive and greater negative life changes after cancer. As such, psychosocial interventions should be developed to promote resilience and emotional regulation in cancer survivors.
尽管许多研究已经调查了与癌症后感知积极变化相关的社会人口学、临床和心理社会因素，但缺乏纵向研究来考察情绪调节和韧性如何影响新诊断癌症幸存者对生活变化的感知。
本研究调查了癌症后感知积极和消极生活变化的发生率，并探讨了情绪调节和韧性对 6 个月内感知变化的作用。
对 534 名最近被诊断为乳腺癌、前列腺癌或结直肠癌的幸存者（Mage=59.3，36.5%为男性）在基线（时间 1）和 6 个月随访（时间 2）时收集的数据进行了分析。分别进行多元线性回归分析，以检验韧性或情绪调节是否与控制相关社会人口学和心理社会措施后，在时间 2 时感知变化相关。
在两个时间点，超过 90%的参与者报告至少有一种感知的积极变化，而不到三分之一的参与者报告了消极变化。情绪调节和韧性指数与两个时间点的感知积极变化呈正相关，与时间 1 的感知消极变化呈负相关。情绪调节而不是韧性与时间 2 的感知消极变化呈负相关。
研究结果表明，韧性较低和情绪调节困难的癌症幸存者更容易出现癌症后感知积极变化较少和消极变化较多的情况。因此，应开发心理社会干预措施，以提高癌症幸存者的韧性和情绪调节能力。
