Craig Julie Anne, Miner Dee, Remtulla Tasneem, Miller Janet, Zanussi Lauren W
Forensic Adolescent Program, Alberta Health Services, Sunridge Professional Building, 2675 36th Street, NW, Calgary, Alberta, Canada.
Southern Alberta Transplant Program, Foothills Medical Centre, Alberta Health Services, Calgary, Canada.
Health Soc Work. 2017 Feb 1;42(1):e44-e52. doi: 10.1093/hsw/hlw064.
The authors evaluated the use of a coping skills group (CSG) therapy intervention to decrease depression and anxiety and increase healthy coping skills in a population of kidney and liver transplant candidates. The study, using a pre-posttest design, piloted a CSG with a convenience sample of 41 consenting participants on a waiting list or in workup for kidney or liver transplant. Two transplant social workers led five eight-week closed psychoeducational groups. Coping skills, depression symptoms, and anxiety symptoms were assessed preintervention, postintervention, and at follow-up one month later. Results suggest that the CSG group created significant changes in some coping areas, such as decreasing the use of denial and self-blame and increasing the use of acceptance, religion, and instrumental supports. In this study, instrumental supports are strategies such as seeking assistance, finding information, or asking for advice about what to do. The effects on instrumental supports did not sustain at the one-month follow-up. Anxiety and depression scores were significantly reduced, and these changes were sustained at one-month follow-up. This study supports the use of a group-based psychosocial intervention for the pretransplant population and will be most relevant to social workers practicing in the transplant field.
作者评估了应对技能小组（CSG）治疗干预措施在肾移植和肝移植候选人群中减轻抑郁和焦虑以及增强健康应对技能方面的应用。该研究采用前后测设计，对41名同意参与的候补名单上或正在接受肾移植或肝移植检查的便利样本进行了CSG试点。两名移植社会工作者带领了五个为期八周的封闭式心理教育小组。在干预前、干预后以及一个月后的随访中评估应对技能、抑郁症状和焦虑症状。结果表明，CSG小组在一些应对领域产生了显著变化，比如减少否认和自责的使用，增加接纳、宗教和工具性支持的使用。在本研究中，工具性支持是诸如寻求帮助、查找信息或就该怎么做征求建议等策略。对工具性支持的影响在一个月的随访中未持续。焦虑和抑郁得分显著降低，且这些变化在一个月的随访中得以持续。本研究支持对移植前人群采用基于小组的社会心理干预措施，这对在移植领域执业的社会工作者最为相关。
