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促进压力管理中的心理韧性:一项针对患有严重疾病的青少年和年轻人的新型心理韧性促进干预措施的试点研究。

Promoting Resilience in Stress Management: A Pilot Study of a Novel Resilience-Promoting Intervention for Adolescents and Young Adults With Serious Illness.

作者信息

Rosenberg Abby R, Yi-Frazier Joyce P, Eaton Lauren, Wharton Claire, Cochrane Katherine, Pihoker Catherine, Baker K Scott, McCauley Elizabeth

机构信息

Seattle Children's Research Institute, University of Washington School of Medicine and Fred Hutchinson Cancer Research Center

Seattle Children's Research Institute, University of Washington School of Medicine and.

出版信息

J Pediatr Psychol. 2015 Oct;40(9):992-9. doi: 10.1093/jpepsy/jsv004. Epub 2015 Feb 11.

Abstract

OBJECTIVE

To examine the feasibility and format of the Promoting Resilience in Stress Management (PRISM) intervention among two groups of adolescents and young adults (AYAs) at-risk for poor outcomes: those with Type 1 diabetes (T1D) or cancer.

METHODS

PRISM consists of two long or four short skills-based modules. English-speaking patients 12-25 years old were eligible if they had T1D for >6 months or cancer for >2 weeks. Feasibility was defined as an 80% completion rate and high satisfaction. Ongoing monitoring shaped iterative refinement of disease-specific approach.

RESULTS

12 of 15 patients with T1D (80%) completed the two-session intervention. 3 of 15 patients with cancer declined to complete the two-session version, citing prohibitive length of individual sessions. 12 (80%) completed the four-session version. Patient-reported satisfaction was high across groups.

CONCLUSIONS

The PRISM intervention is feasible and well-accepted by AYAs with cancer or T1D. Differences in patient populations warrant differences in approach.

摘要

目的

探讨压力管理中的促进恢复力(PRISM)干预措施在两组面临不良后果风险的青少年和青年(AYAs)中的可行性和形式,这两组人群分别为1型糖尿病(T1D)患者或癌症患者。

方法

PRISM由两个长的或四个短的基于技能的模块组成。12至25岁的英语患者,如果患有T1D超过6个月或癌症超过2周,则符合条件。可行性定义为80%的完成率和高满意度。持续监测形成了针对特定疾病方法的迭代改进。

结果

15名T1D患者中有12名(80%)完成了两阶段干预。15名癌症患者中有3名以单次疗程过长为由拒绝完成两阶段版本。12名(80%)完成了四阶段版本。各群体患者报告的满意度都很高。

结论

PRISM干预措施对患有癌症或T1D的AYAs是可行的且被广泛接受。不同患者群体的差异需要在方法上有所不同。

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