Correlations And Correlates Of Post-Traumatic Growth And Post-Traumatic Stress Symptoms In Patients With Breast Cancer

被引:17
作者
Chen, Hong-Ming [1 ,2 ]
Chen, Vincent Chin-Hung [1 ,2 ]
Hsiao, Han-Pin [1 ]
Weng, Yi-Ping [1 ]
Hsu, Ya-Ting [1 ]
Weng, Jun-Cheng [1 ,3 ]
Su, Jian-An [1 ,2 ,4 ]
Chen, Yi-Lung [5 ,6 ]
机构
[1] Chiayi Chang Gung Mem Hosp, Chang Gung Med Fdn, Dept Psychiat, 6 West Sec,Chia Pu Rd, Chiayi 613, Taiwan
[2] Chang Gung Univ, Sch Med, Taoyuan, Taiwan
[3] Chang Gung Univ, Dept Med Imaging & Radiol Sci, Taoyuan, Taiwan
[4] Chang Gung Inst Technol, Dept Nursing, Taoyuan, Taiwan
[5] Asia Univ, Dept Healthcare Adm, 500 Lioufeng Rd, Taichung 413, Taiwan
[6] Asia Univ, Dept Psychol, Taichung, Taiwan
关键词
post-traumatic stress symptoms; post-traumatic growth; breast cancer; chemotherapy; family support; QUALITY-OF-LIFE; DISORDER SYMPTOMS; SOCIAL SUPPORT; DISTRESS; PTSD; ADULTS; PAIN; RELIABILITY; DEPRESSION; DIAGNOSIS;
D O I
10.2147/NDT.S218450
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose: Although post-traumatic growth (PTG) and post-traumatic stress symptoms (PTSS) might develop and coexist after a major trauma, few studies have simultaneously examined them in patients with breast cancer. This study investigated the correlation between PTG and PTSS and their differential correlates in patients with breast cancer. Patients and methods: Overall, 145 patients with breast cancer were recruited. PTG and PTSS were assessed using the PTG inventory and the Chinese version of startle, physiological arousal, anger, and numbness, respectively. We investigated the effects of demographics, chemotherapy, depression, family support, alexithymia, and anxiety symptoms on PTG and PTSS. Multivariate linear regression analyses were performed to select the independent correlates of PTSS and PTG. Result: An association was observed between PTG and PTSS (r = 0.21). Based on multiple regression models, the common correlate of PTG (beta = 0.271) and PTSS (beta= 0.212) was anxiety symptoms. Differential independent correlates were years of education (beta = 0.272), receiving chemotherapy (beta = 0.248), and family support (beta = 0.259) for PTG, and chronic pain (beta = 0.316) and poor cognition (beta = -0.350) for PTSS. Conclusion: Differential correlates were observed for PTG and PTSS in patients with breast cancer. Possible mechanisms and relationships between PTG and PTSS were discussed.
引用
收藏
页码:3051 / 3060
页数:10
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