癌症后创伤性成长:专题分析研究

Michael Galea, J. Scerri, P. Grech, A. Sammut, C. Attard
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引用次数: 0

摘要

背景:从人类的经验和研究来看,癌症的诊断和治疗会带来震惊、痛苦和可能的长期负面生活变化,这是非常清楚的。但这种经历也可能与积极的生活变化有关,正如越来越多的关于严重疾病(如癌症诊断)后果的研究所显示的那样。在癌症研究中越来越多地发现与生活质量相关的积极结果。这些结果似乎与创伤后成长(PTG)相一致,PTG强调积极的生活改变是由危机或创伤引起的重大生活改变事件造成的。目的:本研究的目的是:1)研究PTG对癌症等重大疾病康复的整体影响和后果;2)澄清PTG与心理健康结果的关系(如果有的话);3)当一个人面对这种改变生活的事件时,PTG是如何增强的。方法:采用专题分析设计,探讨癌症的诊断和治疗对患者和幸存者的影响。对接受过乳腺(n=3)、MSS (n=1)、卵巢(n=2)、骨骼(n=2)、h型淋巴瘤(n=1)、肝脏(n=1)治疗的患者进行半结构化访谈。使用描述性映射,我们澄清了该研究结果是否与Tedeschi和Calhoun的PTG框架一致。结果:对PTG的关键因素进行了分析。结论:癌症会导致各种各样的后果,并有消极和积极的调整。有必要进一步发展关于PTG主要维度的研究结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-Traumatic Growth after Cancer: A Thematic Analysis Study
Background: That a diagnosis of, and treatment to cancer brings along shock, distress and possible long-term negative life changes is very clear from human experience and research alike. But such an experience can also relate to positive life changes, as increasing research on the aftermath of serious illness, such as cancer diagnosis consistently shows. Observations of positive outcomes linked to quality of life are increasingly being found in cancer studies. These results seem to converge with post-traumatic growth (PTG) which emphasize positive life changes as resulting from considerable life-changing events that are borne from crises or trauma. Objectives: Aims to this study were to 1) investigate the holistic impact and ramifications of PTG on the recovery from serious illness such as cancer; 2) clarify the relationship, if any, of PTG with mental health outcomes; and 3) how is PTG strengthened or otherwise, when one is faced by such life-changing event. Methods: Using a Thematic Analysis design, we investigated how the diagnosis of, and treatment to cancer impacted the patients and survivors. Semi-structured interviews were conducted with people who had received treatment for breast (n=3), MSS (n=1), ovarian (n=2), bone (n=2), H. Lymphoma (n=1), Liver (n=1). Using descriptive mapping, we clarified whether this study results are consistent with Tedeschi and Calhoun’s PTG framework. Results: Findings charted on the key factors of PTG. Conclusions: Cancer results in varied consequences and in negative and positive adjustments. Further development of findings which charted on major PTG dimensions is warranted.
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