Hulbert-Williams Nicholas J, Storey Lesley
Chester Research Unit for the Psychology of Health (CRUPH), Department of Psychology, University of Chester, Chester, UK.
School of Psychology, Queen's University Belfast, Belfast, UK.
Support Care Cancer. 2016 Jun;24(6):2513-21. doi: 10.1007/s00520-015-3050-9. Epub 2015 Dec 17.
The evidence for the effectiveness of psychological interventions for cancer patients is currently unclear. Acceptance and Commitment Therapy (ACT), which increases individual's levels of psychological flexibility, may be more effective than other frameworks of psychological intervention, but good quality research is needed to inform adoption and implementation. This study explored the correlation between psychological flexibility and patient-reported outcomes to assess the viability of this intervention for cancer survivors.
Recruitment was coordinated through a regional cancer centre. One hundred twenty-nine respondents completed a cross-sectional postal questionnaire. They were of mixed gender, diagnosis and cancer stage; a mean 61 years old; and a mean 207 days post-diagnosis. Self-report questionnaires assessed psychological flexibility, mood, anxiety, depression, stress, quality of life and benefit finding.
Psychological flexibility was a strong and consistent correlate of outcome; effects were maintained even when potentially confounding clinical and sociodemographic characteristics were controlled.
Psychological flexibility can be modified through ACT-based interventions. Given the strong correlational evidence found in this study, it seems that such interventions might be useful for cancer survivors. High-quality and well-designed controlled trials are now needed to establish effectiveness.
目前，心理干预对癌症患者有效性的证据尚不明确。接纳与承诺疗法（ACT）可提高个体的心理灵活性水平，可能比其他心理干预框架更有效，但需要高质量的研究来指导其采用和实施。本研究探讨心理灵活性与患者报告结局之间的相关性，以评估这种干预措施对癌症幸存者的可行性。
通过一个地区癌症中心协调招募工作。129名受访者完成了一份横断面邮寄问卷。他们的性别、诊断结果和癌症分期各不相同；平均年龄61岁；诊断后平均207天。自我报告问卷评估了心理灵活性、情绪、焦虑、抑郁、压力、生活质量和获益感。
心理灵活性是结局的一个强有力且稳定的相关因素；即使在控制了可能产生混淆的临床和社会人口学特征后，这种影响依然存在。
心理灵活性可通过基于接纳与承诺疗法的干预措施得到改善。鉴于本研究发现的强有力的相关性证据，此类干预措施似乎对癌症幸存者有用。现在需要高质量且设计良好的对照试验来确定其有效性。
