Schuurs Alana, Green Heather J
Behavioural Basis of Health Program, Griffith Health Institute and School of Applied Psychology, Griffith University, Gold Coast, Australia.
Psychooncology. 2013 May;22(5):1043-9. doi: 10.1002/pon.3102. Epub 2012 May 9.
This research aimed to address the gap in evidence-based treatment available for cancer survivors who are experiencing cognitive dysfunction, through piloting a novel treatment intervention. The overall research question was whether a group cognitive rehabilitation intervention would be feasible for improving cognitive function and quality of life for people who have completed cancer treatment.
Three groups of adults were recruited as follows: an intervention group of 23 cancer survivors who completed a 4-week group cognitive rehabilitation treatment, a comparison group of nine cancer survivors, and a community sample of 23 adults who had never experienced cancer. Measures of objective and subjective cognitive function, quality of life, psychosocial distress, and illness perceptions were used. The research design was non-randomised.
The results indicated that the intervention was effective in improving overall cognitive function, visuospatial/constructional performance, immediate memory, and delayed memory beyond practice effects alone. It was helpful in reducing participants' perceptions of cognitive impairment and psychosocial distress, as well as promoting social functioning and understanding of cognition. The improvements were maintained at 3 months after the intervention. Participants reported a high level of satisfaction with the treatment.
The results provided evidence for the feasibility of a brief group-based cognitive rehabilitation intervention to treat cognitive problems experienced by cancer survivors.
本研究旨在通过试行一种新型治疗干预措施,填补针对认知功能障碍癌症幸存者的循证治疗空白。总体研究问题是,对于已完成癌症治疗的人群,团体认知康复干预在改善认知功能和生活质量方面是否可行。
招募了三组成年人,具体如下:23名完成了为期4周团体认知康复治疗的癌症幸存者干预组、9名癌症幸存者对照组,以及23名从未患过癌症的成年人社区样本组。采用了客观和主观认知功能、生活质量、心理社会困扰及疾病认知的测量方法。研究设计为非随机化。
结果表明,该干预措施不仅能通过单纯练习效应有效改善整体认知功能、视觉空间/构建能力、即时记忆和延迟记忆,还有助于降低参与者对认知障碍的认知及心理社会困扰,促进社交功能和对认知的理解。干预后3个月这些改善仍得以维持。参与者对该治疗表示高度满意。
研究结果为基于团体的简短认知康复干预治疗癌症幸存者认知问题的可行性提供了证据。