一项针对癌症门诊患者的基于正念的艺术治疗干预的试点研究。
A Pilot Study of a Mindfulness-Based Art Therapy Intervention in Outpatients With Cancer.
作者信息
Meghani Salimah H, Peterson Caroline, Kaiser Donna H, Rhodes Joseph, Rao Hengyi, Chittams Jesse, Chatterjee Anjan
机构信息
1 Department of Biobehavioral Health Sciences; NewCourtland Center for Transitions and Health; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA.
2 Abramson Cancer Center, Pennsylvania Hospital, Philadelphia, PA, USA.
出版信息
Am J Hosp Palliat Care. 2018 Sep;35(9):1195-1200. doi: 10.1177/1049909118760304. Epub 2018 Mar 7.
BACKGROUND
Patients with cancer frequently experience physical and psychological distress that can worsen their quality of life.
OBJECTIVES
We assessed the outcomes of an 8-week mindfulness-based art therapy (MBAT) intervention, Walkabout: Looking In, Looking Out, on symptoms, sleep quality, health-related quality of life, sense of coherence (SOC), and spirituality in outpatients with cancer.
METHODS
A 1-group, pre-post intervention design with repeated measures at baseline, week 4, and week 8.
RESULTS
Despite a small pilot sample (n = 18), we found large effect sizes and statistically significant improvements from week 1 to week 8 in depression, the comprehensibility subscale of the SOC, and each subscale of spirituality, that is, peace, meaning, and faith. There were no significant changes in physical functioning, pain, sleep, tiredness, drowsiness, nausea, and appetite.
CONCLUSIONS
The MBAT intervention, Walkabout, seems to meet key palliative care goals including improvement in emotional well-being, comprehensibility, and meaning making among outpatients with cancer.
背景
癌症患者经常经历身体和心理上的痛苦，这会降低他们的生活质量。
目的
我们评估了一项为期8周的基于正念的艺术疗法（MBAT）干预措施“漫步：审视内心，展望外界”对癌症门诊患者的症状、睡眠质量、健康相关生活质量、连贯感（SOC）和精神性的影响。
方法
采用单组干预前后设计，在基线、第4周和第8周进行重复测量。
结果
尽管样本量较小（n = 18），但我们发现从第1周到第8周，抑郁、SOC的可理解性子量表以及精神性的各个子量表（即平和、意义和信仰）有较大的效应量和统计学上的显著改善。身体功能、疼痛、睡眠、疲劳、嗜睡、恶心和食欲方面没有显著变化。
结论
MBAT干预措施“漫步”似乎达到了关键的姑息治疗目标，包括改善癌症门诊患者的情绪幸福感、可理解性和意义感。
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