社会认知理论与癌症患者的生活质量：心理社会干预成分的荟萃分析

Social cognitive theory and cancer patients' quality of life: a meta-analysis of psychosocial intervention components.

作者信息

Graves Kristi D

机构信息

Center for Research in Health Behavoir, Virginia Polytechnic Institute and State University, USA.

出版信息

Health Psychol. 2003 Mar;22(2):210-9.

PMID:12683741

Abstract

Social cognitive theory (SC) provides a theoretical framework to evaluate improved quality-of-life (QOL) outcomes through interventions with cancer patients To assess whether inclusion of SCT components predicted better outcomes, focused comparisons were used to integrate results from 38 randomized studies. Interventions with more SCT components had significantly larger effect sizes than studies with fewer or no SCT components for the overall analysis (Z = 3.72, p < .01). Subanalyses of affective, social, objective physical outcome, and specific QOL measures revealed that SCT-based interventions had significantly higher effect sizes; inclusion of SCT components resulted in significantly lower effect sizes on subjective physical and functional outcomes. Results suggest that using SCT-based interventions maximizes improvement in overall QOL outcomes for adult cancer patients.

摘要

社会认知理论（SC）提供了一个理论框架，用于评估通过对癌症患者进行干预来改善生活质量（QOL）的结果。为了评估纳入社会认知理论的组成部分是否能预测更好的结果，我们进行了重点比较，以整合38项随机研究的结果。在整体分析中，包含更多社会认知理论组成部分的干预措施比包含较少或不包含社会认知理论组成部分的研究具有显著更大的效应量（Z = 3.72，p <.01）。对情感、社会、客观身体结果和特定生活质量指标的子分析表明，基于社会认知理论的干预措施具有显著更高的效应量；纳入社会认知理论的组成部分对主观身体和功能结果的效应量显著更低。结果表明，使用基于社会认知理论的干预措施能最大限度地提高成年癌症患者的整体生活质量。