Department of Psychological Sciences, University of Missouri, Columbia, Missouri, USA.
Sinclair School of Nursing, University of Missouri, Columbia, Missouri, USA.
J Psychosoc Oncol. 2020 Sep-Oct;38(5):592-611. doi: 10.1080/07347332.2020.1778150. Epub 2020 Jun 19.
Young breast cancer survivors (YBCS) face unique challenges in coping with disease, distress, and relationship concerns. The purposes of this study were to understand the acceptability and feasibility of an online Mindfulness-Based Intervention (MBI) for YBCS and their partners (i.e., Couples Mindfulness-Based Intervention: C-MBI) and to compare the effectiveness of the C-MBI to a closely-matched control, an online MBI for individuals (I-MBI).
YBCS and their partners were recruited. Couples were randomly assigned to an 8-week C-MBI (couples = 41) or to I-MBI (couples = 36), which included one-hour video modules, a manual, and guided-meditation audios. Both couple members participated in the C-MBI; only the YBCS participated in the control I-MBI. Participants answered surveys about individual- and couple-level functioning at baseline and post-intervention.
Online delivery was shown to be feasible and acceptable. For YBCS and their partners, levels of perceived stress, anxiety, depression, and fatigue were lower after the intervention, in both conditions. Unexpectedly, however, participating in the C-MBI appeared to have detrimental effects on dyadic adjustment and relationship quality.
Although YBCS and their partners reported online delivery was acceptable and benefited well-being, for couple-based MBIs to have benefits for relationship functioning, it may be necessary for couples to have the support of other couples and an instructor. Online delivery may be particularly acceptable and effective for clinical populations, including YBCS. Medical professionals may be more likely to recommend online-MBI programs to cancer survivors, because the programs are of little or no cost.
年轻乳腺癌幸存者（YBCS）在应对疾病、痛苦和关系问题方面面临独特的挑战。本研究的目的是了解针对 YBCS 及其伴侣的在线正念干预（MBI）（即夫妻正念干预：C-MBI）的可接受性和可行性，并比较 C-MBI 与密切匹配的对照（即针对个人的在线 MBI：I-MBI）的有效性。
招募 YBCS 及其伴侣。将夫妇随机分配到为期 8 周的 C-MBI（夫妇=41）或 I-MBI（夫妇=36）中，其中包括一个小时的视频模块、手册和引导冥想音频。C-MBI 中夫妻双方都要参加；控制组 I-MBI 中仅 YBCS 参加。参与者在基线和干预后回答关于个体和夫妻层面功能的调查。
在线交付被证明是可行且可接受的。对于 YBCS 和他们的伴侣，在干预后，无论是在 C-MBI 还是 I-MBI 中，个体感知压力、焦虑、抑郁和疲劳的水平都降低了。然而，出乎意料的是，参加 C-MBI 似乎对夫妻关系的调整和关系质量产生了不利影响。
尽管 YBCS 和他们的伴侣报告在线交付是可以接受的，并且有益于幸福感，但对于基于夫妻的 MBI 对关系功能有益，夫妻可能需要其他夫妻和讲师的支持。在线交付可能对包括 YBCS 在内的临床人群特别可接受和有效。医疗专业人员可能更愿意向癌症幸存者推荐在线-MBI 计划，因为这些计划几乎没有成本或没有成本。
