Cousson-Gélie Florence, Bruchon-Schweitzer Marilou, Atzeni Thierry, Houede Nadine
Laboratory of Health Psychology and Quality of Life, University Bordeaux Segalen, France.
Psychol Rep. 2011 Jun;108(3):923-42. doi: 10.2466/02.07.15.20.PR0.108.3.923-942.
The purpose of this research was to demonstrate that a specific psychosocial intervention changes reactions to cancer and quality of life. This study was carried out on 66 patients with a first breast cancer. Patients were randomly divided into two groups: a specific intervention group (G1, 8 sessions) or a support group (G2, 8 sessions). A control group (G3) was composed of patients who refused to participate in psychological intervention. Social support, perceived control, repression of emotions, coping strategies, emotional distress, and quality of life were assessed one week before (T1) and at the end (T2) of the psychological intervention. Results showed that G1 did not have significantly modified quality of life or psychological scores. Patients of G2 had poorer emotional quality of life, use of internal causal attributions, and minimized their illness at T1 as compared to patients of G3. At Time 2 these differences were not observed.
本研究的目的是证明一种特定的社会心理干预会改变对癌症的反应和生活质量。本研究针对66例首次患乳腺癌的患者开展。患者被随机分为两组:特定干预组(G1,8次疗程)或支持组(G2,8次疗程)。对照组(G3)由拒绝参与心理干预的患者组成。在心理干预前一周(T1)和干预结束时(T2)评估社会支持、感知控制、情绪抑制、应对策略、情绪困扰和生活质量。结果显示,G1组的生活质量或心理评分没有显著改变。与G3组患者相比,G2组患者在T1时情绪生活质量较差,使用内在因果归因,且尽量淡化自己的病情。在T2时,未观察到这些差异。