Antoni M H, Lehman J M, Kilbourn K M, Boyers A E, Culver J L, Alferi S M, Yount S E, McGregor B A, Arena P L, Harris S D, Price A A, Carver C S
Department of Psychology, University of Miami, Coral Gables, Florida 33124-2070, USA.
Health Psychol. 2001 Jan;20(1):20-32. doi: 10.1037//0278-6133.20.1.20.
The authors tested effects of a 10-week group cognitive-behavioral stress management intervention among 100 women newly treated for Stage 0-II breast cancer. The intervention reduced prevalence of moderate depression (which remained relatively stable in the control condition) but did not affect other measures of emotional distress. The intervention also increased participants' reports that having breast cancer had made positive contributions to their lives, and it increased generalized optimism. Both remained significantly elevated at a 3-month follow-up of the intervention. Further analysis revealed that the intervention had its greatest impact on these 2 variables among women who were lowest in optimism at baseline. Discussion centers on the importance of examining positive responses to traumatic events--growth, appreciation of life, shift in priorities, and positive affect-as well as negative responses.
作者对100名新接受0-II期乳腺癌治疗的女性进行了为期10周的团体认知行为压力管理干预效果测试。该干预降低了中度抑郁症的患病率（在对照条件下相对稳定），但未影响其他情绪困扰指标。该干预还增加了参与者关于患乳腺癌对其生活产生积极影响的报告，并增强了总体乐观情绪。在干预的3个月随访中，这两项指标仍显著升高。进一步分析表明，该干预对基线时乐观程度最低的女性在这两个变量上的影响最大。讨论集中在审视对创伤性事件的积极反应——成长、对生活的感激、优先事项的转变和积极情绪——以及消极反应的重要性上。
