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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Differential effects of cancer rehabilitation depending on diagnosis and patients' cognitive coping style.
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Differential effects of cancer rehabilitation depending on diagnosis and patients' cognitive coping style.

机译：癌症康复的不同效果取决于诊断和患者的认知应对方式。

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OBJECTIVE: The major aim was to explore the extent to which the Miller Behavioral Style Scale (MBSS) can be used to differentiate cancer patients who are likely to benefit from rehabilitation efforts with a strong information component from those who are not. METHODS: Newly diagnosed patients with breast, gastrointestinal, or prostate cancer (N = 442) were included in a randomized, prospective study of the effects (on anxiety, depression, intrusion, avoidance) of rehabilitation approximately 4 months after diagnosis as compared with control patients. Patients were classified as "monitors" or "blunters" on the basis of the MBSS (368 patients, 83%, completed the MBSS). RESULTS: The expected interaction at postintervention between coping style and experimental condition (ie, rehabilitation or control) was found only for avoidance among breast and prostate cancer patients. Assignment to the rehabilitation or control condition was of no importance for outcome among blunters. Among monitors, the response pattern differed between breast and prostate cancer patients. Prostate cancer monitors seemed to benefit from rehabilitation on all outcome measures, whereas intrusion and avoidance were reduced among breast cancer patients in the control condition. This interaction of diagnosis with condition (rehabilitation or control) among monitors is suggested to be due to demands for diagnosis-specific information during diagnostic work, in the period just after diagnosis, and before treatment decision. CONCLUSIONS: Only the monitor concept seems useful for predicting response to cancer rehabilitation with a strong information component. However, whether rehabilitation is of benefit depends also on other factors.
机译：目的：主要目的是探讨米勒行为风格量表（MBSS）在多大程度上可用于区分可能受益于康复工作且有较强信息成分的癌症患者与未患癌症的患者。方法：新诊断的乳腺癌，胃肠道或前列腺癌患者（N = 442）被纳入一项随机，前瞻性研究，该研究对诊断后约4个月的康复（对焦虑，抑郁，侵入，避免）的影响与对照组进行了比较耐心。根据MBSS将患者分为“监测者”或“钝器”（368名患者，占83％，已完成MBSS）。结果：发现干预后的应对方式与实验条件（即康复或控制）之间的预期相互作用仅是为了避免乳腺癌和前列腺癌患者之间的相互作用。在钝器中，分配康复或控制条件对结果并不重要。在监测者中，乳腺癌和前列腺癌患者的反应模式不同。前列腺癌监测者似乎可以从所有结局指标的康复中受益，而在对照条件下乳腺癌患者中的侵入和避免可以减少。建议在监视器之间诊断与状况（康复或控制）之间的这种相互作用是由于在诊断工作期间，诊断之后以及治疗决策之前需要特定于诊断的信息。结论：只有监测器概念似乎对预测具有强大信息成分的癌症康复反应有用。但是，康复是否有益还取决于其他因素。

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