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首页> 外文期刊>Urology >Coping with prostate cancer: a quantitative analysis using a new instrument, the centre for clinical excellence in urological research coping with cancer instrument.
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Coping with prostate cancer: a quantitative analysis using a new instrument, the centre for clinical excellence in urological research coping with cancer instrument.

机译：应对前列腺癌：使用新仪器进行定量分析，这是应对癌症仪器的泌尿外科研究的临床卓越中心。

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OBJECTIVES: To assess the reliability (internal and interrater) and validity (concurrent) of a new interview measure for assessing patients' ability to cope with cancer, the Centre for Clinical Excellence in Urological Research Coping with Cancer Instrument (CCCI), and to determine whether there is an underlying structure to the various coping strategies used by patients with prostate cancer. METHODS: Eighty patients with prostate cancer were interviewed using the CCCI. The participants also completed measures of quality of life and anxiety and depression. RESULTS: The psychometric properties of the CCCI were acceptable. Factor analysis revealed that coping with prostate cancer can be described along five dimensions: positive problem solving (fighting against the illness, seeking information); self-reliance (developing a lay explanation, distrusting doctors); emotional availability (not withdrawing from others); distress (brooding, self-pity); and solace (taking alcohol or drugs to improve mood). These coping styles were correlated with age, quality of life, self-reported prostate-specific antigen level, and measures of anxiety and depression. CONCLUSIONS: The results of the present study have led to a greater understanding of the underlying coping styles used by patients with prostate cancer. Although some of these are similar to those found in other cancer populations, others, such as self-reliance and solace, represent unique and potentially clinically significant responses to prostate cancer diagnosis and treatment. A larger scale longitudinal study is needed to determine the wider clinical implications associated with each coping style.
机译：目的：为了评估一项新的访谈评估方法的可靠性（内部和内部）以及有效性（并行），以评估患者的抗癌能力，该实验室由泌尿外科研究临床卓越中心（CCCI）评估并确定前列腺癌患者使用的各种应对策略是否存在基础结构。方法：使用CCCI对80名前列腺癌患者进行了访谈。参与者还完成了生活质量以及焦虑和抑郁的测量。结果：CCCI的心理测量特性是可以接受的。因子分析表明，应对前列腺癌的治疗可以从五个方面进行描述：积极解决问题（与疾病作斗争，寻求信息）;自力更生（提出外行的解释，不信任医生）;情绪上的可获得性（不退缩）;苦恼（沉思，自怜）;和安慰（服用酒精或药物改善情绪）。这些应对方式与年龄，生活质量，自我报告的前列腺特异性抗原水平以及焦虑和抑郁的测量相关。结论：本研究的结果使人们对前列腺癌患者使用的基本应对方式有了更深入的了解。尽管其中一些与在其他癌症人群中发现的相似，但其他一些，例如自力更生和安慰，代表了对前列腺癌诊断和治疗的独特且可能具有临床意义的反应。需要更大规模的纵向研究来确定与每种应对方式相关的更广泛的临床意义。

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