(3.238.7.202) 您好!臺灣時間:2021/03/04 21:42
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:李宛諭
研究生(外文):Wan-Yu Lee
論文名稱:探討乳癌存活者與其青少年子女生活品質之相關
論文名稱(外文):The Study on the Correlation of Quality of Life between Breast Cancer Survivors and Their Adolescent Children
指導教授:蕭妃秀蕭妃秀引用關係
指導教授(外文):Fei-Hsiu Hsiao
口試委員:黃俊升張金堅
口試日期:2014-07-11
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:護理學研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2014
畢業學年度:102
語文別:中文
論文頁數:82
中文關鍵詞:乳癌存活者青少年子女壓力因應焦慮憂鬱生活品質
外文關鍵詞:breast cancer survivoradolescent childrencopinganxietydepressionquality of life
相關次數:
  • 被引用被引用:1
  • 點閱點閱:167
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:1
研究背景:目前研究較少同時探討乳癌存活者母親與其青少年子女生活品質的關,由於乳癌存活期加長,乳癌存活者的未成年子女與母親,在經歷治療期面對疾病過後,相互之間的影響以及生活適應的議題探討更顯得重要。
研究目的:探討乳癌存活者及其青少年子女焦慮、憂鬱、壓力事件因應以及生活品質的現況及影響其生活品質的主要預測因子。
研究方法:本研究採橫斷式研究設計(cross-sectional design),採立意取樣(purposive sampling)於北部地區某醫學中心進行收案。研究對象為三十至六十五歲,經專科醫師診斷為乳癌,且目前已完成所有積極治療,包含手術治療、化學治療或是放射線治療的女性乳癌存活者,以及其共同居住之十三歲以上未滿十八歲的青少年子女,有被告知母親診斷為乳癌者,共有乳癌存活者及其青少年子女各79人參與本研究。研究使用量性測量工具包括由母親跟其青少年子女皆填寫的包含,BDI-II貝氏憂鬱量表第二版中文版、STAI焦慮狀態詢問表、SF-12生活品質量表;由母親單獨完成者為CCCS華人癌症體驗量表,由青少年子女單獨完成者為CIES孩童對壓力事件反應量表。
結 果:本研究發現乳癌存活者與其青少年子女生活品質相關達顯著。乳癌存活者與其青少年子女沒有呈現顯著嚴重的憂鬱和焦慮狀態。但青少年女性憂鬱程度較男性高。少數乳癌存活者呈現不良的靈性因應。近20%的青少年子女在CIES量表中得分大於17分,為創傷後壓力症候群的高危險族群。生活品質方面發現,乳癌存活者呈現良好的生理健康,但心理健康較差。乳癌存活者生理健康生活品質的主要預測因子為其年齡、自身焦慮、憂鬱與心理健康生活品質;乳癌存活者心理健康生活品質的主要預測因子為乳癌存活者的焦慮、憂鬱程度與生理健康生活品質以及CCCS癌症因應中的「不和諧而苦悶的因應」。在青少年子女生理健康的主要預測為自身焦慮程度以及母親乳癌手術後至參與本研究時間;心理健康的主要預測因子為自身焦慮程度。
結 論:焦慮和憂鬱同時是影響乳癌存活者生理和心理層面生活品質的主要因素。靈性的癌症因應方式影響乳癌存活者心理層面生活品質。青少年子女自身的焦慮是影響其生活品質的主要因素,而生理健康層面生活品質亦會隨母親完成手術後的時間越長而改善。


Background: Very few studies examine the relationships of quality of life between breast cancer survivors and their adolescent children. Given the increase of survivor time, the issue of daily life adjustments for both breast cancer survivors and their adolescent children during post-treatment survivorship needs to be explored.
Purpose/Objectives: This study aimed to explore anxiety, depression, coping with the event of breast cancer as the predictors for quality of life in the breast cancer survivors and their adolescent children.
