Manne Sharon, Babb James, Pinover Wayne, Horwitz Eric, Ebbert Judi
Fox Chase Cancer Center, Philadelphia, PA 19111, USA.
Psychooncology. 2004 Jan;13(1):37-46. doi: 10.1002/pon.724.
The effects of a 6-week psychoeducational group intervention on the distress, coping, personal growth, and marital communication of wives of men diagnosed with prostate cancer were evaluated using a randomized clinical trial.
Sixty wives completed measures prior to random assignment to either the psychoeducational group intervention or a no-treatment control group, and 1 month after completion of the group.
No differences with regard to wives' general distress or cancer-specific distress were noted. In comparison with the control group, participants receiving the intervention perceived that having a spouse with prostate cancer had made positive contributions to their lives, reported gains in the use of positive reappraisal coping and reductions in denial coping.
Although the psychoeducational intervention did not result in changes in psychological distress, improvements in adaptive coping and indicators of psychological growth were found. The utility of group interventions for spouses of men with prostate cancer is discussed.
采用随机临床试验评估为期6周的心理教育小组干预对被诊断患有前列腺癌男性的妻子的痛苦、应对方式、个人成长及婚姻沟通的影响。
60名妻子在被随机分配到心理教育小组干预组或无治疗对照组之前以及小组结束后1个月完成测量。
未发现妻子的一般痛苦或癌症特异性痛苦方面存在差异。与对照组相比,接受干预的参与者认为配偶患有前列腺癌对她们的生活产生了积极影响,报告在积极重新评价应对方式的使用上有所增加,否认应对方式有所减少。
尽管心理教育干预并未导致心理痛苦的改变,但发现适应性应对和心理成长指标有所改善。讨论了小组干预对前列腺癌男性配偶的效用。