Lewis Frances Marcus, Casey Susan M, Brandt Patricia A, Shands Mary Ellen, Zahlis Ellen H
School of Nursing, University of Washington, Box 357262, Seattle, 98195, USA.
Psychooncology. 2006 Jun;15(6):486-97. doi: 10.1002/pon.979.
In 2005, approximately 211,240 women in the US will be diagnosed with early stage breast cancer and an estimated 22% will be child rearing. Research reveals that both mothers and children have elevated distress attributed to the cancer; struggle with how to talk about and deal with the impact of the cancer; and both fear the mother will die. The Enhancing Connections Program (EC) was developed to reduce this cancer-related distress and morbidity. The program involves five, 1-hour educational counseling sessions delivered at 2-week intervals by specially trained clinicians. This study reports on the program's short-term impact on mothers' and children's adjustment. Thirteen households were recruited within 7.5 months of the mother's diagnosis with early stage breast cancer. Impact was evaluated within a single group design using data obtained from standardized questionnaires with established reliability and validity. Results revealed significant improvements in the mother's depressed mood, anxiety, and self-confidence to assist her child (mother report). There were also significant decreases in the child's behavioral problems (mother and father report); the child's cancer-related worries (child report); and the child's anxiety/depressed mood (mother and father report). Further evaluation is warranted within a clinical trial.
2005年，美国约有211,240名女性将被诊断出患有早期乳腺癌，估计其中22%的女性正在抚养子女。研究表明，母亲和孩子都会因癌症而产生更高的痛苦；在如何谈论和应对癌症的影响方面存在困难；并且都担心母亲会去世。增强联系项目（EC）旨在减少这种与癌症相关的痛苦和发病率。该项目包括由经过专门培训的临床医生每两周进行一次的五次为时1小时的教育咨询课程。本研究报告了该项目对母亲和孩子适应情况的短期影响。在母亲被诊断出患有早期乳腺癌后的7.5个月内招募了13个家庭。使用从具有既定信度和效度的标准化问卷中获得的数据，在单组设计中评估影响。结果显示，母亲的抑郁情绪、焦虑以及帮助孩子的自信心有显著改善（母亲报告）。孩子的行为问题（母亲和父亲报告）、与癌症相关的担忧（孩子报告）以及焦虑/抑郁情绪（母亲和父亲报告）也有显著下降。有必要在临床试验中进行进一步评估。