Methods: The study adopts a cross-sectional design. The method of purposive sampling was used to recruit the subjects from outpatient department of surgery at breast centre at the general hospital. The criteria of breast cancer survivors are aged between 30 and 65 years old, complete the active cancer treatments including surgery, chemotherapy and/or radiation therapy. Their adolescent children aged between 13 and 18 years old, living with mother and knowing that mother had suffered from breast cancer were also invited to participate in this study. Total 79 breast cancer survivors and 79 adolescent children participated in this study. Breast cancer survivors and their adolescent children completed the questionnaires including Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Short Form 12-item Health Survey (SF-12). The Chinese Cancer Coherence Scale (CCCS) was completed by breast cancer survivors while Children Impact of Events Scale (CIES) was completed by the adolescent children.
Results: The quality of life between breast cancer survivors and their adolescent children are interrelated. Both the breast cancer survivors and their adolescent children did not appear to have serious anxiety and depression. As noted, the greater scores on BDI-II more likely occurred in adolescent daughters than sons. Few breast cancer survivors showed poor spiritual coping on Chinese Cancer Coherence Scale. Almost 20% of the adolescent children scored higher than 17 on Children Impact of Events Scale which indicated they were the high risk group for the post-traumatic stress disorder. Breast cancer survivors appeared to have a good physical quality of life, but they appeared to have relatively poor mental component of quality of life. The predictors of physical quality of life of breast cancer survivors were their age, anxiety, depression and mental component of quality of life. The predictors of mental quality of life of breast cancer survivors were anxiety, depression, physical component of quality of life, and the incoherent-embittered type of spiritual coping with cancer. The predictors of adolescents’ physical quality of life were their anxiety status and the time period between their mothers completing surgery and participating in this study. The predictors of adolescents’ mental quality of life were their anxiety status.
Conclusions: The results illustrate that anxiety and depression both are the main factors associated with breast cancer survivors'' physical and mental components of quality of life. Spiritual coping with cancer influences mental component of quality of life in breast cancer survivors. Adolescent children’s anxiety levels are the main factor associated with physical and mental quality of life, and their physical well-being is likely improved as the length of their mother completing cancer treatment is longer.


致謝…………………………………………………………………………...………….i
中文摘要………………………………………………………….…………………ii-iii
英文摘要……………………………………….……………………………………iv-v
目錄…………………………………………………………..…………...………vi-viii
圖目錄………………………………………………...……………………..…………ix
表目錄………………………………………………………………………..…………x
第一章 緒論
第一節 研究動機……………………………………………………………. ……1-2
第二節 研究問題及目的…………………………………………………….………3
第三節 名詞定義…………………………………………………………. ………4-5
第二章 文獻探討
第一節 乳癌存活率的現況………………………………………………. ………6
第二節 乳癌存活者生活品質的現況與情緒困擾……………………….....……7-9
第三節 乳癌存活者其青少子女的生活適應與影響因素……………….……10-13
第三章 研究方法
第一節 研究架構……………………………………………………. …………….14
