重新评估癌症中的个人价值观:生活意义适应、意义和生活质量。
Reappraising personal values in cancer: Meaning-in-life adaptation, meaningfulness, and quality of life.
发表日期:2023 Nov 06
作者:
David F Carreno, Nikolett Eisenbeck, Rubén Uclés-Juárez, José Manuel García-Montes
来源:
PHYSICAL THERAPY & REHABILITATION JOURNAL
摘要:
本研究探讨了癌症患者诊断后对个人价值观的重新评估及其与意义的联系,包括个人意义和意义感,以及生活质量的各个维度。共有 144 名患有不同癌症类型的患者和一个对照组由 158 名具有相似人口特征的健康成年人组成,完成了“价值观生活问卷-感知变化”、“个人意义概况-简介”、“肖像价值观问卷”和“慢性病治疗功能评估-精神健康”。癌症患者表现出实质性的价值观重新评估与健康成年人相比。他们报告说,社会领域和自我超越价值观的重要性日益增加,包括亲密关系(家庭、伴侣和朋友)、灵性、公民身份和普遍主义,以及自我照顾和自我的重要性日益增加。相反,癌症患者不太重视工作和自我提升价值观,例如刺激、权力和成就。聚类分析显示,与没有改变价值观的患者相比,重新评估价值观的患者表现出更高的意义和更好的生活质量指标,包括精神和身体健康。这些发现强调了评估和促进意义的重要性 -癌症患者的生活适应性,在以意义为中心的治疗和干预措施中的潜在应用旨在增强心理灵活性。© 2023 作者。约翰·威利出版的心理肿瘤学
This study explores the reappraisal of personal values among people with cancer post-diagnosis and its connections to meaningfulness, encompassing personal meaning and sense of meaning, and various dimensions of quality of life.A total of 144 patients with diverse cancer types and a control group comprising 158 healthy adults with similar demographic characteristics completed the Valued Living Questionnaire-Perceived Change, the Personal Meaning Profile-Brief, the Portrait Values Questionnaire, and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being.Cancer patients displayed a substantial values reappraisal compared to healthy adults. They reported an increased significance of social areas and self-transcendental values, including close relationships (family, partner, and friends), spirituality, citizenship, and universalism, as well as an increased importance of self-care and self in general. Conversely, cancer patients assigned less importance to work and self-enhancement values such as stimulation, power, and achievement. Cluster analysis revealed that patients who reappraised their values exhibited higher meaningfulness and better indicators of quality of life, including spiritual and physical well-being, compared to patients who did not modify their value system.These findings underscore the importance of assessing and promoting meaning-in-life adaptability among people with cancer, with potential applications in meaning-centered therapies and interventions aimed at enhancing psychological flexibility.© 2023 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.