Acute stress trajectories 1 year after a breast cancer diagnosis

被引:22
作者
Perez, Sandra [1 ]
Conchado, Andrea [2 ]
Andreu, Yolanda [3 ]
Galdon, Maria Jose [3 ]
Cardena, Etzel [4 ]
Ibanez, Elena [3 ]
Dura, Estrella [3 ]
机构
[1] Univ Catolica Valencia San Vicente Martir, Dept Personal Assessment & Therapeut Intervent, Valencia, Spain
[2] Univ Politecn Valencia, Dept Stat Appl Operat Res & Qual, E-46022 Valencia, Spain
[3] Univ Valencia, Dept Personal Assessment & Psychol Treatment, Valencia, Spain
[4] Lund Univ, Dept Psychol, CERCAP, Lund, Sweden
关键词
Trajectories; Acute stress symptoms; Spanish women; Breast cancer; Coping; Type C personality; DISTRESS TRAJECTORIES; SYMPTOMS; DISORDER; PREVALENCE; PREDICTORS; ADJUSTMENT; DEPRESSION; EVOLUTION; SURVIVORS; WOMEN;
D O I
10.1007/s00520-015-2960-x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose The purpose of this study was to evaluate the longitudinal trajectories of acute stress reactions over the course of diagnosis, treatment, and follow-up assessments in a group of non-metastatic breast cancer patients during five different moments of the illness process, and to identify psychological predictors of the trajectories. Methods The sample was formed by 102 non-metastatic breast cancer patients treated with adjuvant chemotherapy. Latent growth mixture models (LGMM) were used to identify latent classes, and we used multinomial logistic regression in a conditional model to examine predictors to differentiate between trajectories. Results We identified four different groups according to their trajectories: (1) a resilient group, (44.5 %); (2) a mild acute stress group, (40.6 %); (3) a delayed-recovery group (11.9 %); and (4) a chronic acute stress group (2.9 %). Moreover, anxious preoccupation showed the strongest significant effects in predicting each class, whereas cognitive avoidance and type C personality had moderate effects for participants in the mild acute stress group. Conclusions This study demonstrates that the majority of breast cancer patients in our study were resilient, with only a small percentage showing chronic acute stress. Because coping strategies, specifically anxious preoccupation, and not more stable variables played a main role in the prediction of acute stress trajectories, future preventive interventions should center in promoting more adaptive coping strategies in breast cancer patients.
引用
收藏
页码:1671 / 1678
页数:8
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