Jelvehzadeh Faranak, Dogaheh Ebrahim Rezaei, Bernstein Colleen, Shakiba Shima, Ranjbar Hadi
Department of Psychology, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
University of the Witwatersrand, Johannesburg, South Africa.
Support Care Cancer. 2022 Jan;30(1):305-312. doi: 10.1007/s00520-021-06421-4. Epub 2021 Jul 19.
While the rate of survival has increased in the past decade, the diagnosis of breast cancer is an extremely stressful experience for patients and it is associated with the manifestation of several psychological problems. To examine the effect of a group cognitive behavioral therapy (CBT) on the quality of life and emotional disturbance of women with breast cancer.
The study was a randomized controlled clinical trial. Samples were 48 women who had been diagnosed with breast cancer and had undergone mastectomy and chemotherapy. Study variables were measured before and after the intervention and 1 month after the end of the intervention as a follow-up. Controls received nothing and were just followed-up. Repeated measure ANOVAs were used to compare the effectiveness of the intervention on the study variables.
The results of 32 women were analyzed. The increase in quality of life scores was significantly higher in the intervention group compared to the control group (P < 0.05). There were also significantly lower changes in the depression, anxiety, and stress scores of the intervention group (P < 0.05). However, the changes in the score of death anxiety were not significantly lower in the intervention group in comparison to controls (P > 0.05).
Group cognitive behavioral therapy was effective in the improvement of quality of life and decreases some aspects of emotional disturbance. Findings of this study suggest that women with breast cancer can benefit from group CBT. Yet, some aspects of the mental health of these women may need more attention and individualized methods.
ClinicalTrials.gov Identifier: IRCT20100911004728N4.
尽管在过去十年中生存率有所提高，但乳腺癌的诊断对患者来说是一种极具压力的经历，并且与多种心理问题的表现相关。本研究旨在探讨团体认知行为疗法（CBT）对乳腺癌女性患者生活质量和情绪障碍的影响。
本研究为随机对照临床试验。样本为48名被诊断为乳腺癌且已接受乳房切除术和化疗的女性。在干预前后以及干预结束后1个月作为随访期测量研究变量。对照组不接受任何干预，仅进行随访。采用重复测量方差分析来比较干预对研究变量的有效性。
分析了32名女性的结果。与对照组相比，干预组生活质量得分的增加显著更高（P < 0.05）。干预组的抑郁、焦虑和压力得分变化也显著更低（P < 0.05）。然而，与对照组相比，干预组死亡焦虑得分的变化并没有显著更低（P > 0.05）。
团体认知行为疗法在改善生活质量和减少情绪障碍的某些方面是有效的。本研究结果表明，乳腺癌女性患者可以从团体CBT中受益。然而，这些女性心理健康的某些方面可能需要更多关注和个体化方法。
ClinicalTrials.gov标识符：IRCT20100911004728N4