第二節 研究設計……………………………………………………...……….…..15
第三節 研究對象……………………………………………......………..…….16-17
第四節 研究假設………………………………………………...……….………...18
第五節 研究工具………………………………………………………………19-21
第六節 研究步驟………………………………………………….………………22
第七節 研究分析……………………………………………………….………24-25
第八節 倫理考量…………………….…………………………………….………26
第九節 預期可能遭遇之困難和解決途徑……………….………………………27
第四章 研究結果
第一節 乳癌存活者與其青少年子女基本屬性的分佈狀況………………….28-32
第二節 乳癌存活者與其青少年子女知覺憂鬱、焦慮、癌症壓力事件反應和生活品質的現況及差異分析…………………………….....………...……33-37
第三節 乳癌存活者與其青少年子女生活品質相關因素………………...….38-42
第四節 乳癌存活者與青少年子女生活品質的回歸預測分析………….……43-47
第五章 討論
第一節 乳癌存活者與其青少年子女基本屬性的分佈狀況…………….……48-49
第二節 乳癌存活者與其青少年子女知覺憂鬱、焦慮、癌症壓力事件反應的現況及差異分析…………………………………………….………..….…50-53
第三節 乳癌存活者與其青少年子女生活品質的現況及差異分析….…..…54-55
第四節 乳癌存活者與其青少年子女生理健康的預測因子…………….……56-57
第五節 乳癌存活者與其青少年子女心理健康的的預測因子………….……58-59
第六章 結論與建議
第一節 研究結論……………………………………………….………………60-61
第二節 研究限制………………………………………………….……….………61
第三節 研究應用與建議………………………………………………………61-62
參考資料
中文文獻…………………………………………………………………………63-64
英文文獻…………………………………………………………………………64-70
附錄
附錄一、問卷基本資料(母親版) ………………………………………………71-72
附錄二、問卷基本資料(青少年子女版)…………………….………………….…73
附錄三、SF-12生活品質量表……………………….…………………………74-76
附錄四、貝氏憂鬱量表第二版中文版…………………………………………77-79
附錄五、焦慮狀態詢問表…………………………………………………………80
附錄六、華人癌症體驗量表…………………………………………….…….……81
附錄七、孩童對壓力事件反應量表……………………………………………. ….82



內政部統計處(2014,5月30日).內政統計查詢網(15歲以上人口教育程度).2014 &;#63886;6月5日取自http://statis.moi.gov.tw/micst/stmain.jsp?sys=100
內政部統計處(2014,5月30日).內政統計查詢網(結婚人數─按年齡、婚前婚姻狀況分).2014 &;#63886;6月5日取自http://statis.moi.gov.tw/micst/stmain.jsp?sys=100
行政院主計處.台灣地區家庭收支調查(家庭收支概況).2014 &;#63886;6月5日取自http://win.dgbas.gov.tw/fies/
行政院主計處中華民國統計資料網(2014,1月10日).總體統計資料庫(人口統計|婚姻狀況).2014 &;#63886;6月5日取自http://ebas1.ebas.gov.tw/pxweb/Dialog/statfile9L.asp
中華民國統計資訊網(2013,5月).人力資源統計年報(表44 15歲以上女性民間人口之年齡-按勞動力狀況、從業身分與婚姻狀況分).2014 &;#63886;6月5日取自http://win.dgbas.gov.tw/dgbas04/bc4/manpower/year/year_f.asp?table=44
王貴霞、劉哲銘、呂志得(2005).乳癌病患的困擾及擔憂問題.北市醫學雜誌,2(9),71-76。
台灣癌症登記小組(2008,12月31日).癌症五年相對存活率(僅含侵襲癌).2010 &;#63886;9月22日取自http://tcr.cph.ntu.edu.tw/main.php?Page=A5B3#t01
台灣癌症登記小組(2008,12月31日).年齡標準化發生率長期趨勢|發生年代年齡別發生率曲線.2010 &;#63886;9月22日取自http://tcr.cph.ntu.edu.tw/main.php?Page=A5B2
&;#64008;政院衛生署(2009,11月3日).97年度全民健康保險醫療統計年報.2010 &;#63886;9月19日取自http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=10902&;class_no=440&;level_no=2
姚開屏(2002).台灣版世界衛生組織生活品質問卷之發展與應用.台灣醫學,6(3),193-200。
美國精神醫學會(2003) ‧精神疾病的診斷與統計(孔繁鐘譯)‧台北市:合記圖書出版社。(原著出版於1999)。400-402
陳心怡(2000).貝克憂鬱量表第二版指導手冊.台北:中國行為科學社。
張金堅、郭文宏、王明暘(2008).台灣乳癌之流行病學.中華癌醫會誌,24(2),85-93。
張金堅、曾令民、郭文宏、王明暘、戴浩志、張梅蘭.乳房診治照護全書(初版,87頁).台北市:原水文化出版。
張&;#29647;、黃梅羹、林弘崇(1988)乳癌病人的壓力與調適初步探討.台灣乳癌之流行病學.中華民國公共衛生學會雜誌,8(2),109-124。
衛生福利部國民健康署(2013,7月23日).癌症登記線上互動查詢系統.2014 &;#63886;6月5日取自https://cris.hpa.gov.tw/pagepub/Home.aspx
國家衛生研究院(2004).乳癌診斷與治療共識.臺北:國家衛生研究院(NHRI)癌症研究組臺灣癌症臨床研究合作組織(TCOG)。
賴鴻均(2008).癌症患者的憂鬱症.腫瘤護理雜誌,8(1),1-11。
盧孟良、車先蕙、張尚文、沈武典(2002).中文版貝克憂鬱量表第二版之信度和效度.台灣精神醫學,16(4),301-310。
蔡麗雲、顧乃平、張澤芸、賴裕和(2001).癌痛病患的焦慮、憂鬱及其相關因素之探討.新台北護理期刊,3(1),23-32。
蕭妃秀(2005).身心靈復能團體對憂鬱症成效之探討,未發表。

Ahn, S. H., Park, B. W., Noh, D. Y., Nam, S. J., Lee, E. S., Lee, M. K., . . . Yun, Y. H. (2007). Health-related quality of life in disease-free survivors of breast cancer with the general population. Ann Oncol, 18(1), 173-182. doi: 10.1093/annonc/mdl333
Ainuddin, H. A., Loh, S. Y., Low, W. Y., Sapihis, M., &; Roslani, A. C. (2012). Quality of life of multiethnic adolescents living with a parent with cancer. Asian Pac J Cancer Prev, 13(12), 6289-6294.
