Department of Health Disparities Research, Unit 1440, The University of Texas MD Anderson Cancer Center, 1400 Pressler St., Houston, TX, 77030, USA.
Department of Psychology, University of Houston, Houston, TX, USA.
Support Care Cancer. 2021 Aug;29(8):4565-4573. doi: 10.1007/s00520-020-05942-8. Epub 2021 Jan 22.
The purpose of this study was to investigate improvements in quality of life and psychological well-being among Chinese American breast cancer survivors who participated in a pilot community education and peer-mentor support program.
One hundred and twenty-nine Chinese American breast cancer survivors who recently completed treatment participated in eight cohorts of the program, Joy Luck Academy, which included weekly education and peer-mentor support sessions. The education sessions covered topics designed to help participants adjust to new life after breast cancer treatment. The peer-mentor support component was designed to provide social support. Quality of life and psychological well-being (e.g., depressive symptoms, anxiety, and low- and high-arousal positive and negative affect) were assessed at baseline and immediately after the intervention.
Paired samples t tests indicated improvements in quality of life, low- and high-arousal positive affect, and reductions in depressive symptoms, anxiety, and low-arousal negative affect.
Our findings suggest that a psychosocial group intervention may improve quality of life and psychological well-being among Chinese American breast cancer survivors. Our intervention has the potential to be applied to other ethnic-minority cancer survivors. Future randomized controlled trials are warranted.
本研究旨在探讨参与试点社区教育和朋辈导师支持计划的美籍华裔乳腺癌幸存者生活质量和心理幸福感的改善情况。
129 名刚刚完成治疗的美籍华裔乳腺癌幸存者参加了为期八周的“快乐幸运学院”（Joy Luck Academy）项目，该项目包括每周的教育和朋辈导师支持课程。教育课程涵盖旨在帮助参与者适应乳腺癌治疗后新生活的主题。朋辈导师支持部分旨在提供社会支持。在干预前和干预后立即评估生活质量和心理幸福感（例如，抑郁症状、焦虑以及低唤醒和高唤醒的积极和消极情绪）。
配对样本 t 检验表明生活质量、低唤醒和高唤醒积极情绪有所改善，抑郁症状、焦虑和低唤醒消极情绪有所减少。
我们的研究结果表明，心理社会团体干预可能会改善美籍华裔乳腺癌幸存者的生活质量和心理幸福感。我们的干预措施有可能适用于其他少数族裔癌症幸存者。未来需要进行随机对照试验。
