Comprehensive Cancer Center Department of Cancer Self-Help Research, Medical Center University Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany.
Department of General Internal Medicine and Psychosomatics, Center for Psychosocial Medicine, Heidelberg University Hospital, Heidelberg, Germany.
Support Care Cancer. 2020 Jul;28(7):3033-3040. doi: 10.1007/s00520-019-05076-6. Epub 2019 Oct 1.
The aim of the study was to evaluate an outpatient psychoeducational group program for breast cancer patients aimed to improve various psychosocial parameters, enhancing the patients' competence and reducing fear of recurrence.
The study is based on a multi-center, non-randomized control group design with three measurement time points (T1 baseline, T2 end of the intervention, T3 6-week follow-up). Breast cancer patients were assessed with various standardized questionnaires including fear of progression, self-efficacy, depression, and quality of life.
A total of 50 breast cancer patients participated (intervention group n = 27, control group n = 23). The results show a significant reduction in the fear of progression/recurrence (FoPR) (p = 0.003) and a significant increase in self-efficacy (SE) (p = 0.007) for the intervention group with a large (FoPR, Eta = .178) and medium (SE, Eta = .113) effect size, respectively. For all other outcome criteria such as depressive symptoms, social support, or quality of life, no significant changes over time or differences between both groups were found.
The psychoeducational program has been proven to be effective for breast cancer survivors, but further investigation based on a randomized trial is necessary.
To improve participation rate assessment of patient's needs and close cooperation with rehabilitation centers, psychosocial counseling services, and medical oncologists are recommended.
本研究旨在评估一种针对乳腺癌患者的门诊心理教育团体方案，旨在改善各种心理社会参数，增强患者的能力并降低复发恐惧。
本研究基于多中心、非随机对照分组设计，有三个测量时间点（T1 基线、T2 干预结束、T3 6 周随访）。采用各种标准化问卷评估乳腺癌患者，包括进展/复发恐惧、自我效能、抑郁和生活质量。
共有 50 名乳腺癌患者参与（干预组 n=27，对照组 n=23）。结果显示，干预组的进展/复发恐惧（FoPR）显著降低（p=0.003），自我效能（SE）显著增加（p=0.007），效应量分别为大（FoPR，Eta=0.178）和中（SE，Eta=0.113）。对于其他所有的结局标准，如抑郁症状、社会支持或生活质量，均未发现随时间的显著变化或两组间的差异。
心理教育方案已被证明对乳腺癌幸存者有效，但仍需进一步基于随机试验的调查。
为提高参与率，需要评估患者的需求，并与康复中心、心理社会咨询服务以及肿瘤内科医生密切合作。
