您的位置:山东大学 -> 科技期刊社 -> 《山东大学学报(医学版)》

山东大学学报(医学版) ›› 2017, Vol. 55 ›› Issue (9): 110-121.doi: 10.6040/j.issn.1671-7554.0.2016.1413

• 医学心理学 • 上一篇    下一篇

基于Pearson相关系数的癌症患者创伤后成长与心理适应相关性的Meta分析

林萍珍1,薛娇美2,杨蓓1,李萌1,周麦琳1,曹枫林1   

  1. 1.山东大学护理学院, 山东 济南 250012;2.山东女子学院, 山东 济南 250300
  • 收稿日期:2016-11-01 出版日期:2017-09-10 发布日期:2017-09-10
  • 通讯作者: 曹枫林. E-mail:caofenglin2008@126.com E-mail:caofenglin2008@126.com
  • 基金资助:
    山东省自然科学基金(ZR2013HM087)

Correlation between posttraumatic growth and psychological adjustment of cancer survivors based on Pearson correlation coefficient: a Meta-analysis

LIN Pingzhen1, XUE Jiaomei2, YANG Bei1, LI Meng1, ZHOU Mailin1, CAO Fenglin1   

  1. 1. School of Nursing, Shandong University, Jinan 250012, Shandong, China;
    2. Shandong Womens University, Jinan 250300, Shandong, China
  • Received:2016-11-01 Online:2017-09-10 Published:2017-09-10

摘要: 目的 采用Meta分析的方法,基于Pearson相关系数评价癌症患者创伤后成长(PTG)与心理适应的相关性。 方法 计算机检索PubMed、Elsevier ScienceDirect、Web of Science、the Cochrane Library、中国期刊全文数据库、中国生物医学文献数据库、中文科技期刊数据库和万方数据库等,检索时限均为从建库至2016年10月,查找关于癌症患者创伤后成长与心理适应相关性的文献。按照纳入和排除标准筛选文献、提取资料并评价纳入研究的质量后,采用Stata12.0 软件进行 Meta 分析。 结果 共纳入43篇文献,7 589例患者。Meta分析结果显示:PTG与抑郁呈极弱负相关(r=-0.18);PTG与总体生活质量(QoL)呈弱正相关(r=0.22);PTG与正性情感呈弱正相关(r=0.36)。 结论 创伤后成长分数越高,抑郁分数越低,总体QoL得分和正性情感得分越高,心理状况越好。

关键词: 创伤后成长, 心理适应, 癌症患者, Meta分析, Pearson相关系数

Abstract: Objective To explore the relationship between posttraumatic growth(PTG)and psychological adjustment in cancer population. Methods Databases including PubMed, Elsevier ScienceDirect, Web of Science, Cochrane library, CNKI, CBM, VIP and WanFang were searched from inception to Oct. 2016 for literatures on the correlation between PTG and psychological adjustment in cancer survivors. And then studies retrieved were screened according to the inclusion and exclusion criteria. After data were extracted, and the quality of studies included was assessed, a Meta-analysis was conducted using Stata12.0 software. Results A total of 43 studies with 7,589 patients were included. The results of Meta-analyses showed that PTG was associated with depression(r=-0.18), total quality of life(Qol, r=0.22), and positive affect(r=0.36). Conclusion High PTG is related to reduced depression, increased total QoL, and better positive affect.

Key words: Psychological adjustment, Posttraumatic growth, Cancer survivors, Meta-analysis, Pearson correlation coefficient

中图分类号: 

