乳腺癌患者心理韧性及其心理干预方式的研究进展

doi:10.13481/j.1671-587x.20180247

摘要/Abstract

摘要： 随着综合治疗手段的进步，乳腺癌患者生存期明显延长，乳腺癌已作为一种慢性疾病全程管理，但因躯体功能丧失完整性等原因使患者容易产生抑郁、焦虑等多种心理问题，影响患者的治疗和康复。因此乳腺癌患者的心理状态成为医患关注的重点。心理韧性这一概念出现于20世纪70年代，是积极心理学的重要组成，强调以积极心态应对消极环境及个体在逆境中恢复和适应环境的能力和过程，是影响乳腺癌患者心理状态及生活质量的重要因素，成为近年国外学者对乳腺癌心理康复研究的热点，目前国内尚无适合我国乳腺癌患者的心理韧性测评量表，缺乏大规模质性研究和实验性研究。本文作者系统地总结了国内外相关文献，综述乳腺癌患者心理韧性的概念、测量方法、水平及相关影响因素和心理韧性的干预方式，探讨提升心理韧性水平对乳腺癌患者心理康复和改善生活质量的重要意义，提出对乳腺癌患者心理干预的新方向，以期提高患者的预后生存质量，促进乳腺癌患者的身心康复。

关键词: 心理韧性, 生活质量, 预后, 乳腺肿瘤, 心理干预

中图分类号:

R737.9

何欣, 杨婷婷, 高阳阳, 宋艳秋. 乳腺癌患者心理韧性及其心理干预方式的研究进展[J]. 吉林大学学报(医学版), 2018, 44(02): 455-460.

