Universidad Autónoma de Nuevo León, Faculty of Psychology, Monterrey, México.
UMAE Hospital de Especialidades No. 25, Centro Médico Nacional del Noreste, Instituto Mexicano del Seguro Social, Department of Oncology, Monterrey, México.
Psychooncology. 2019 Jul;28(7):1445-1452. doi: 10.1002/pon.5094. Epub 2019 May 3.
Determine the feasibility and the preliminary effects of brief cognitive behavioral stress management (CBSM) intervention, compared with psychoeducation (PE) group in posttraumatic stress, distress, optimism, and quality of life in patients with colorectal cancer.
Ninety-four patients were randomized: 40 in CBSM intervention and 54 in PE. They answered psychological questionnaires before and after the intervention and 3 months later for follow-up.
Of the included participants, 23.40% (22) completed the sessions (11 in each group). A significant effect was obtained in the variable of optimism F = 4.0, P = 0.03, ƞ = 0.22 and a significant interaction effect between the groups in the avoidance behavior F = 6.0, P = 0.01, ƞ = 0.30 and hyperactivation F = 3.91, P = 0.03, ƞ = 0.20, with a large effect size in both. A significant interaction effect was found in the quality of life symptoms subscale for patients with colorectal cancer with a stoma F = 21.8, P = 0.00, ƞ = 0.68.
The CBSM intervention and PE are feasible therapies, albeit with some modifications. Preliminary effects are observed in the dimensions of posttraumatic stress and symptoms of quality of life.
与心理教育（PE）组相比，确定简短认知行为应激管理（CBSM）干预在结直肠癌患者的创伤后应激、痛苦、乐观和生活质量方面的可行性和初步效果。
94 名患者被随机分为 CBSM 干预组（40 名）和 PE 组（54 名）。他们在干预前、干预后和 3 个月后随访时回答心理问卷。
纳入的参与者中，有 23.40%（22 名）完成了疗程（每组 11 名）。在乐观变量上，F 为 4.0，P 为 0.03，ƞ为 0.22，组间存在显著的交互效应；回避行为 F 为 6.0，P 为 0.01，ƞ 为 0.30，过度激活 F 为 3.91，P 为 0.03，ƞ 为 0.20，两组均具有较大的效应量。在有造口的结直肠癌患者的生活质量症状亚量表上，发现了显著的交互效应 F 为 21.8，P 为 0.00，ƞ 为 0.68。
CBSM 干预和 PE 是可行的治疗方法，但需要进行一些修改。在创伤后应激和生活质量症状的维度上观察到了初步效果。
