Thomas R Valentine, Kylie R Park, Carolyn J Presley, Peter G Shields, Barbara L Andersen
{"title":"肺癌患者的疾病认知：对心理和生理健康轨迹的预测。","authors":"Thomas R Valentine, Kylie R Park, Carolyn J Presley, Peter G Shields, Barbara L Andersen","doi":"10.1037/hea0001416","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Advanced nonsmall cell lung cancer (NSCLC) is associated with the highest burden of mental and physical symptoms. Across illnesses, patients' subjective illness beliefs (i.e., illness perceptions [IPs]) correlate with psychological and physical health status. Despite this, IPs in NSCLC patients are understudied. To address this gap, previous research identified three profiles characterizing IPs of newly diagnosed NSCLC patients: \"coping\" (those more positive perceptions of NSCLC); \"coping but concerned\" (similar positive perceptions but high concern); and \"struggling\" (uniformly negative perceptions; Valentine et al., 2022). This extension seeks to determine if IPs are predictive. Would patients' psychological and physical health trajectories differ by IP profile?</p><p><strong>Method: </strong>Patients with Stage IV NSCLC (<i>N</i> = 186) from a prospective cohort (2017-2019; NCT03199651) enrolled at diagnosis participated and completed an IP measure and anxiety, depression, physical symptom, and health status outcome measures monthly for 8 months. Linear mixed models tested profile membership (see above) as predictive of outcome trajectories, with those \"struggling\" having the poorest outcomes.</p><p><strong>Results: </strong>Eight-month trajectories for anxiety and some physical symptoms showed significant improvement, whereas depression, dyspnea, pain, and self-rated health did not. As anticipated, profile membership was predictive: \"struggling\" profile patients reported significantly worse anxiety and depression symptoms, physical symptoms, and health compared to \"coping\" patients. There were no interactions between profile and time. Generalization to samples from U.S. states with greater racial/ethnic diversity is unknown.</p><p><strong>Conclusion: </strong>Novel data show \"struggling\" profile patients to have uniformly negative outcomes and specify IP content relevant for inclusion in cognitive behavioral therapies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":3,"journal":{"name":"ACS Applied Electronic Materials","volume":null,"pages":null},"PeriodicalIF":4.3000,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Lung cancer patients' illness perceptions: Prognostic for psychological and physical health trajectories.\",\"authors\":\"Thomas R Valentine, Kylie R Park, Carolyn J Presley, Peter G Shields, Barbara L Andersen\",\"doi\":\"10.1037/hea0001416\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Advanced nonsmall cell lung cancer (NSCLC) is associated with the highest burden of mental and physical symptoms. Across illnesses, patients' subjective illness beliefs (i.e., illness perceptions [IPs]) correlate with psychological and physical health status. Despite this, IPs in NSCLC patients are understudied. To address this gap, previous research identified three profiles characterizing IPs of newly diagnosed NSCLC patients: \\\"coping\\\" (those more positive perceptions of NSCLC); \\\"coping but concerned\\\" (similar positive perceptions but high concern); and \\\"struggling\\\" (uniformly negative perceptions; Valentine et al., 2022). This extension seeks to determine if IPs are predictive. Would patients' psychological and physical health trajectories differ by IP profile?</p><p><strong>Method: </strong>Patients with Stage IV NSCLC (<i>N</i> = 186) from a prospective cohort (2017-2019; NCT03199651) enrolled at diagnosis participated and completed an IP measure and anxiety, depression, physical symptom, and health status outcome measures monthly for 8 months. Linear mixed models tested profile membership (see above) as predictive of outcome trajectories, with those \\\"struggling\\\" having the poorest outcomes.