与乳腺癌相关的创伤后成长的因素和方面

Sanya Sirpaul
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引用次数: 0

摘要

每八个人中就有一人被诊断出患有乳腺癌,这使乳腺癌成为最常见的恶性肿瘤之一。创伤后成长(Post-traumatic growth,PTG)是指在各种生活维度上功能的积极变化,通常是由这一创伤事件引起的。本研究对之前关于创伤后成长和乳腺癌的研究进行了严格的审查。研究结果表明,创伤后成长在乳腺癌幸存者中很普遍,他们对生活更加珍惜,人际关系更加融洽。出现这种情况有多种因素。虽然极端的后遗症可能会对创伤后成长产生相反的影响,但感知到的情绪强度和轻微的后遗症都会对创伤后成长产生积极的影响。在 PTG 的过程中,人口统计学因素也发挥了作用,较高的 PTG 与较年轻的年龄、较低的教育水平和缺乏大学学位之间存在正相关。然而,分析结果显示,确诊时间与 PTG 之间的关系不尽相同,这就需要在该领域开展更多的定性研究。鉴于自我报告测量的局限性、研究人员解释的主观性以及对西方人群的强调,在解释这些结果时必须谨慎。不过,我们的分析为临床医生和研究人员提供了重要的启示,并强调了促进乳腺癌患者和幸存者创伤后成长的潜力。
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FACTORS CONTRIBUTING TO AND ASPECTS OF POST-TRAUMATIC GROWTH ASSOCIATED WITH BREAST CANCER
One in eight people receive a diagnosis of breast cancer, making it one of the most frequent malignancies. Post-traumatic growth (PTG), which is defined by positive changes in functioning in a variety of life dimensions, is often brought on by this traumatic event. The research that has previously been done on PTG and breast cancer is critically examined in this work. After a thorough search using reliable resources, 25–30 articles were found six of them were chosen based on predetermined standards.The results showcase that post-traumatic growth in the areas of greater appreciation for life and better relationships is common among breast cancer survivors. There are multiple factors involved in this occurrence. Though extreme sequelae may have the opposite effect on PTG, perceived emotional intensityand mild sequelae all positively influence PTG. Coping mechanisms, especially those that are adaptive, are proven essential to PTG.The PTG process is aided by social resources like contact with PTG models (cancer survivors), support from ones spouse and co-workers, and quality of marital support.In PTG, demographic considerations also come into play.There is a positive correlation between higher PTG and younger age, lower education level, and lack of college degree. However, the analysis resulted in mixed results over the association between time since diagnosis and PTG, which calls for additional qualitative study in the area. Given the limitations of self-report measures, the subjectivity of researcher interpretations, and the emphasis on a Western population, care must be taken when interpreting these results. However, our analysis provides significant insights for clinicians and researchers and underscores the potential for promoting posttraumatic growth in breast cancer patients and survivors.
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