Grégoire Charlotte, Bragard Isabelle, Jerusalem Guy, Etienne Anne-Marie, Coucke Philippe, Dupuis Gilles, Lanctôt Dominique, Faymonville Marie-Elisabeth
Health Psychology Department, University of Liege, Liege 4000, Belgium.
Public Health Department, University of Liege, Liege 4000, Belgium.
Br J Cancer. 2017 Nov 7;117(10):1442-1449. doi: 10.1038/bjc.2017.326. Epub 2017 Sep 19.
Long-term effects of psychosocial interventions to reduce emotional distress, sleep difficulties, and fatigue of breast cancer patients are rarely examined. We aim to assess the effectiveness of three group interventions, based on cognitive behavioural therapy (CBT), yoga, and self-hypnosis, in comparison to a control group at a 9-month follow-up.
A total of 123 patients chose to participate in one of the interventions. A control group was set up for those who agreed not to participate. Emotional distress, fatigue, and sleep quality were assessed before (T0) and after interventions (T1), and at 3-month (T2) and 9-month follow-ups (T3).
Nine months after interventions, there was a decrease of anxiety (P=0.000), depression (P=0.000), and fatigue (P=0.002) in the hypnosis group, and a decrease of anxiety (P=0.024) in the yoga group. There were no significant improvements for all the investigated variables in the CBT and control groups.
Our results showed that mind-body interventions seem to be an interesting psychological approach to improve the well-being of breast cancer patients. Further research is needed to improve the understanding of the mechanisms of action of such interventions and their long-term effects on quality of life.
很少有研究探讨心理社会干预对减轻乳腺癌患者情绪困扰、睡眠障碍和疲劳的长期影响。我们旨在评估基于认知行为疗法(CBT)、瑜伽和自我催眠的三种团体干预措施与对照组相比,在9个月随访期的效果。
共有123名患者选择参与其中一种干预措施。为那些同意不参与的患者设立了一个对照组。在干预前(T0)、干预后(T1)以及3个月(T2)和9个月随访期(T3)评估情绪困扰、疲劳和睡眠质量。
干预9个月后,催眠组的焦虑(P = 0.000)、抑郁(P = 0.000)和疲劳(P = 0.002)有所减轻,瑜伽组的焦虑(P = 0.024)有所减轻。CBT组和对照组的所有调查变量均无显著改善。
我们的结果表明,身心干预似乎是改善乳腺癌患者幸福感的一种有趣的心理方法。需要进一步研究以更好地理解此类干预措施的作用机制及其对生活质量的长期影响。