Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Factors Associated With Post-Traumatic Growth in Patients With Cancer

암환자의 외상 후 성장에 영향을 미치는 요인

  • Nam Pyo Lee (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Jong Woo Kim (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Myungjae Baik (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Mi Ae Oh (Department of Psychiatry, Kyung Hee University Hospital) ;
  • A Ra Lee (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Won Sub Kang (Department of Psychiatry, Kyung Hee University Hospital)
  • 이남표 (경희대학교병원 정신건강의학과) ;
  • 김종우 (경희대학교병원 정신건강의학과) ;
  • 백명재 (경희대학교병원 정신건강의학과) ;
  • 오미애 (경희대학교병원 정신건강의학과) ;
  • 이아라 (경희대학교병원 정신건강의학과) ;
  • 강원섭 (경희대학교병원 정신건강의학과)
  • Received : 2023.06.13
  • Accepted : 2023.09.14
  • Published : 2023.12.31
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Abstract

Objectives : Cancer diagnosis causes significant distress while it may also bring positive change: post-traumatic growth. This study was conducted to analyze factors that affect post-traumatic growth. Methods : Medical records of 52 cancer patients who received psychiatric treatment at a university hospital in Seoul were reviewed and the correlation between post-traumatic growth and following factors were analyzed: Resilience, Anxious thoughts and tendencies, Mindful attention awareness, Acceptance attitude Results : Using Multiple Generalized Linear model, a positive correlation was found between post-traumatic growth and resilience (B=1.45, p<0.0001), mindful attention awareness (B=0.58, p=0.0030) and acceptance attitude (B=1.29, p=0.0003), while anxious thoughts and tendencies (B=-0.84, p<0.0001) had negative association. Conclusions : Factors that have a positive impact on post-traumatic growth were resilience, mindful attention awareness, acceptance attitude and a factor with a negative impact was anxious thoughts and tendencies; Factors that impact post-traumatic growth need to be taken into account, when approaching the treatment of cancer patients.

연구목적 암 진단은 정서적 고통을 야기함과 동시에 외상 후 성장이라는 긍정적 변화도 일으킬 수 있다. 암환자의 외상 후 성장에 영향을 주는 요인을 분석하고자 이 연구를 수행하였다. 방 법 서울소재 일 대학병원에서 정신건강의학과 진료를 받은 암환자 52명의 의무기록을 조사하여 외상 후 성장과 회복탄력성, 불안취약 사고경향, 마음챙김 주의 알아차림, 수용태도 등의 요인 간 상관관계를 분석하였다. 결 과 다중 일반화 선형모델 결과 회복탄력성(B=1.45, p<0.0001), 마음챙김 주의 알아차림(B=0.58, p=0.0030), 수용태도(B=1.29, p=0.0003)는 양의 상관관계가 있었고, 불안취약 사고경향(B=-0.84, p<0.0001)은 음의 상관관계가 있었다. 결 론 암환자의 외상 후 성장을 촉진하는 요인은 회복탄력성, 마음챙김, 수용태도가 있었고, 저해하는 요인은 불안 취약 사고경향이 있었다. 암환자 진료 시 외상 후 성장에 영향을 미치는 요인들을 고려한 접근이 필요하다.

Keywords

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