Xu hướng подавления cảm xúc tiêu cực dự đoán triệu chứng, tâm trạng và đánh giá đối phó trong quá trình hóa trị AC điều trị ung thư vú

Annals of Behavioral Medicine - Tập 40 - Trang 15-29 - 2010
Melanie C. Schlatter1, Linda D. Cameron1
1Department of Psychology, Tamaki Campus, The University of Auckland, Auckland, New Zealand

Tóm tắt

Những xu hướng подавления cảm xúc tiêu cực đã được chỉ ra là có thể dự đoán mức điều chỉnh khi mắc bệnh ung thư và tiến triển của bệnh. Chúng tôi đã nghiên cứu xem liệu việc подавление cảm xúc, xét về cả xu hướng chung và xu hướng theo cảm xúc cụ thể, có thể dự đoán các báo cáo triệu chứng, trạng thái tâm trạng và đánh giá khả năng đối phó trong quá trình hóa trị với adriamycin/doxorubicin, cyclophosphamide/cytoxan cho bệnh nhân ung thư vú hay không. Bốn mươi người tham gia đã hoàn thành một bài đo lường cung cấp điểm số cho các khía cạnh подавление lo âu, подавление tức giận, подавление trầm cảm và tổng số подавление cảm xúc. Họ sau đó báo cáo trải nghiệm của mình về 34 triệu chứng thể chất, tâm trạng và hiệu quả đối phó theo từng ngày trong suốt thời gian điều trị (84 ngày). Phân tích mô hình hỗn hợp cho thấy rằng việc подавление cảm xúc dự đoán báo cáo thấp hơn về các triệu chứng mơ hồ, đã được biết đến và có thể gây xấu hổ như các tác dụng phụ của hóa trị (ví dụ: mệt mỏi và táo bón). Việc подавление cảm xúc, đặc biệt là подавление tức giận, dự đoán báo cáo cao hơn về các triệu chứng liên quan đến chức năng miễn dịch và sự kích thích tim mạch (ví dụ: lở miệng và hồi hộp) và với các đánh giá về khả năng đối phó kém hơn. Ba xu hướng подавление thể hiện các mẫu mối quan hệ đặc trưng với triệu chứng, tâm trạng và đánh giá khả năng đối phó, cho thấy rằng việc подавlingen lo âu, подавlingen tức giận và подавlingen trầm cảm có mối quan hệ một phần độc lập với các quá trình triệu chứng và tâm trạng. Các phát hiện làm nổi bật tầm quan trọng tiềm tàng của việc подавlingen cảm xúc trong việc hiểu các phản ứng triệu chứng và khả năng đối phó trong quá trình hóa trị.

Từ khóa

#ung thư vú; hóa trị; подавление cảm xúc; triệu chứng; tâm trạng; khả năng đối phó

Tài liệu tham khảo

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