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元认知疗法与基于正念减压疗法对乳腺癌女性整体及特定生活质量的疗效比较

Comparison of effectiveness of the metacognition treatment and the mindfulness-based stress reduction treatment on global and specific life quality of women with breast cancer.

作者信息

Rahmani Soheila, Talepasand Siavash, Ghanbary-Motlagh ALi

机构信息

Dept. of Psychology and Educational Sciences, Semnan University, Semnan, Iran.

Radiation and Oncology Center, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Cancer Prev. 2014 Fall;7(4):184-96.

Abstract

BACKGROUND

This study is conducted to compare the metacognition treatment and the mindfulness-based stress reduction treatment on life quality of women with breast cancer.

METHODS

In a quasi-experimental design, with pre-test, post-test and control group, 36 patients with diagnosis of breast cancer, among patients who referred to the Division of Oncology and Radiotherapy of Imam Hossein hospital in Tehran, were selected in accessible way and were assigned randomly to three experimental groups, the first group receiving meta-cognition treatment (n=12), the second one receiving mindfulness-based stress reduction program (n=12), and the other was the control group. Participants completed global life quality in cancer patient's questionnaire and specific quality of life in breast cancer patient's questionnaire in three stages: baseline, after intervention and two-month follow-up. Data were analyzed using the multivariate repeated measurement model.

RESULTS

Findings showed both treatments were effective in improving global and specific quality of life in patients with breast cancer. The mindfulness -based stress reduction treatment excelled in functions and roles, fatigue, pain, future perspective and treatment side effects symptoms at the end of the treatment and follow-up in comparison to the metacognition treatment.

CONCLUSION

Results of this research showed the mindfulness-based stress reduction treatment can be effective in improving global and specific life quality of women with breast cancer and is a selective method for improving quality of life in patients.

摘要

背景

本研究旨在比较元认知疗法和基于正念减压疗法对乳腺癌女性生活质量的影响。

方法

采用类实验设计,设有前测、后测和对照组。从转诊至德黑兰伊玛目侯赛因医院肿瘤放疗科的患者中,以方便抽样的方式选取36例乳腺癌患者,并随机分为三个实验组,第一组接受元认知疗法(n = 12),第二组接受基于正念减压方案(n = 12),另一组为对照组。参与者在三个阶段完成癌症患者生活质量综合问卷和乳腺癌患者特定生活质量问卷:基线期、干预后和两个月随访期。数据采用多变量重复测量模型进行分析。

结果

研究结果表明,两种治疗方法均能有效改善乳腺癌患者的总体和特定生活质量。与元认知疗法相比,基于正念减压疗法在治疗结束时及随访期的功能与角色、疲劳、疼痛、未来展望和治疗副作用症状方面表现更优。

结论

本研究结果表明,基于正念减压疗法可有效改善乳腺癌女性的总体和特定生活质量,是提高患者生活质量的一种可选方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/266e/4307101/74ed439529b0/IJCP-07-184f1.jpg

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