Penedo Frank J, Molton Ivan, Dahn Jason R, Shen Biing-Jiun, Kinsinger Dave, Traeger Lara, Siegel Scott, Schneiderman Neil, Antoni Michael
Department of Psychology, University of Miami, Coral Gables, FL 33134, USA.
Ann Behav Med. 2006 Jun;31(3):261-70. doi: 10.1207/s15324796abm3103_8.
Recent literature has indicated that a significant percentage of oncology patients describe finding some benefit (e.g., improved personal growth, sense of meaning, and enhanced interpersonal relationships) in the cancer experience. However, few studies have investigated the role of group-based psychosocial interventions in improving benefit finding (BF), and virtually none have investigated these constructs in men.
This study examined whether a cognitive-behavioral stress management (CBSM) intervention improves BF and quality of life (QoL) in men recovering from treatment for localized prostate cancer.
Participants in this study were 191 men (M age = 65.1) treated with radiation or radical prostatectomy for clinically localized (i.e., Stage I or II) prostate cancer. Participants were primarily non-Hispanic White (40%) or Hispanic (41%), followed by Black (18%) and other ethnicity (1%), were an average of 65.1 years old (SD = 7.7), and earned an average of 47,800 US dollars annually (SD = 41,000 US dollars). Participants were randomized to either a 10-week group-based cognitive-behavioral stress management intervention or a half-day educational seminar as a control condition. All participants provided demographic information and completed the Positive Contributions Scale-Cancer to assess BF, the Functional Assessment of Cancer Therapy to measure quality of life, and a measure of perceived stress management skills. Structural equation modeling was utilized for all analyses.
Results indicated that the CBSM condition led to increases in BF and QoL and that these changes were mediated by the development of stress management skills.
Results support the use of group-based cognitive-behavioral interventions in promoting QoL and BF in this population.
近期文献表明，相当一部分肿瘤患者称在患癌经历中获得了一些益处（如个人成长得到改善、有了意义感以及人际关系得到增强）。然而，很少有研究调查基于团体的心理社会干预在改善益处发现方面的作用，而且几乎没有研究在男性中探究这些因素。
本研究调查了认知行为压力管理（CBSM）干预是否能改善接受局限性前列腺癌治疗后康复的男性的益处发现和生活质量（QoL）。
本研究的参与者为191名男性（平均年龄 = 65.1岁），他们因临床局限性（即I期或II期）前列腺癌接受了放疗或根治性前列腺切除术。参与者主要为非西班牙裔白人（40%）或西班牙裔（41%），其次是黑人（18%）和其他种族（1%），平均年龄为65.1岁（标准差 = 7.7），平均年收入为47,800美元（标准差 = 41,000美元）。参与者被随机分为接受为期10周的基于团体的认知行为压力管理干预组或作为对照的半天教育研讨会组。所有参与者提供了人口统计学信息，并完成了癌症积极贡献量表以评估益处发现，完成了癌症治疗功能评估以测量生活质量，以及一项感知压力管理技能的测量。所有分析均采用结构方程模型。
结果表明，CBSM干预组的益处发现和生活质量有所提高，且这些变化是由压力管理技能的发展介导的。
结果支持在该人群中使用基于团体的认知行为干预来促进生活质量和益处发现。