Beck, S. L., Towsley, G. L., Caserta, M. S., Lindau, K., &; Dudley, W. N. (2009). Symptom experiences and quality of life of rural and urban older adult cancer survivors. Cancer Nurs, 32(5), 359-369. doi: 10.1097/NCC.0b013e3181a52533
Boehmer, U., Glickman, M., Milton, J., &; Winter, M. (2012). Health-related quality of life in breast cancer survivors of different sexual orientations. Qual Life Res, 21(2), 225-236. doi: 10.1007/s11136-011-9947-y
Bowen, D. J., Fann, J. R., Andersen, M. R., Rhew, I. C., Gralow, J. R., Lewis, F. M., . . . Ankerst, D. P. (2007). Recruiting patients with breast cancer and their families to behavioral research in the post-HIPAA period. Oncol Nurs Forum, 34(5), 1049-1054. doi: U8134976880774K5 [pii]
10.1188/07.ONF.1049-1054 [doi]
Brown, R. T., Fuemmeler, B., Anderson, D., Jamieson, S., Simonian, S., Hall, R. K., &; Brescia, F. (2007). Adjustment of children and their mothers with breast cancer. J Pediatr Psychol, 32(3), 297-308. doi: jsl015 [pii]
10.1093/jpepsy/jsl015 [doi]
Burgess, C., Cornelius, V., Love, S., Graham, J., Richards, M., &; Ramirez, A. (2005). Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ, 330(7493), 702. doi: 10.1136/bmj.38343.670868.D3
Carter, J., Raviv, L., Applegarth, L., Ford, J. S., Josephs, L., Grill, E., . . . Barakat, R. R. (2010). A cross-sectional study of the psychosexual impact of cancer-related infertility in women: third-party reproductive assistance. J Cancer Surviv, 4(3), 236-246. doi: 10.1007/s11764-010-0121-2
Champion, V. L., Wagner, L. I., Monahan, P. O., Daggy, J., Smith, L., Cohee, A., . . . Sledge, G. W., Jr. (2014). Comparison of younger and older breast cancer survivors and age-matched controls on specific and overall quality of life domains. Cancer. doi: 10.1002/cncr.28737
Chan, T. H., Ho, R. T., &; Chan, C. L. (2007). Developing an outcome measurement for meaning-making intervention with Chinese cancer patients. Psychooncology, 16(9), 843-850. doi: 10.1002/pon.1134
Chen, X., Zheng, Y., Zheng, W., Gu, K., Chen, Z., Lu, W., &; Shu, X. O. (2009). Prevalence of depression and its related factors among Chinese women with breast cancer. Acta Oncol, 48(8), 1128-1136. doi: 10.3109/02841860903188650
Clemmens, D. A. (2009). The significance of motherhood for adolescents whose mothers have breast cancer. Oncol Nurs Forum, 36(5), 571-577. doi: 2268481528624702 [pii]
10.1188/09.ONF.571-577 [doi]
Costas-Muniz, R. (2012). Hispanic adolescents coping with parental cancer. Support Care Cancer, 20(2), 413-417. doi: 10.1007/s00520-011-1283-9
Davey, M., Gulish, L., Askew, J., Godette, K., &; Childs, N. (2005). Adolescents coping with mom''s breast cancer: developing family intervention programs. J Marital Fam Ther, 31(2), 247-258.
