Park Crystal L, Magin Zachary E, Bellizzi Keith M, Sanft Tara
University of Connecticut, Storrs, Connecticut, USA.
Yale School of Medicine, New Haven, Connecticut, USA.
Psychooncology. 2024 Dec;33(12):e70040. doi: 10.1002/pon.70040.
Spirituality is an important domain of well-being for cancer survivors, yet we know little about the different trajectories of survivors' spiritual well-being across the transition from active treatment to survivorship. Further, the specific psychosocial resources and coping efforts that might predict distinct trajectories of spiritual well-being have yet to be identified.
In this study, we characterized trajectories of survivors' spiritual well-being (peace, meaning, faith) across the first year of survivorship and examined whether social support and coping strategies predicted these trajectories.
Participants (N = 482) completed five surveys over the course of a year following a diagnosis of breast (63.5%), prostate (25.7%), or colorectal cancer (10.8%). We used latent class linear mixed modeling to identify spiritual well-being trajectory classes (FACIT-Sp) and employed multinomial logistic regression models to examine whether social support and specific coping styles predicted class membership.
While the majority of our sample had moderate levels of spiritual well-being, over one-third reported very low levels of peace. Distinct latent classes for peace (four classes), meaning (five classes), and faith (five classes) were identified among adult cancer survivors transitioning from treatment to survivorship. Higher social support and adaptive coping predicted greater likelihood of belonging to classes that maintained higher levels of peace, meaning, and faith following cancer treatment.
Cancer survivors show unique trajectories of spiritual well-being as they transition from active treatment to survivorship. Social support and coping may be important resources for maintaining spiritual well-being during this critical transition period.
精神性是癌症幸存者健康的一个重要领域，但我们对幸存者从积极治疗过渡到康复期期间精神健康的不同轨迹知之甚少。此外，尚未确定可能预测精神健康不同轨迹的具体心理社会资源和应对努力。
在本研究中，我们描述了幸存者在康复期第一年的精神健康轨迹（安宁、意义、信仰），并研究了社会支持和应对策略是否能预测这些轨迹。
参与者（N = 482）在被诊断为乳腺癌（63.5%）、前列腺癌（25.7%）或结直肠癌（10.8%）后的一年中完成了五项调查。我们使用潜在类别线性混合模型来识别精神健康轨迹类别（FACIT-Sp），并采用多项逻辑回归模型来研究社会支持和特定应对方式是否能预测类别归属。
虽然我们样本中的大多数人精神健康水平中等，但超过三分之一的人报告安宁水平非常低。在从治疗过渡到康复期的成年癌症幸存者中，确定了安宁（四类）、意义（五类）和信仰（五类）的不同潜在类别。更高的社会支持和适应性应对预示着更有可能属于在癌症治疗后保持较高安宁、意义和信仰水平的类别。
癌症幸存者从积极治疗过渡到康复期时，表现出独特的精神健康轨迹。在这个关键的过渡时期，社会支持和应对可能是维持精神健康的重要资源。