  • R473.73
[1] Ward E, DeSantis C, Robbins A, et al. Childhood and adolescent cancer statistics, 2014[J]. CA Cancer J Clin, 2014, 64(2): 83-103.
[2] Jaarsma TA, Pool G, Sanderman R, et al. Psychometric properties of the Dutch version of the posttraumatic growth inventory among cancer patients[J]. Psychooncology, 2006,15(10): 911-920.
[3] Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: measuring the positive legacy of trauma[J]. J Trauma Stress, 1996, 9(3): 455-471.
[4] 贾晓波. 心理适应的本质与机制[J]. 天津师范大学学报(社科版), 2001, 154(1): 19-23. JIA Xiaobo. The Nature and Mechanism of Mental Adaptation[J]. Journal of Tianjin Normal University(Social Science), 2001, 154(1): 19-23.
[5] Silva SM, Moreira HC, Canavarro MC. Examining the links between perceived impact of breast cancer and psychosocial adjustment: the buffering role of posttraumatic growth[J]. Psychooncology, 2012, 21(4): 409-418.
[6] Yuen AN, Ho SM, Chan CK. The mediating roles of cancer-related rumination in the relationship between dispositional hope and psychological outcomes among childhood cancer survivors[J]. Psycho-Oncology, 2014, 23(4):412-419.
[7] Arpawong TE, Richeimer SH, Weinstein F, et al. Posttraumatic growth, quality of life, and treatment symptoms among cancer chemotherapy outpatients[J]. Health Psychol, 2013, 32(4): 397-408.
[8] Bower JE, Meyerowitz BE, Desmond KA, et al. Perceptions of positive meaning and vulnerability following breast cancer: predictors and outcomesamong long-term breast cancer survivors[J]. Ann Behav Med, 2005, 29(3): 236-245.
[9] Rand KL, Cripe LD, Monahan PO, et al. Illness appraisal, religious coping, and psychological responses in men with advanced cancer[J]. Support Care Cancer, 2012, 20(8): 1719-1728.
[10] Wang AW, Chang C, Chen S, et al. Identification of posttraumatic growth trajectories in the first year after breast cancer surgery[J]. Psychooncology, 2014, 23: 1399-1405.
[11] Shand LK, Cowlishaw S, Brooker JE, et al. Correlates of post-traumatic stress symptoms and growth in cancer patients: A systematic review and meta-analysis[J]. Psychooncology, 2015, 24(6): 624-634.
[12] Helgeson VS, Reynolds KA, Tomich PL. A meta-analytic review of benefit finding and growth[J]. J Consult Clin Psychol, 2006, 74(5): 797-816.
[13] 李幼平. 循证医学[M]. 北京: 人民卫生出版社, 2014: 147-148.
[14] Borenstein M, Hedges LV, Higgins JPT, et al. Introduction to meta-analysis[M]. Chichester: John Wiley & Sons, 2009:42.
[15] Currier JM, Hermes S, Phipps S. Brief Report: Childrens response to serious illness: perceptions of benefit and burden in a pediatric cancer population[J]. J Pediatr Psychol, 2009, 34(10): 1129-1134.
[16] 唐棠. 癌症患者创伤后成长状况及影响因素研究[D]. 重庆:第三军医大学, 2013.
