Bloom J R, Stewart S L, Johnston M, Banks P
School of Public Health, University of California, Berkeley 94720-6370, USA.
Psychooncology. 1998 Mar-Apr;7(2):89-100. doi: 10.1002/(SICI)1099-1611(199803/04)7:2<89::AID-PON293>3.0.CO;2-E.
Our objective was to test a theoretical model that explains quality of life as a function of the intrusiveness of illness encroaching on the different domains of one's life. The intrusiveness of illness is explained not only by disease and treatment related factors, but also by one's psychological and social resources (Devins, 1994). To investigate this issue, a sample of 336 women aged 50 and under, recently diagnosed with breast cancer were interviewed in their homes. Consistent with Devins' model, intrusiveness of illness mediated the effect of disease and treatment factors on quality of life. Contrary to his model, some treatment factors also had direct effects while social and psychological factors had only direct effects on quality of life. Neither time post-diagnosis nor type of treatment affected the psychological component of quality of life.
我们的目标是检验一个理论模型，该模型将生活质量解释为疾病侵扰个人生活不同领域的一种函数关系。疾病的侵扰不仅由与疾病和治疗相关的因素所解释，还由个人的心理和社会资源所解释（德文斯，1994年）。为了研究这个问题，我们对336名年龄在50岁及以下、最近被诊断出患有乳腺癌的女性进行了家访访谈。与德文斯的模型一致，疾病的侵扰介导了疾病和治疗因素对生活质量的影响。与他的模型相反，一些治疗因素也有直接影响，而社会和心理因素仅对生活质量有直接影响。诊断后的时间和治疗类型均未影响生活质量的心理成分。
