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Psychosocial adjustment and quality of life in women with breast cancer and benign breast problems: a controlled comparison.

Abstract：

:Comparison of psychosocial adjustment in women with breast cancer (BC) and women with benign breast problems (BBP) has been hampered by a failure to control for age differences between these groups, as well as a failure to assess positive psychosocial adaptation in addition to psychological distress. Age-matched women with breast cancer (n = 80) and benign breast problems (n = 80) completed measures of psychological distress, positive psychosocial adaptation, and general quality of life (QOL). Breast cancer patients had completed primary treatment for breast cancer a mean of 24.6 months prior to participation (range, 6-57 months). Comparison of the BC and BBP groups indicated that the BC group reported (1) poorer physical health and functioning, (2) no differences in psychological distress, and (3) greater positive psychosocial adaptation, such as improved life outlook, enhanced interpersonal relationships, and deeper spiritual and religious satisfaction. Results support the theoretical position that cancer is a transitional event, that is, a traumatic event that alters an individual's assumptive world with the potential to produce long-lasting changes of both a positive as well as negative nature. This underscores the importance of using measures of both psychological distress and positive psychosocial adaptation when assessing psychological adjustment following transitional events such as breast cancer.

journal_name

J Clin Epidemiol

journal_title

Journal of clinical epidemiology

authors

Andrykowski MA,Curran SL,Studts JL,Cunningham L,Carpenter JS,McGrath PC,Sloan DA,Kenady DE

doi

10.1016/0895-4356(96)00028-5

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

827-34

issue

8

eissn

0895-4356

issn

1878-5921

pii

0895-4356(96)00028-5

journal_volume

49

pub_type

杂志文章

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