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展望未来:癌症青年患者的时间观念、内心平静与目标导向之间的关系

Thinking About the Future: Relationships Between Time Perspective, Peace of Mind, and Goal Navigation Among Young Adults With Cancer.

作者信息

Darabos Katie, McHugh Sean, Ahmad Zeba

机构信息

Department of Health Behavior, Society, and Policy, Rutgers School of Public Health; Division of Cancer Prevention and Control, Rutgers Cancer Institute of New Jersey.

Department of Health Behavior, Society, and Policy, Rutgers School of Public Health.

出版信息

Cancer Care Res Online. 2025 Jul;5(3). doi: 10.1097/cr9.0000000000000074. Epub 2025 May 23.

Abstract

BACKGROUND

Cancer, particularly during young adulthood, can alter one's perspective about the future, which may play a major role in one's ability to identify new life goals and challenge existing important life goals. Peace of mind (i.e., the ability to find harmony, reach deep down for comfort, and have confidence that things will be okay) may be particularly beneficial in the context of having a negative outlook on the future and goal navigation.

OBJECTIVE

This study investigated relationships among future negative time perspective (FNTP), peace of mind, and goal navigation among young adults (YAs) with cancer.

METHODS

YAs (=56, =34.8), recruited through cancer organizations and via the Pennsylvania Cancer Registry, completed measures of FNTP, peace of mind, and goal navigation.

RESULTS

Controlling for relevant covariates, peace of mind moderated the relationship between FNTP and goal navigation (=0.25, 95% CI: 0.01, 0.04). High FNTP was associated with lower goal navigation, particularly among those with low peace of mind.

CONCLUSIONS

The extent to which YAs adopt a FNTP contributes to declines in goal navigation. YAs with low peace of mind might be at heightened risk for the interference of FNTP in anticipating and planning for the future.

IMPLICATIONS FOR PRACTICE

Interventions and clinical care aimed at increasing peace of mind might be particularly helpful in facilitating goal navigation for YAs with negative outlooks for the future.

FOUNDATIONAL

This study contributes to a better understanding of the role of peace of mind on FNTP and navigating goals among YAs with cancer.

摘要

背景

癌症,尤其是在青年时期,会改变一个人对未来的看法,这可能在其确定新的生活目标和挑战现有的重要生活目标的能力中起主要作用。内心的平静(即找到和谐、深入寻求安慰并相信事情会好起来的能力)在对未来持消极看法和目标导航的背景下可能特别有益。

目的

本研究调查了患有癌症的青年成年人(YAs)的未来消极时间观(FNTP)、内心平静和目标导航之间的关系。

方法

通过癌症组织和宾夕法尼亚癌症登记处招募了YAs(n = 56,平均年龄 = 34.8岁),他们完成了FNTP、内心平静和目标导航的测量。

结果

在控制了相关协变量后,内心平静调节了FNTP与目标导航之间的关系(β = 0.25,95%置信区间:0.01,0.04)。高FNTP与较低的目标导航相关,特别是在内心平静程度低的人群中。

结论

YAs采用FNTP的程度会导致目标导航能力下降。内心平静程度低的YAs在FNTP干扰未来预期和规划方面可能面临更高风险。

对实践的启示

旨在增强内心平静的干预措施和临床护理可能对促进对未来持消极看法的YAs的目标导航特别有帮助。

基础研究

本研究有助于更好地理解内心平静在患有癌症的YAs的FNTP和目标导航中的作用。

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Cancer statistics for adolescents and young adults, 2020.青少年和青年癌症统计数据,2020 年。
CA Cancer J Clin. 2020 Nov;70(6):443-459. doi: 10.3322/caac.21637. Epub 2020 Sep 17.

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