Kovács Zsuzsanna, Rigó Adrien, Kökönyei Gyöngyi, Szabó Eva, Kovács Dorottya, Sebestyén Arpád, Balogh Béla, Prezenszki Zsuzsanna, Nagy Melánia
Alkalmazott Pszichológia Tanszék, Semmelweis Egyetem ETK, Budapest, Hungary.
Magy Onkol. 2012 Dec;56(4):247-57. Epub 2012 Sep 20.
The aim of the research was to assess the effectiveness of a comprehensive, complex psycho-social intervention program, operating on different levels of spiritual plane, life management and behavioural health, among women with breast cancer. The general objective of the study was to help in coping, promote cognitive and emotional processing, encourage psychological and spiritual growth, improve the quality of life, and reduce the chances of remission. The research has been carried out in Budapest at the Radiology Diagnostic Department of the National Oncology Institute, involving 173 women treated for malignant breast tumour (C50) (experimental group: n=86, control group: n=87). Thirty-four women from the experimental group participated in the complex intervention program. We carried out two tests: one before the start and one after the end of the program. Research tools: Shortened Beck Depression Inventory, Quality of Life Questionnaire (EORTC QLQ-C30, QLQ-BR23), Spielberger's State-Trait Anxiety Inventory (STAI-T), the Revised Illness Perception Questionnaire (IPQ-R), the Posttraumatic Growth Inventory, and the Benefit Finding Questionnaire. The women participating the experimental program showed a significant positive change in comparison to the control group: in anxiety F (1, 65)=6.021, p=0.017; in depression: F(1, 72)=4.347, p=0.041; in experience of personal control: F(1, 69)=7.346, p=0.008; in EORTC General Health/Quality of Life Subscale F(1, 78)=7.531, p=0.008; in EORTC physical functioning F(1, 78)=4.874, p=0.014; in EORTC fatigue F(1, 78)=15.060, p=0.000; in BR23 body-image F(1, 79)=8.828, p=0.004; in BR23 arm symptoms F(1, 78)=7.229, p=0.009; in benefit finding F(1, 80)=21.171, p=0.000, and in posttraumatic growth F(1, 31)=24.186, p=0.000). The program has proven effective, its widespread use in practice is recommended.
该研究的目的是评估一项全面、复杂的心理社会干预项目的有效性，该项目作用于精神层面、生活管理和行为健康的不同水平，针对的是乳腺癌女性患者。该研究的总体目标是帮助她们应对疾病、促进认知和情感处理、鼓励心理和精神成长、提高生活质量并降低复发几率。研究在布达佩斯的国家肿瘤研究所放射诊断科开展，涉及173名接受恶性乳腺肿瘤（C50）治疗的女性（实验组：n = 86，对照组：n = 87）。实验组中的34名女性参与了综合干预项目。我们在项目开始前和结束后各进行了一次测试。研究工具包括：简化版贝克抑郁量表、生活质量问卷（欧洲癌症研究与治疗组织生活质量核心问卷QLQ - C30、乳腺癌特异性问卷QLQ - BR23）、斯皮尔伯格状态 - 特质焦虑量表（STAI - T）、修订后的疾病认知问卷（IPQ - R）、创伤后成长量表以及益处发现问卷。与对照组相比，参与实验项目的女性出现了显著的积极变化：焦虑方面F(1, 65)=6.021，p = 0.017；抑郁方面：F(1, 72)=4.347，p = 0.041；个人控制感方面：F(1, 69)=7.346，p = 0.008；欧洲癌症研究与治疗组织总体健康/生活质量子量表方面F(1, 78)=7.531，p = 0.008；欧洲癌症研究与治疗组织身体功能方面F(1, 78)=4.874，p = 0.014；欧洲癌症研究与治疗组织疲劳方面F(1, 78)=15.060，p = 0.000；乳腺癌特异性问卷身体意象方面F(1, 79)=8.828，p = 0.004；乳腺癌特异性问卷手臂症状方面F(1, 78)=7.229，p = 0.009；益处发现方面F(1, 80)=21.171，p = 0.000，以及创伤后成长方面F(1, 31)=24.186，p = 0.000）。该项目已被证明有效，建议在实践中广泛应用。
