Kuba Katharina, Weißflog Gregor, Götze Heide, García-Torres Francisco, Mehnert Anja, Esser Peter
Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Leipzig, Germany.
Department of Psychology, University of Cordoba / IMIBIC Health Research Institute / Reina Sofía University of Cordoba, Spain.
Int J Clin Health Psychol. 2019 May;19(2):97-106. doi: 10.1016/j.ijchp.2018.12.001. Epub 2019 Jan 16.
: Cancer and its treatment can have a detrimental impact on psychological well-being. Acceptance as the basis of acceptance and commitment therapy (ACT) has shown beneficial effects on depression and anxiety. However, its relationship to fatigue and cognitive impairment has not been investigated. A protective effect of acceptance may open up a new target for psychological intervention. : A cross-sectional postal survey was undertaken. 922 hematological cancer survivors (≥ 2.5 years post diagnosis) were recruited through two regional cancer registries in Germany. Acceptance (AAQ-II), fatigue (BFI) and subjective cognitive impairment (AFI) were assessed. : Higher levels of acceptance were negatively associated with fatigue and subjective cognitive impairment ( = .34 and = .26, respectively). The relationship between fatigue and fatigue-related impairment of daily life was weaker for survivors with high acceptance. : Acceptance is strongly associated with fatigue and subjective cognitive impairment. ACT may be useful to reduce symptoms of fatigue and subjective cognitive impairment in cancer survivors.
癌症及其治疗可能会对心理健康产生不利影响。接纳作为接纳与承诺疗法（ACT）的基础，已显示出对抑郁和焦虑有有益效果。然而，其与疲劳和认知障碍的关系尚未得到研究。接纳的保护作用可能为心理干预开辟一个新靶点。
开展了一项横断面邮寄调查。通过德国的两个地区癌症登记处招募了922名血液系统癌症幸存者（诊断后≥2.5年）。评估了接纳程度（AAQ-II）、疲劳程度（BFI）和主观认知障碍（AFI）。
较高的接纳水平与疲劳和主观认知障碍呈负相关（分别为r = 0.34和r = 0.26）。对于接纳程度高 的幸存者，疲劳与日常生活中与疲劳相关的损伤之间的关系较弱。
接纳与疲劳和主观认知障碍密切相关。接纳与承诺疗法可能有助于减轻癌症幸存者的疲劳症状和主观认知障碍。
Zotero 插件