参考文献

[1] Siegel RL, Miller KD, Fedewa SA, et al. Colorectal cancer statistics, 2017[J]. CA Cancer J Clin, 2017,67(3):177-193.
[2] Fan L, Strasser-Weippl K, Li JJ, et al. Breast cancer in China[J]. Lancet Oncol, 2014,15(7):e279-289.
[3] 席居哲, 左志宏. 心理韧性者甄别诸法[J]. 心理科学进展, 2009,17(6):1295-1301.
[4] 薛梅. 个体化心理干预对减轻乳腺癌患者术前焦虑的效果观察[J]. 中华全科医学, 2014(07):1145-1146.
[5] Frigiola A, Bull C, Wray J. Exercise capacity, quality of life, and resilience after repair of tetralogy of Fallot:a cross-sectional study of patients operated between 1964 and 2009[J]. Cardiol Young, 2014,24(1):79-86.
[6] Ruini C, Vescovelli F, Albieri E. Post-traumatic growth in breast cancer survivors:new insights into its relationships with well-being and distress[J]. J Clin Psychol Med Settings, 2013,20(3):383-391.
[7] Masten AS. Ordinary Magic[J]. Am Psychologist, 2001,56(3):227-238.
[8] Gomes Menezes I, Passos Gomes AC. Organizational climate:a historical review of the construct[J]. Psicologia Em Revista, 2010,16(1):158-179.
[9] Connor KM, Davidson JRT. Development of a new resilience scale:the Connor-Davidson Resilience Scale(CD-RISC)[J].Depress Anxiety, 2003,18(2):76-82.
[10] 于肖楠, 张建新. 自我韧性量表与Connor-Davidson韧性量表的应用比较[J]. 心理科学, 2007,30(5):1169-1171.
[11] Campbellsills L, Stein MB. Psychometric analysis and refinement of the Connor-davidson Resilience Scale (CD-RISC):Validation of a 10-item measure of resilience[J]. J Trauma Stress, 2007,20(6):1019-1028.
[12] Friborg O, Hjemdal O, Rosenvinge JH, et al. A new rating scale for adult resilience:what are the central protective resources behind healthy adjustment?[J]. Int J Methods Psychiatr Res, 2003,12(2):65-76.
[13] Friborg O, Barlaug D, Martinussen M, et al. Resilience in relation to personality and intelligence[J]. Int J Methods Psychiatr Res, 2005,14(1):29-42.
[14] Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale[J]. J Nurs Meas, 1993,1(2):165-178.
[15] Lei M, Li C, Xiao X, et al. Evaluation of the psychometric properties of the Chinese version of the Resilience Scale in Wenchuan earthquake survivors[J]. Compr Psychiatry, 2012,53(5):616-622.
[16] Loi CXA, Baldwin JA, Mcdermott RJ, et al. Risk factors associated with increased depressive symptoms among Latinas diagnosed with breast cancer within 5years of survivorship[J]. Psychooncology, 2013,22(12):2779-2788.
[17] 陈晓洁. 乳腺癌患者的心理特点及健康教育[J]. 基层医学论坛, 2012,16(15):1950-1951.
[18] Deshields T, Tibbs T, Fan MY, et al. Differences in patterns of depression after treatment for breast cancer[J]. Psycho-Oncology, 2010,15(5):398-406.
[19] Lam WW, Bonanno GA, Mancini AD, et al. Trajectories of psychological distress among Chinese women diagnosed with breast cancer[J]. Psycho-oncology, 2010,19(10):1044-1051.
[20] Wu Z, Liu Y, Li X, et al. Resilience and associated factors among mainland chinese women newly diagnosed with breast cancer[J]. PLoS One, 2016,11(12):e0167976.
[21] Folke C, Walker B. Resilience and sustainable development:building adaptive capacity in a world of transformations[J]. Ambio, 2002, 31(5):437-440.
[22] den Heijer M, Seynaeve C, Vanheusden K, et al. The contribution of self-esteem and self-concept in psychological distress in women at risk of hereditary breast cancer[J]. Psycho-Oncology, 2011,20(11):1170-1175.
[23] Algoe SB, Stanton AL. Gratitude when it is needed most:Social functions of gratitude in women with metastatic breast cancer[J]. Emotion, 2012,12(1):163-168.
[24] Mancini AD, Bonanno GA. Resilience in the face of potential trauma:Clinical practices and illustrations[J]. J Clin Psychol, 2006,62(8):971-985.
[25] Schrier M, Amital D, Arnson Y, et al. Association of fibromyalgia characteristics in patients with non-metastatic breast cancer and the protective role of resilience[J]. Rheumatol Int, 2012,32(10):3017-3023.
[26] 黄昆, 许勤, 蒋明. 乳腺癌术后化疗病人心理弹性水平及其影响因素调查[J]. 护理研究, 2013,27(6):493-495.
[27] 尹琦静, 王艳, 郭梅,等. 乳腺癌化疗患者心理弹性状况与生活质量的关系研究[J]. 实用临床医药杂志, 2015, 19(20):23-25,33.
[28] Rutter M. Resilience as a dynamic concept[J]. Dev Psychopathol, 2012,24(2):335-344.
[29] 王艳芳, 王佳琪. 支持性心理干预对乳腺癌患者生活质量的影响[J]. 世界最新医学信息文摘:电子版, 2013,13(20):7-8.
[30] Kraemer LM, Stanton AL. A longitudinal examination of couples' coping strategies as predictors of adjustment to breast cancer[J]. J Fam Psychol, 2011,25(6):963-972.
[31] 胥刘秀, 沈珊珊, 何静静, 等. 乳腺癌患者的焦虑、抑郁、幸福感指数及社会支持[J]. 中国心理卫生杂志, 2013,27(6):473-478.
[32] 马兰, 李惠萍, 王德斌. 乳腺癌患者创伤后成长及影响因素的研究进展[J]. 中华护理杂志, 2013,48(7):664-666.
[33] Ye ZJ, Qiu HZ, Liang MZ, et al. Effect of a mentor-based, supportive-expressive program, Be Resilient to Breast Cancer, on survival in metastatic breast cancer:a randomised, controlled intervention trial[J]. Br J Cancer, 2017,117(10):1486-1494.
[34] Henderson VP, Clemow L, Massion AO, et al. The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients:a randomized trial[J]. Breast Cancer Res Treat, 2012,131(1):99-109.
[35] Victoria Cerezo M, Ortiz-Tallo M, Cardenal V, et al. Positive psychology group intervention for breast cancer patients:a randomised trial[J]. Psychol Rep, 2014,115(1):44-64.
[36] Stagl JM, Bouchard LC, Lechner SC, et al. Long-term psychological benefits of cognitive-behavioral stress management for women with breast cancer:11-year follow-up of a randomized controlled trial[J]. Cancer, 2015,121(11):1873-1881.
[37] Lillie HM, Venetis MK, Chernichkykarcher SM. ‘He would never let me just give up’:Communicatively constructing dyadic resilience in the experience of breast cancer[J]. Health Commun, 2017,27:1-9.
[38] 李秀君, 吴向楠. 对转移性乳腺癌患者照顾者心理负担的调查分析[J]. 中国医药指南, 2015(30):127-128.
[39] 卢建芹, 贺恋秋, 朱莉,等. 有氧运动联合音乐疗法的系统护理对乳腺癌病人术后生活质量及预后的影响[J]. 护理研究, 2015,29(1):111-113.
[40] 宫霄欢, 余金明, 王继伟, 等. 社会心理干预影响乳腺癌患者生命质量的效果评价[J]. 中国肿瘤, 2014,23(4):275-280.
[41] 李红, 朱翠英. 乳腺癌患者注意偏向及心理弹性对其创伤后成长的影响[J]. 社区医学杂志, 2017, 15(14):33-36.