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基于接纳与承诺疗法的团体训练对乳腺癌女性焦虑和抑郁的疗效

Effectiveness of group training based on acceptance and commitment therapy on anxiety and depression of women with breast cancer.

作者信息

Mohabbat-Bahar Sahar, Maleki-Rizi Fatemeh, Akbari Mohammad Esmaeil, Moradi-Joo Mohammad

机构信息

Faculty of Psychology and Educational Sciences, Allame Tabatabai University, Tehran, Iran.

Faculty of Psychology and Educational Sciences, Alzahra University, Tehran, Iran.

出版信息

Iran J Cancer Prev. 2015 Mar-Apr;8(2):71-6.

Abstract

BACKGROUND

Breast cancer is the most common cancer in women that as a sudden event has profound effects on all aspects of patients' lives. Psychosocial interventions may play important roles in reducing anxiety and depression among breast-cancer survivors. Therefore, group training based on acceptance and commitment therapy may help women to cope better with their condition, and decrease their anxiety and depression.

METHODS

In a quasi-experimental study, 30 patients with breast cancer were selected by convenience sampling method and randomly assigned to 2 experimental and control groups. The experimental group attended acceptance and commitment training classes for 8 weeks continuously (each class lasting 90 minutes). Participants in both the experimental and control groups completed Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BHI-II) as a pretest and posttest. Analysis of Covariance was used as the statistical method.

RESULTS

In acceptance and commitment group training, anxiety and depression significantly decreased (p<0/05). These changes were not observed in the control group.

CONCLUSION

The results showed that group training based on acceptance and commitment therapy is an effective method in reducing anxiety and depression. Hence psychological interventions can be used to reduce psychological difficulties of women with breast cancer.

摘要

背景

乳腺癌是女性中最常见的癌症,作为一个突发事件,它会对患者生活的各个方面产生深远影响。心理社会干预可能在减轻乳腺癌幸存者的焦虑和抑郁方面发挥重要作用。因此,基于接纳与承诺疗法的团体训练可能有助于女性更好地应对自身状况,并减轻她们的焦虑和抑郁。

方法

在一项准实验研究中,采用便利抽样法选取30例乳腺癌患者,并随机分为2个实验组和对照组。实验组连续8周参加接纳与承诺训练课程(每次课程持续90分钟)。实验组和对照组的参与者均完成贝克焦虑量表(BAI)和贝克抑郁量表(BHI-II)作为前测和后测。采用协方差分析作为统计方法。

结果

在接纳与承诺团体训练中,焦虑和抑郁显著降低(p<0.05)。对照组未观察到这些变化。

结论

结果表明,基于接纳与承诺疗法的团体训练是减轻焦虑和抑郁的有效方法。因此,心理干预可用于减轻乳腺癌女性的心理困扰。

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