[17] Gunst DC, Kaatsch P, Goldbeck L. Seeing the good in the bad: which factors are associated with posttraumatic growth in long-term survivors of adolescent cancer?[J]. Support Care Cancer, 2016, 24(11): 4607-4615.
[18] Love C, CM. Exploring the links between physical activity and posttraumatic growth in young adult cancer survivors[J]. Psycho-Oncology, 2011, 20(3): 278-286.
[19] Mols F, Vingerhoets AJ, Coebergh JW, et al. Well-being, posttraumatic growth and benefit finding in long-term breast cancer survivors[J]. Psychol health, 2009, 24(5): 583-595.
[20] Kercher AJ, Rapee RM, Schniering CA. Neuroticism, life events and negative thoughts in the development of depression in adolescent girls[J]. J Abnorm Child Psychol, 2009, 37(7): 903-915.
[21] Békés V, Beaulieu-Prévost D, Guay S, et al. Women with PTSD benefit more from psychotherapy than men[J]. Psychol Trauma, 2016, 8(6): 720-727.
[22] Tamres LK, Janicki D, Helgeson VS. Sex differences in coping behavior: a meta-analytic review and an examination of relative coping[J]. Pers and Soc Psychol Rev, 2002, 6(1): 2-30.
[23] Tomich PL, Helgeson VS. Five years later: a cross-sectional comparison of breast cancer survivors with healthy women[J]. Psychooncology, 2002, 11(2): 154-169.
[1] 杜金阁,陈慧,杨孝荣,吕明. STAT4 rs7574865位点单核苷酸多态性与系统性红斑狼疮易感性Meta分析[J]. 山东大学学报(医学版), 2017, 55(5): 95-102.
[2] 王丽丽,霍彬,王磊,汪浩,侯定坤,霍小东,王金焕,臧立,曹强,柴树德,王海涛. 亚肺叶切除联合125I粒子植入治疗早期肺癌有效性的Meta分析与系统评价[J]. 山东大学学报(医学版), 2017, 55(10): 76-83.
[3] 徐闯,戚大春,李贤让,祖萌,李健,刘明廷. 初次髋关节置换术后引流与否的Meta分析[J]. 山东大学学报(医学版), 2016, 54(6): 43-49.
[4] 木哈达斯·吐尔逊依明,帕它木·莫合买提,托兰古丽·买买提库尔班. CDKAL1(rs10946398 C/A)基因多态性与2型糖尿病易感性关系Meta分析[J]. 山东大学学报(医学版), 2016, 54(2): 75-85.
[5] 孙祥耀,海涌,张希诺. 经皮内固定术与传统后路开放内固定术治疗胸腰椎骨折不良事件比较的Meta分析[J]. 山东大学学报(医学版), 2016, 54(11): 56-63.
[6] 苏静, 薛娇美, 孙菲菲, 郭兆新, 程翔宇, 孟力维, 刘照旭. 肾单位保留术和肾癌根治术治疗T1b期肾癌的Meta分析[J]. 山东大学学报(医学版), 2015, 53(9): 65-70.
[7] 刘京生, 刘桂华, 杜昆, 赵倩, 翁韶波, 赵学英, 张喜庄, 金讯波. 中国人群中血清TK1对不同恶性肿瘤诊断价值的Meta分析[J]. 山东大学学报(医学版), 2015, 53(9): 71-79.
[8] 吴珍, 宋国栋, 王伟. 他汀类药物对稳定期慢性阻塞性肺病治疗效果的Meta分析[J]. 山东大学学报(医学版), 2015, 53(2): 12-18.
[9] 王音, 马喆, 陶国伟, 刘韶平, 丁婷婷, 石琳琳. 关于产前诊断胼胝体发育不全患儿预后的Meta分析[J]. 山东大学学报(医学版), 2015, 53(10): 66-72.
[10] 孙媛媛, 高伟, 崔英, 张红, 焦建芬, 李衎, 徐瑞彩. 肿瘤化疗患者应用植入式静脉输液港与PICC效果比较的系统评价[J]. 山东大学学报(医学版), 2015, 53(10): 73-81.
[11] 许月芳, 刘皈阳, 张鑫. 氨曲南治疗下呼吸道感染疗效及 安全性的Meta分析[J]. 山东大学学报(医学版), 2014, 52(Z2): 198-200.
[12] 王威严, 杨清锐, 袁苑, 杨杏林, 张源潮. 类风湿关节炎与TNFAIP3基因多态性关联研究的meta分析[J]. 山东大学学报(医学版), 2014, 52(8): 75-80.
[13] 赵龙, 关广聚. 十字花科蔬菜摄入量与肾细胞癌罹患风险的Meta分析[J]. 山东大学学报(医学版), 2014, 52(7): 82-89.
[14] 徐慧荣, 李健宁, 李增军, 徐忠法. 机器人手术与腹腔镜手术在直肠癌低位前切除术中疗效的Meta分析[J]. 山东大学学报(医学版), 2014, 52(7): 60-65.
[15] 郑加田,朱凯,孙红胜,付敏,潘正论. IL-18和MCP-1基因多态性与类风湿关节炎易感性关系的Meta分析[J]. 山东大学学报(医学版), 2014, 52(6): 98-104.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!