Positive psychosocial adjustment in potential bone marrow transplant recipients: Cancer as a psychosocial transition

Psycho-Oncology - Tập 2 Số 4 - Trang 261-276 - 1993
Michael A. Andrykowski1, Jean Hunt1
1Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, KY 40536-0086 USA

Tóm tắt

AbstractMARIANNE J. BRADYThe examination of psychosocial adjustment in cancer patients requires focusing upon both negative psychosocial sequelae, such as anxiety and depression, and positive sequelae, such as improvements in life outlook or interpersonal relationships. Both positive and negative psychosocial, physical and functional change following the diagnosis of cancer was assessed in a sample (n = 133) of individuals with malignant disease undergoing evaluation for bone marrow transplantation. Positive psychosocial sequelae were frequently reported. Comparison of a subset of cancer patients (n = 60) with a matched group of individuals without a history of cancer (i.e. ‘controls’), revealed that controls also reported a surprising degree of positive psychosocial change across a given period of time. The fact that cancer patients equalled or exceeded controls in the likelihood of reporting positive psychosocial change was, however, noteworthy given the context of physical and functional decline shown by cancer patients. It is concluded that cancer should not be viewed as a stressor with uniformly negative outcomes but rather as a transitional event which creates the potential for both positive and negative change.

Từ khóa


Tài liệu tham khảo

10.1037/0022-006X.55.1.29

Andersen B. L., 1989, Controlled prospective longitudinal study of women with cancer: II. psychological outcomes, J. Consult. Clin. Psychol., 57, 692, 10.1037/0022-006X.57.6.692

Andersen B. L., 1989, Controlled prospective longitudinal study of women with cancer: I. sexual functioning outcomes, J. Consult. Clin. Psychol., 57, 683, 10.1037/0022-006X.57.6.683

10.1097/00007890-199009000-00009

Antonovsky A., 1987, Unravelling the mystery of health: how people manage stress and stay well

10.1097/00005650-198108000-00001

10.1002/1097-0142(19870101)59:1<189::AID-CNCR2820590136>3.0.CO;2-6

10.1016/0277-9536(91)90156-7

10.1037/0022-3514.36.8.917

10.1177/088626087002001004

10.1007/BF01326530

Cantril H., 1965, The patterns of human concern

10.1002/1097-0142(19850101)55:1<72::AID-CNCR2820550112>3.0.CO;2-S

10.1207/s15327906mbr0102_10

10.3109/07357908709020308

10.1037/0022-006X.54.5.616

10.1521/soco.1990.8.3.263

10.1097/00000421-198306000-00015

de Haes J. C. J. M., 1986, The effect of radical and conserving surgery on quality of life of early breast cancer patients, Eur. J. Surg. Oncol., 12, 337

Derogatis L. R., 1983, Prevalence of psychiatric disorders among cancer patients, J. Am. Med. Assoc., 249, 751, 10.1001/jama.1983.03330300035030

10.1300/J077v03n04_05

10.1002/1097-0142(19920201)69:3<817::AID-CNCR2820690334>3.0.CO;2-S

10.1300/J077v06n01_05

10.1097/00004583-198811000-00008

10.1300/J077v06n01_09

10.1177/002188637601200201

10.1136/bmj.304.6828.675

10.1016/S0033-3182(90)72168-8

10.1300/J358v06n03_12

10.1300/J077v05n01_02

10.1002/1097-0142(197611)38:5<2184::AID-CNCR2820380549>3.0.CO;2-9

10.1177/0022167887272008

10.1002/1097-0142(19900915)66:14 <1392::AID-CNCR2820661415>3.0.CO;2-T

10.3109/02813438809009293

10.1200/JCO.1985.3.11.1553

10.1097/00006842-197611000-00003

Mages N. L., 1980, Health Psychology—A Handbook, 255

10.1002/1097-0142(19920701)70:1<120::AID-CNCR2820700120>3.0.CO;2-U

10.1016/0277-9536(83)90348-9

McNair D. M., 1981, Profile of Mood States

10.1016/0037-7856(71)90091-6

10.4159/9780674041936

10.1002/1097-0142(19891201)64:11<2399::AID-CNCR2820641134>3.0.CO;2-P

Ross R. D., 1978, Cancer Patient Behavior Scale: scores of cancer patients and healthy adults, Proc. Am. Soc. Clin. Oncol., 19, 348

Schag C. C., 1986, The impact of cancer on daily living, Rehabilitation Psychol., 31, 157, 10.1037/h0091541

10.1002/1097-4679(198901)45:1<20::AID-JCLP2270450103>3.0.CO;2-Z

10.1016/0304-3959(92)90049-H

10.1037/0003-066X.38.11.1161

10.1016/0277-9536(89)90183-4

10.1016/0277-9536(91)90071-J

10.1002/1097-0142(19890115)63:2<394::AID-CNCR2820630233>3.0.CO;2-5

Wasserman A. L., 1987, The psychological status of survivors of childhood/adolescent Hodgkin's disease, Am. J. Dis. Child., 141, 626

Watson M., 1991, Relationships between emotional control, adjustment to cancer, and depression and anxiety in breast cancer patients, Psychol. Med., 21, 51, 10.1017/S0033291700014641

10.2190/UQ2G-UGV1-3PPC-6387

10.7326/0003-4819-111-6-517

10.1300/J077v07n04_03

10.1016/0277-9536(89)90302-X

Thông tin
Thông tin xuất bản

Psycho-Oncology

Tập 2 Số 4

261-276

Thông tin tác giả