癌症护理者解决问题的维度与心理困扰之间的关系。
Relationship between problem solving dimensions and psychological distress among cancer caregivers.
作者信息
Stolker Sarah, Pitzer Kyle A, Koplitz Cathryn, Demiris George, Canfield Shannon M, Parker Oliver Debra, Washington Karla T
机构信息
Washington University in St. Louis Brown School, St. Louis, Missouri, USA.
Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
出版信息
J Psychosoc Oncol. 2025 Mar 13:1-15. doi: 10.1080/07347332.2025.2476142.
BACKGROUND
Family caregivers of patients with cancer face numerous challenges, leading to a heightened risk of psychological distress. Problem-solving abilities of cancer caregivers may influence coping and be relevant in anticipating the level of support needed from palliative care.
OBJECTIVE
Researchers sought to evaluate the relationship between problem-solving dimensions and psychological distress, specifically symptoms of anxiety and depression, among family caregivers of cancer patients receiving outpatient palliative care.
METHODS
Researchers conducted a cross-sectional exploratory study using data from an ongoing multisite clinical trial. Using block-wise linear regression models, they examined the relationship between psychological distress and problem-solving dimensions.
RESULTS
Results identified positive significant associations between negative problem orientation and symptoms of anxiety and depression, and between avoidance problem-solving style and symptoms of depression.
CONCLUSION
Study results shed light on maladaptive problem-solving as influential in cancer caregiver coping, especially as it relates to risk of psychological distress.
背景
癌症患者的家庭照顾者面临众多挑战，导致心理困扰风险增加。癌症照顾者的解决问题能力可能会影响应对方式，并且与预期从姑息治疗中所需的支持水平相关。
目的
研究人员试图评估接受门诊姑息治疗的癌症患者家庭照顾者的解决问题维度与心理困扰（特别是焦虑和抑郁症状）之间的关系。
方法
研究人员使用来自一项正在进行的多中心临床试验的数据进行了一项横断面探索性研究。他们使用逐步线性回归模型来研究心理困扰与解决问题维度之间的关系。
结果
结果表明，消极问题取向与焦虑和抑郁症状之间、回避问题解决方式与抑郁症状之间存在显著正相关。
结论
研究结果揭示了适应不良的问题解决方式对癌症照顾者应对的影响，特别是与心理困扰风险相关的影响。
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