应对和创伤后压力在促进癌症妇女创伤后成长和生活质量中的作用。

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2023-10-07 DOI:10.1007/s10880-023-09977-x
Amy R Senger, Chelsea G Ratcliff, Robin K Semelsberger, Alejandro Chaoul, Lorenzo Cohen
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引用次数: 0

摘要

Tedeschi和Calhoun的创伤后成长模型(PTG)表明,对创伤事件的侵入性思考,加上有用的应对策略,有助于创伤后成长。该手稿将该模型应用于癌症幸存者样本,将其扩展为将应对策略概念化为“积极”或“逃避”,并将其扩展至包括健康相关的生活质量(HRQOL)。这是对癌症患者子集的二次分析(N = 123)在一项西藏瑜伽的随机临床试验中,该试验考察了进入研究时的应对方式与9个月和15个月后报告的PTG、PTSS(即侵入性思维和回避)以及HRQOL(身体(PCS)和心理(MCS)成分量表)的关系。中介分析显示,较高的基线积极应对预测较高的9个月PTG,这反过来又预测较高的15个月PCS[效果 = .46,95%CI(.06,1.07)]。探索性调节中介分析显示,对癌症的基线侵入性想法越高,预测9个月的PTG越低,这反过来预测15个月的PCS越低,但仅适用于那些报告积极应对能力较低的人[效果 = -.06,95%CI(-16,-003)]。在对癌症进行反思的情况下,积极应对可能在促进PTG和改善后续HRQOL方面发挥关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The Role of Coping and Posttraumatic Stress in Fostering Posttraumatic Growth and Quality of Life Among Women with Breast Cancer.

Tedeschi & Calhoun's model of posttraumatic growth (PTG) suggests that intrusive thoughts about a traumatic event, in combination with helpful coping strategies, facilitates PTG. This manuscript applies this model to a sample of breast cancer survivors, augments it to conceptualize coping strategies as "active" or "avoidant," and extends it to include health-related quality of life (HRQOL). This is a secondary analysis of a subset of breast cancer patients (N = 123) in a randomized clinical trial of Tibetan yoga, which examines the associations of coping at study entry with PTG, PTSS (i.e., intrusive thoughts and avoidance), and HRQOL (physical (PCS) and mental (MCS) component scales) reported 9 and 15 months later. Mediation analyses revealed that higher baseline active coping predicted higher 9-month PTG, which in turn predicted higher 15-month PCS [effect = .46, 95% CI (.06, 1.07)]. Exploratory moderated mediation analyses revealed that higher baseline intrusive thoughts about cancer predicted lower 9-month PTG, which in turn predicted lower 15-month PCS, but only for those reporting low active coping [effect = - .06, 95% CI (- .16, - .003)]. Active coping may play a critical role of fostering PTG and improving subsequent HRQOL in the presence of rumination about cancer.

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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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