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中国青少年和青年癌症患者的聚焦解决方案短期治疗:一项随机对照试验试点研究

Solution-focused brief therapy for adolescent and young adult cancer patients in China: a pilot randomized controlled trial.

作者信息

Zhang Anao, Ji Qingying, Zhang Kan, Cao Qing, Chen Yuting, Chen Jingzhi, DuVall Adam

机构信息

School of Social Work, University of Michigan, Ann Arbor, MI, USA.

Shanghai Jiaotong University School of Medicine, Shanghai, China.

出版信息

J Psychosoc Oncol. 2022;40(6):816-833. doi: 10.1080/07347332.2021.1931627. Epub 2021 Jul 7.

DOI:10.1080/07347332.2021.1931627
PMID:34232115
Abstract

OBJECTIVE

This pilot clinical trial investigated solution-focused brief therapy (SFBT) for psychological distress among adolescent and young adult (AYA) patients with cancer in China.

METHODS

Fifty Chinese AYA patients diagnosed with cancer were randomized into the treatment group (SFBT) and control group (active control). Psychological distress was measured by the brief symptom inventory and hope was measured by the Herth-Hope-Index. Treatment effects were analyzed using analysis-of-covariance and between-group small-sample-size corrected Hedges' .

RESULTS

The results indicated that SFBT resulted in a significant reduction in the psychological distress and improvement in hope of AYA patients with cancer. Analyses of the 4-week posttreatment score suggest the short-term sustainability of SFBT for psychological distress among AYAs diagnosed with cancer.

CONCLUSIONS AND IMPLICATIONS

This study has demonstrated that SFBT's impact is statistically significant and clinically meaningful. The inclusion of positive emotions, i.e., hope, as part of the investigation also highlighted the significance of promoting positive emotions among AYA patients with cancer.

摘要

目的

这项试点临床试验在中国对患有癌症的青少年和青年(AYA)患者采用聚焦解决短期治疗(SFBT)来研究心理困扰情况。

方法

50名被诊断患有癌症的中国AYA患者被随机分为治疗组(SFBT)和对照组(积极对照)。心理困扰通过简明症状量表进行测量,希望通过赫思希望指数进行测量。使用协方差分析和组间小样本校正赫奇斯效应量分析治疗效果。

结果

结果表明,SFBT显著降低了患有癌症的AYA患者的心理困扰并改善了其希望水平。对治疗后4周得分的分析表明,SFBT对被诊断患有癌症的AYA患者心理困扰具有短期持续性。

结论与启示

本研究表明SFBT的影响具有统计学意义和临床意义。将积极情绪(即希望)纳入调查也凸显了在患有癌症的AYA患者中促进积极情绪的重要性。

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