针对原发性乳腺癌女性的心理-精神综合治疗

Psycho-spiritual integrative therapy for women with primary breast cancer.

作者信息

Garlick Max, Wall Kathleen, Corwin Diana, Koopman Cheryl

机构信息

Institute of Transpersonal Psychology, Palo Alto, CA 94305-5718, USA.

出版信息

J Clin Psychol Med Settings. 2011 Mar;18(1):78-90. doi: 10.1007/s10880-011-9224-9.

DOI:10.1007/s10880-011-9224-9

PMID:21344265

Abstract

Breast cancer presents physical and psychological challenges, but can also result in posttraumatic growth (PTG). Twenty-four women completed Psycho-Spiritual Integrative Therapy (PSIT) treatment and completed assessments for PTG and QOL before, immediately following, and 1 month after treatment. Women showed improvement (p < .01) on the FACT-B (Functional Assessment of Cancer Therapy-Breast) Physical Well-being, Emotional Well-being, and Functional Well-being subscales, on the Profile of Mood States (POMS) Depression, Anger, and Fatigue subscales (p < .05), and on their POMS Tension, Vigor and Total Mood Disturbance (TMD) scores (p < .01). Also, women showed improvement on the FACIT-Sp-Ex (Functional Assessment of Chronic Illness Therapy-Spiritual) Meaning/Peace subscale, the Spiritual Well-being total scale (p < .01), and on the New Possibilities (p < .01) and Personal Strength (p < .05) subscales of the Posttraumatic Growth Inventory (PTGI). This preliminary study suggests that PSIT may improve well being and stimulate PTG in breast cancer patients.

摘要

乳腺癌带来了身体和心理上的挑战，但也可能导致创伤后成长（PTG）。24名女性完成了心理-精神综合疗法（PSIT）治疗，并在治疗前、治疗刚结束时以及治疗后1个月完成了PTG和生活质量（QOL）评估。女性在癌症治疗功能评估-乳腺癌（FACT-B）的身体幸福感、情绪幸福感和功能幸福感子量表上有改善（p <.01），在情绪状态剖面图（POMS）的抑郁、愤怒和疲劳子量表上有改善（p <.05），在POMS的紧张、活力和总情绪紊乱（TMD）得分上有改善（p <.01）。此外，女性在慢性病治疗功能评估-精神（FACIT-Sp-Ex）的意义/平静子量表、精神幸福感总量表上有改善（p <.01），在创伤后成长量表（PTGI）的新可能性子量表（p <.01）和个人力量子量表（p <.05）上有改善。这项初步研究表明，PSIT可能改善乳腺癌患者的幸福感并促进其PTG。