Edwards, L., Watson, M., St James-Roberts, I., Ashley, S., Tilney, C., Brougham, B., . . . Romer, G. (2008). Adolescent''s stress responses and psychological functioning when a parent has early breast cancer. Psychooncology, 17(10), 1039-1047. doi: 10.1002/pon.1323
Evans, S., Ferrando, S., Findler, M., Stowell, C., Smart, C., &; Haglin, D. (2008). Mindfulness-based cognitive therapy for generalized anxiety disorder. J Anxiety Disord, 22(4), 716-721. doi: 10.1016/j.janxdis.2007.07.005
Fitch, M. I., Bunston, T., &; Elliot, M. (1999). When mom''s sick: changes in a mother''s role and in the family after her diagnosis of cancer. Cancer Nurs, 22(1), 58-63.
Foran-Tuller, K., O''Hea, E. L., Moon, S., &; Miller, S. J. (2012). Posttraumatic stress symptoms in children of mothers diagnosed with breast cancer. J Psychosoc Oncol, 30(1), 41-56. doi: 10.1080/07347332.2011.633979
Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., . . . Sullivan, M. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. International Quality of Life Assessment. J Clin Epidemiol, 51(11), 1171-1178.
Grabiak, B. R., Bender, C. M., &; Puskar, K. R. (2007). The impact of parental cancer on the adolescent: an analysis of the literature. Psychooncology, 16(2), 127-137.
Harris, C. A., &; Zakowski, S. G. (2003). Comparisons of distress in adolescents of cancer patients and controls. Psychooncology, 12(2), 173-182. doi: 10.1002/pon.631 [doi]
Hartl, K., Schennach, R., Muller, M., Engel, J., Reinecker, H., Sommer, H., &; Friese, K. (2010). Quality of life, anxiety, and oncological factors: a follow-up study of breast cancer patients. Psychosomatics, 51(2), 112-123. doi: 10.1176/appi.psy.51.2.112
Health, U. D. o. (Ed.). (2001). Interpreting the SF-12
Helgeson, V. S. (2010). Survivor centrality among breast cancer survivors: implications for well-being. Psychooncology. doi: 10.1002/pon.1750
Hilton, B. A., &; Elfert, H. (1996). Children''s experiences with mothers'' early breast cancer. Cancer Pract, 4(2), 96-104.
Ho, S. M., Chan, C. L., &; Ho, R. T. (2004). Posttraumatic growth in Chinese cancer survivors. Psychooncology, 13(6), 377-389. doi: 10.1002/pon.758
Hopwood, P., Sumo, G., Mills, J., Haviland, J., &; Bliss, J. M. (2010). The course of anxiety and depression over 5 years of follow-up and risk factors in women with early breast cancer: results from the UK Standardisation of Radiotherapy Trials (START). Breast, 19(2), 84-91. doi: 10.1016/j.breast.2009.11.007
Huizinga, G. A., Visser, A., van der Graaf, W. T., Hoekstra, H. J., Gazendam-Donofrio, S. M., &; Hoekstra-Weebers, J. E. (2010). Stress response symptoms in adolescents during the first year after a parent''s cancer diagnosis. Support Care Cancer, 18(11), 1421-1428. doi: 10.1007/s00520-009-0764-6
Kaiser, K. (2008). The meaning of the survivor identity for women with breast cancer. Soc Sci Med, 67(1), 79-87. doi: S0277-9536(08)00180-9 [pii]
10.1016/j.socscimed.2008.03.036 [doi]
Karakoyun-Celik, O., Gorken, I., Sahin, S., Orcin, E., Alanyali, H., &; Kinay, M. (2010). Depression and anxiety levels in woman under follow-up for breast cancer: relationship to coping with cancer and quality of life. Med Oncol, 27(1), 108-113. doi: 10.1007/s12032-009-9181-4 [doi]
King, J. T., Jr., Horowitz, M. B., Kassam, A. B., Yonas, H., &; Roberts, M. S. (2005). The short form-12 and the measurement of health status in patients with cerebral aneurysms: performance, validity, and reliability. J Neurosurg, 102(3), 489-494. doi: 10.3171/jns.2005.102.3.0489
