Roles of benefit finding in psychological and inflammatory adjustments in persons with colorectal cancer: a prospective analysis on the multidimensionality of benefit finding.

IF 2.4 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2025-03-01 Epub Date: 2023-07-24 DOI:10.1080/08870446.2023.2238280

Thomas C Tsai, Gabriela G Lee, Amanda Ting, Michael H Antoni, Armando Mendez, Charles S Carver, Youngmee Kim

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引用次数: 0

Abstract

Objective: This study examined the unique associations of different dimensions of the resilience factor, benefit finding, on concurrent and prospective psychological and biological adjustment outcomes over the first year after a colorectal cancer diagnosis.

Methods and measures: Individuals newly diagnosed with colorectal cancer (n = 133, mean age = 56 years old, 59% female, 46% Hispanic) completed questionnaires assessing the multidimensional aspects of benefit finding around 4 months post-diagnosis (T1). Psychological (depressive symptoms and life satisfaction) and biological [C-reactive protein (CRP) and interleukin-10 (IL-10)] adjustments were assessed at T1 and one-year post-diagnosis (T2).

Results: Structural equation modeling revealed that at T1, greater reprioritization was concurrently related to higher depressive symptoms (p=.020). Lower acceptance, lower empathy, and greater positive self-view predicted higher life satisfaction at T2 (ps<.010). Additionally, lower empathy and greater family valuation predicted higher CRP at T2 (ps<.004), whereas greater positive self-view predicted higher IL-10 at T2 (p=.039). Greater overall benefit finding was associated with lower IL-10 at T1 (p=.013).

Conclusion: Various aspects of benefit finding differentially relate to psychological and inflammatory markers during the first year after diagnosis in persons with colorectal cancer. Interventions designed to specifically enhance positive self-view may promote both the psychological and biological health of individuals with cancer.

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受益发现在结直肠癌患者心理和炎症调整中的作用：受益发现多维度前瞻性分析。

研究目的本研究探讨了抗逆因子 "受益发现 "的不同维度与结直肠癌确诊后第一年的并发和前瞻性心理和生理适应结果之间的独特关联：新确诊为结直肠癌的患者（n = 133，平均年龄 = 56 岁，59% 为女性，46% 为西班牙裔）在确诊后 4 个月左右（T1）完成问卷调查，评估寻找益处的多维性。在 T1 和诊断后一年（T2）对心理（抑郁症状和生活满意度）和生物（C 反应蛋白 (CRP) 和白细胞介素-10 (IL-10)）调整进行了评估：结构方程模型显示，在 T1 阶段，更多的重新优先排序与更高的抑郁症状同时相关（p=.020）。较低的接受度、较低的同理心和较高的积极自我观预示着在 T2 阶段较高的生活满意度（pspsp=.039）。更多的整体受益发现与T1时更低的IL-10相关（p=.013）：结直肠癌患者在确诊后的第一年中，不同方面的获益发现与心理和炎症指标的关系各不相同。专门为增强积极的自我认识而设计的干预措施可能会促进癌症患者的心理和生理健康。

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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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.