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针对癌症患者亲属的认知行为团体干预:一项对照研究。

Cognitive-behavior group intervention for relatives of cancer patients: a controlled study.

作者信息

Cohen Miri, Kuten Abraham

机构信息

Faculty of Social Welfare and Health Studies, School of Social Work, Haifa University and Social Work Department, Rambam Medical Center, Haifa, Israel.

出版信息

J Psychosom Res. 2006 Aug;61(2):187-96. doi: 10.1016/j.jpsychores.2005.08.014.

Abstract

OBJECTIVE

The objective of this study was to assess the effect of cognitive-behavior (CB) group intervention on the psychological distress and adjustment of relatives of cancer patients with a primary disease.

METHODS

A total of 52 relatives of cancer patients participated in a CB group intervention, whereas another 52 served as control subjects. All participants completed preintervention and postintervention measures and a 4-month follow-up questionnaire consisting of the Brief Symptom Inventory (BSI), the Psychological Adjustment to Illness Scale (PAIS), the Mini Sleep Questionnaire, and the Multidimensional Scale of Perceived Social Support; participants in the group intervention also reported compliance with home practice.

RESULTS

Participants in the intervention group scored significantly lower than the control subjects on the BSI and the PAIS, recorded fewer sleep difficulties in the postintervention and follow-up measures, and reported higher perceived support in the follow-up measure. By contrast, no significant change was observed in the control group during the study period. On the reliable change index, 30.8% of the intervention participants but only 3.9% of the control subjects had statistically significant improvements in their psychological distress. Improvement in the intervention group was associated with higher compliance with home practice.

CONCLUSION

This study provides evidence for the positive effect of a CB group intervention for family members, which lasted for 4 months after the intervention ended.

摘要

目的

本研究的目的是评估认知行为(CB)团体干预对患有原发性疾病的癌症患者亲属的心理困扰和适应情况的影响。

方法

共有52名癌症患者的亲属参加了CB团体干预,另有52名作为对照对象。所有参与者均完成了干预前和干预后的测量以及一份为期4个月的随访问卷,问卷包括简明症状量表(BSI)、疾病心理适应量表(PAIS)、简易睡眠问卷和多维感知社会支持量表;团体干预的参与者还报告了家庭练习的依从性。

结果

干预组参与者在BSI和PAIS上的得分显著低于对照组,在干预后和随访测量中记录的睡眠困难较少,并且在随访测量中报告的感知支持较高。相比之下,对照组在研究期间未观察到显著变化。根据可靠变化指数,30.8%的干预参与者在心理困扰方面有统计学上的显著改善,而对照组只有3.9%。干预组的改善与更高的家庭练习依从性相关。

结论

本研究为CB团体干预对家庭成员的积极作用提供了证据,这种作用在干预结束后持续了4个月。

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