Levin, A. O., Carpenter, K. M., Fowler, J. M., Brothers, B. M., Andersen, B. L., &; Maxwell, G. L. (2010). Sexual morbidity associated with poorer psychological adjustment among gynecological cancer survivors. Int J Gynecol Cancer, 20(3), 461-470. doi: 10.1111/IGC.0b013e3181d24ce0
Lu, W., Cui, Y., Chen, X., Zheng, Y., Gu, K., Cai, H., . . . Shu, X. O. (2009). Changes in quality of life among breast cancer patients three years post-diagnosis. Breast Cancer Res Treat, 114(2), 357-369. doi: 10.1007/s10549-008-0008-3
Ma, X., Liu, X., Hu, X., Qiu, C., Wang, Y., Huang, Y., . . . Li, T. (2011). Risk indicators for post-traumatic stress disorder in adolescents exposed to the 5.12 Wenchuan earthquake in China. Psychiatry Res. doi: 10.1016/j.psychres.2010.12.016
Meneses, K., &; Benz, R. (2010). Quality of life in cancer survivorship: 20 years later. Semin Oncol Nurs, 26(1), 36-46. doi: S0749-2081(09)00113-2 [pii]
10.1016/j.soncn.2009.11.006 [doi]
Mols, F., Vingerhoets, A. J., Coebergh, J. W., &; van de Poll-Franse, L. V. (2005). Quality of life among long-term breast cancer survivors: a systematic review. Eur J Cancer, 41(17), 2613-2619. doi: 10.1016/j.ejca.2005.05.017
Montazeri, A., Vahdaninia, M., Harirchi, I., Ebrahimi, M., Khaleghi, F., &; Jarvandi, S. (2008). Quality of life in patients with breast cancer before and after diagnosis: an eighteen months follow-up study. BMC Cancer, 8, 330. doi: 1471-2407-8-330 [pii]
10.1186/1471-2407-8-330 [doi]
Newcombe, P. A., Sheffield, J. K., Juniper, E. F., Petsky, H. L., Willis, C., &; Chang, A. B. (2010). Validation of a parent-proxy quality of life questionnaire for paediatric chronic cough (PC-QOL). Thorax, 65(9), 819-823. doi: 10.1136/thx.2009.133868
Noeres, D., Park-Simon, T. W., Grabow, J., Sperlich, S., Koch-Giesselmann, H., Jaunzeme, J., &; Geyer, S. (2013). Return to work after treatment for primary breast cancer over a 6-year period: results from a prospective study comparing patients with the general population. Support Care Cancer, 21(7), 1901-1909. doi: 10.1007/s00520-013-1739-1
Osborn, T. (2007). The psychosocial impact of parental cancer on children and adolescents: a systematic review. Psychooncology, 16(2), 101-126. doi: 10.1002/pon.1113 [doi]
Paradis, M., Consoli, S. M., Pelicier, N., Lucas, V., Jian, R., &; Andrieu, J. M. (2008). [Influence of the communication about one parent''s cancer on children''s suffering]. Rev Med Interne, 29(12), 986-993. doi: S0248-8663(08)00542-0 [pii]
10.1016/j.revmed.2008.03.367 [doi]
Purnell, J. Q., Andersen, B. L., &; Wilmot, J. P. (2009). Religious Practice and Spirituality in the Psychological Adjustment of Survivors of Breast Cancer. Couns Values, 53(3), 165.
Romito, F., Cormio, C., Giotta, F., Colucci, G., &; Mattioli, V. (2012). Quality of life, fatigue and depression in Italian long-term breast cancer survivors. Support Care Cancer, 20(11), 2941-2948. doi: 10.1007/s00520-012-1424-9
Rosedale, M. (2009). Survivor loneliness of women following breast cancer. Oncol Nurs Forum, 36(2), 175-183. doi: G76712671V525Q81 [pii]
10.1188/09.ONF.175-183 [doi]
Sabado, M., Tanjasiri, S. P., Alii, S. M., &; Hanneman, M. (2010). Role of Spirituality in Coping with Breast Cancer: A Qualitative Study of Samoan Breast Cancer Survivors and their Supporters. Calif J Health Promot, 8(SE), 11-22.
Saito, N., Takahashi, M., Sairenchi, T., &; Muto, T. (2014). The Impact of Breast Cancer on Employment among Japanese Women. J Occup Health, 56(1), 49-55.
