中国临床心理学杂志

癌症病人创伤后成长及影响因素现况调查

单位：1. 北京大学心理学系北京100871
2. 北京大学护理学院北京100191
3. 北京大学人民医院北京100044
4. 复旦大学心理学系

分类号：R473.73

出版年,卷(期):页码：2012,20(1):76-79

摘要：

目的:了解癌症病人创伤后成长的现况及影响因素。方法:采用创伤后成长量表(PTGI)、社会支持评定量表(SSRS)对方便取样的80例住院癌症病人进行调查。结果:①女性病人创伤后成长得分高于男性;②有配偶病人创伤后成长得分高于无配偶者;③癌症病人社会支持与创伤后成长呈中度正相关;④回归分析显示社会支持得分、性别和癌症分期是影响癌症病人创伤后成长的显著因素。结论:社会支持、性别和癌症分期是影响癌症病人创伤后成长的显著因素。

Objective: To investigate current situation of posttraumatic growth (PTG) of cancer patients and possible influencing factors, to provide reference to the psychological state of cancer patients. Methods: A total of 80 cancer patients were investigated by filling out Posttraumatic Growth Inventory (PTGI), Social Support Rating Scale (SSRS) and general questionnaire. Results: ①Compared with men, women got higher scores in the PTGI. ②Compared with those cancer patients with no spouse, those cancer patients with spouse got higher scores in the PTGI. ③The social support were positively correlated with posttraumatic growth. ④Regression analysis showed that social support score, gender and cancer staging were the significant factors of patients' posttraumatic growth. Conclusion: Social support, gender and cancer staging are the significant factors of patients' posttraumatic growth.

基金项目：

作者简介：

参考文献：

1 American Psychiatric Association. Diagnostic and statistical manual of mental disorders(4th edn). Washington DC: American Psychiatric Association, 1994
2 黄丽，罗键. 肿瘤心理治疗. 北京：人民卫生出版社，2000.3-4
3 Nesu AM, Nezu CM, Friedman SH, et al. Cancer and its consequences. American Psychological Association, 1998．3-28
4 Taylor SE. Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 1983, 38(11):1161-1173
5 Tedeschi RG, Calhoun LG. The posttraumatic growth in -ventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 1996, 9(3): 455-471
6 Sawyer A, Ayers S, Field A P. Posttraumatic growth and adjustment among individuals with cancer or HIV/AIDS: A meta -analysis. Clinical Psychology Review, 2010, 30 (4):436-447
7 Dirksen S. Search for meaning in long -term cancer sur -vivors. Journal of Advanced Nursing, 1995, 21(4): 628-633
8 Cordova MJ, Cunningham LC, Carlson CR, et al. Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychology, 2001, 20(3): 176-185
9 Thornton AA, Perez MA. Posttraumatic growth in prostate cancer survivors and their partners. Psycho -Oncology,2006, 15(4): 285-296
10 Steel J, Gamblin T, Carr B. Measuring post-traumatic growth in people diagnosed with hepatobiliary cancer: Directions for future research. Oncology Nursing Forum, 2008, 35(4): 643-650
11 Salsman JM, Segerstrom SC, Brechting EH, et al. Posttraumatic growth and PTSD symptomatology among colorectal cancer survivors: A 3 -month longitudinal examination of cognitive processing. Psycho-Oncology, 2009, 18(1): 30-41
12 Ho SM, Chan CL, Ho RT. Posttraumatic growth in Chinese cancer survivors. Psycho-Oncology， 2004, 13(6): 377-389
13 Karanci AN, Erkam A. Variables related to stress-related growth among Turkish breast cancer patients. Stress and Health: Journal of the International Society for the Investigation of Stress, 2007, 23(5): 315-322
14 Schroevers MJ, Teo I. The report of posttraumatic growth in Malaysian cancer patients: relationships with psychological distress and coping strategies. Psycho-Oncology, 2008, 17 (12): 1239-1246
15 陈悦，黄淑慧，甘怡群. 成人PTGI 的问卷的修订和信效度（待发表）
16 Zwahlen D, Hagenbuch N, Carley MI, et al. Posttraumatic growth in cancer patients and partners-effects of role, gender and the dyad on couples’ posttraumatic growth experience.Psycho-Oncology, 2010, 19(1): 12-20
17 Bellizzi KM, Blank TO. Predicting posttraumatic growth in breast cancer survivors. Health Psychology, 2006, 25 (1):47-56
18 Suzanne CL, Sandra GZ, Michael HA, et al. Do sociodemographic and disease -related variables influence benefit -finding in cancer patients? Psycho-Oncology, 2003, 12(5):491
19 Jaarsma TA, Pool G, Sanderman R, et al. Psychometricproperties of the Dutch version of the posttraumatic growth inventory among cancer patients. Psycho-Oncology, 2006,15(10): 911-920
20 Tallman BA, Altmaier E, Garcia C. Finding benefit from cancer. Journal of Counseling Psychology, 2007, 54 (4):481-487

服务与反馈：

【文章下载】【加入收藏】