</p><p><strong>Results: </strong>Eight-month trajectories for anxiety and some physical symptoms showed significant improvement, whereas depression, dyspnea, pain, and self-rated health did not. As anticipated, profile membership was predictive: \\\"struggling\\\" profile patients reported significantly worse anxiety and depression symptoms, physical symptoms, and health compared to \\\"coping\\\" patients. There were no interactions between profile and time. Generalization to samples from U.S. states with greater racial/ethnic diversity is unknown.</p><p><strong>Conclusion: </strong>Novel data show \\\"struggling\\\" profile patients to have uniformly negative outcomes and specify IP content relevant for inclusion in cognitive behavioral therapies. 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引用次数: 0
摘要
目的：晚期非小细胞肺癌（NSCLC晚期非小细胞肺癌（NSCLC）患者的身心症状负担最重。在各种疾病中，患者的主观疾病信念（即疾病认知 [IPs]）与心理和身体健康状况相关。尽管如此，对 NSCLC 患者的主观疾病信念的研究仍然不足。为了填补这一空白，先前的研究确定了新诊断出的 NSCLC 患者的三种 IP 特征："应对"（对 NSCLC 有更积极的看法）；"应对但担忧"（有类似的积极看法但高度担忧）；以及 "挣扎"（一致的消极看法；Valentine 等人，2022 年）。这一扩展旨在确定 IP 是否具有预测性。患者的心理和生理健康轨迹是否会因IP特征而有所不同？前瞻性队列（2017-2019年；NCT03199651）中的IV期NSCLC患者（N = 186）在确诊时入组，并在8个月内每月完成一次IP测量以及焦虑、抑郁、身体症状和健康状况结果测量。线性混合模型检验了档案成员资格（见上文）对结果轨迹的预测作用，其中 "挣扎 "者的结果最差：结果：8 个月后，焦虑和一些身体症状有了明显改善，而抑郁、呼吸困难、疼痛和自评健康状况则没有明显改善。正如预期的那样，患者的特征具有预测性：与 "应对型 "患者相比，"挣扎型 "患者的焦虑和抑郁症状、身体症状和健康状况明显更差。特征和时间之间没有相互作用。结论：新数据显示，"挣扎型 "患者的焦虑和抑郁症状明显比 "应对型 "患者更差：新数据显示，"挣扎型 "患者具有一致的负面结果，并明确了认知行为疗法中的相关IP内容。(PsycInfo Database Record (c) 2024 APA, all rights reserved）。
Lung cancer patients' illness perceptions: Prognostic for psychological and physical health trajectories.
Objective: Advanced nonsmall cell lung cancer (NSCLC) is associated with the highest burden of mental and physical symptoms. Across illnesses, patients' subjective illness beliefs (i.e., illness perceptions [IPs]) correlate with psychological and physical health status. Despite this, IPs in NSCLC patients are understudied. To address this gap, previous research identified three profiles characterizing IPs of newly diagnosed NSCLC patients: "coping" (those more positive perceptions of NSCLC); "coping but concerned" (similar positive perceptions but high concern); and "struggling" (uniformly negative perceptions; Valentine et al., 2022). This extension seeks to determine if IPs are predictive. Would patients' psychological and physical health trajectories differ by IP profile?
Method: Patients with Stage IV NSCLC (N = 186) from a prospective cohort (2017-2019; NCT03199651) enrolled at diagnosis participated and completed an IP measure and anxiety, depression, physical symptom, and health status outcome measures monthly for 8 months. Linear mixed models tested profile membership (see above) as predictive of outcome trajectories, with those "struggling" having the poorest outcomes.
Results: Eight-month trajectories for anxiety and some physical symptoms showed significant improvement, whereas depression, dyspnea, pain, and self-rated health did not. As anticipated, profile membership was predictive: "struggling" profile patients reported significantly worse anxiety and depression symptoms, physical symptoms, and health compared to "coping" patients. There were no interactions between profile and time. Generalization to samples from U.S. states with greater racial/ethnic diversity is unknown.
Conclusion: Novel data show "struggling" profile patients to have uniformly negative outcomes and specify IP content relevant for inclusion in cognitive behavioral therapies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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