Gündel Harald, Lordick Florian, Brandl Tobias, Würschmidt Florian, Schüssler Jutta, Leps Birgit, Sendler Andreas, Mert Erdal, Pouget-Schors Doris, Von Schilling Christoph, Peschel Christian, Sellschopp Almuth
Institut und Poliklinik für Psychosomatische Medizin, Psychotherapie und Medizinische Psychologie, TU München, Klinikum rechts der Isar, Langerstr. 3, 81675 München, Germany.
Z Psychosom Med Psychother. 2003;49(3):246-61. doi: 10.13109/zptm.2003.49.3.246.
We prospectively evaluated the effects of a six-session psychoeducational intervention held by medical doctors or psychologists in a German acute cancer center setting.
A cluster randomization was used to assign n=108 oncologic patients (55 female, 53 male; mean age=58.5) to the intervention or the control group. The self-rated amount of information about cancer-specific topics, quality of life (EORTC), coping (TSK) and anxiety and depression (HAD-S) were measured at the beginning of the intervention (t0) as well as two and four months later (t1).
At t1 the level of information related to different aspects of cancer (p<0.01) and "emotional functioning" (EORTC; p<0.05) were clearly improved in the intervention vs. the control group. At t2 intervention group patients again showed an increased level of information (p<0.05) and more emotional stability (p<0.05). In addition, reduced rumination was seen in patients of the intervention but not the control group (TSK; p=0.01).
This study provides evidence that even short interdisciplinary psychoeducational interventions can at least improve the level of cancer-related information while hardly denting the budget of any healthcare system.
我们前瞻性地评估了在德国一家急性癌症中心环境下，由医生或心理学家开展的为期六节的心理教育干预的效果。
采用整群随机化方法，将n = 108名肿瘤患者（55名女性，53名男性；平均年龄 = 58.5岁）分为干预组和对照组。在干预开始时（t0）以及两个月和四个月后（t1），测量患者对癌症特定主题的自评信息、生活质量（欧洲癌症研究与治疗组织问卷）、应对方式（应对方式问卷）以及焦虑和抑郁程度（医院焦虑抑郁量表）。
在t1时，与对照组相比，干预组在癌症不同方面的信息水平（p < 0.01）和“情绪功能”（欧洲癌症研究与治疗组织问卷；p < 0.05）明显改善。在t2时，干预组患者的信息水平再次提高（p < 0.05），情绪稳定性增强（p < 0.05）。此外，干预组患者的沉思减少，而对照组未出现这种情况（应对方式问卷；p = 0.01）。
本研究提供了证据，表明即使是短期的跨学科心理教育干预，至少也能提高癌症相关信息水平，同时几乎不会增加任何医疗保健系统的预算。