Schreiber, J. A. (2011). Image of God: effect on coping and psychospiritual outcomes in early breast cancer survivors. Oncol Nurs Forum, 38(3), 293-301. doi: 10.1188/11.onf.293-301
Semple, C. J., &; McCance, T. (2010). Parents'' experience of cancer who have young children: a literature review. Cancer Nurs, 33(2), 110-118. doi: 10.1097/NCC.0b013e3181c024bb [doi]
Smith, M. Y., Redd, W. H., Peyser, C., &; Vogl, D. (1999). Post-traumatic stress disorder in cancer: a review. Psychooncology, 8(6), 521-537.
Stallard, P., Velleman, R., &; Baldwin, S. (1999). Psychological screening of children for post-traumatic stress disorder. Journal of Child Psychology and Psychiatry and Allied Disciplines, 40(7), 1075-1082. doi: 10.1111/1469-7610.00525
Stiffler, D., Barada, B., Hosei, B., &; Haase, J. (2008). When mom has breast cancer: adolescent daughters'' experiences of being parented. Oncol Nurs Forum, 35(6), 933-940. doi: Y583172258032JJ4 [pii]
10.1188/08.ONF.933-940 [doi]
Thune-Boyle, I. C., Stygall, J., Keshtgar, M. R., Davidson, T. I., &; Newman, S. P. (2013). Religious/spiritual coping resources and their relationship with adjustment in patients newly diagnosed with breast cancer in the UK. Psychooncology, 22(3), 646-658. doi: 10.1002/pon.3048
Vahdaninia, M., Omidvari, S., &; Montazeri, A. (2010). What do predict anxiety and depression in breast cancer patients? A follow-up study. Soc Psychiatry Psychiatr Epidemiol, 45(3), 355-361. doi: 10.1007/s00127-009-0068-7 [doi]
Vannatta, K., Grollman, J. A., Noll, R. B., &; Gerhardt, C. A. (2008). Impact of maternal breast cancer on the peer interactions of children at school. Psychooncology, 17(3), 252-259.
Vannatta, K., Ramsey, R. R., Noll, R. B., &; Gerhardt, C. A. (2010). Associations of child adjustment with parent and family functioning: comparison of families of women with and without breast cancer. J Dev Behav Pediatr, 31(1), 9-16. doi: 10.1097/DBP.0b013e3181c82a44 [doi]
00004703-201001000-00002 [pii]
Visser, A., Huizinga, G. A., Hoekstra, H. J., van der Graaf, W. T., Klip, E. C., Pras, E., &; Hoekstra-Weebers, J. E. (2005). Emotional and behavioural functioning of children of a parent diagnosed with cancer: a cross-informant perspective. Psychooncology, 14(9), 746-758. doi: 10.1002/pon.902 [doi]
Visser, A., Huizinga, G. A., van, d. G. W. T., Hoekstra, H. J., &; Hoekstra-Weebers, J. E. (2004). The impact of parental cancer on children and the family: a review of the literature. Cancer Treat Rev, 30(8), 683-694. doi: S030573720400101X [pii]
10.1016/j.ctrv.2004.06.001 [doi]
Wallberg, B., Michelson, H., Nystedt, M. B., Christina; , Degner, L., &; Wilking, N. (2003). The Meaning of Breast Cancer. Acta Oncologica, Feb2003, Vol. 42 Issue 1, p30, 6p, p30, 36p.
Wang, F., Liu, J., Liu, L., Wang, F., Ma, Z., Gao, D., . . . Yu, Z. (2014). The status and correlates of depression and anxiety among breast-cancer survivors in Eastern China: a population-based, cross-sectional case-control study. BMC Public Health, 14, 326. doi: 10.1186/1471-2458-14-326
Ware, J., Jr., Kosinski, M., &; Keller, S. D. (1996). A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care, 34(3), 220-233.
Welch, A. S., Wadsworth, M. E., &; Compas, B. E. (1996). Adjustment of children and adolescents to parental cancer. Parents'' and children''s perspectives. Cancer, 77(7), 1409-1418.
Yule W. (1997). Anxiety, depression and post-traumatic stress disorder in childhood.
In The NFER ,
Sclare I (ed.). NFER Nelson: Windsor. Child Psycholohy Portfolio.


QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