Decisional conflict and physiological dysregulation among adolescents and young adults with cancer.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2025-06-06 DOI:10.1080/07347332.2025.2515064

Katie Darabos, Lamia P Barakat, Lisa A Schwartz

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引用次数: 0

Abstract

Purpose: Adolescents and young adults with cancer (AYA) are faced with making several cancer-related decisions daily (e.g. managing pain/fatigue). Many of these decisions involve uncertainty (e.g. feeling uninformed about alternatives, feeling unsupported about making a choice), even under ideal conditions that have implications for health (e.g. wear and tear on the body). The present study examined relationships between decisional conflict within cancer-related decision-making and physiological responding.

Methods: Participants included 18 AYAs on active cancer treatment, diagnosed within the past 2 years. Participation included two days of salivary samples (assessing cortisol) followed by a 7-day collection of decisional conflict within cancer-related decision-making. Associations between decisional conflict and the cortisol awakening response (CAR) were examined.

Results: Decisional conflict was significantly associated with a smaller (i.e. blunted) cortisol awakening response, reflecting cortisol dysregulation.

Conclusion: Results from this study add to an emerging body of literature focused on the role of decisional conflict and physiological stress responding enhancing our understanding of decisional processes that may impact stress systems among AYAs undergoing cancer treatment.

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青少年和青年癌症患者的决策冲突和生理失调。

目的：患有癌症的青少年和年轻人（AYA）每天都面临着做出一些与癌症相关的决定（例如管理疼痛/疲劳）。这些决定中有许多涉及不确定性（例如，感觉不了解其他选择，感觉做出选择时得不到支持），即使是在对健康有影响的理想条件下（例如，对身体的磨损）。本研究考察了癌症相关决策中的决策冲突与生理反应之间的关系。方法：参与者包括18名在过去2年内确诊的积极接受癌症治疗的AYAs。参与者包括两天的唾液样本（评估皮质醇），然后是7天的癌症相关决策中的决策冲突收集。决策冲突和皮质醇觉醒反应（CAR）之间的关系进行了检验。结果：决策冲突与较小的皮质醇觉醒反应（即钝化）显著相关，反映了皮质醇失调。结论：本研究的结果为关注决策冲突和生理应激反应的作用的新兴文献提供了补充，增强了我们对可能影响接受癌症治疗的aya应激系统的决策过程的理解。

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

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.