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认知行为疗法对改善预诊断肺癌患者焦虑、抑郁和生活质量的影响。

Effect of Cognitive Behavioral Therapy on Improving Anxiety, Depression, and Quality of Life in Pre-Diagnosed Lung Cancer Patients.

机构信息

Department of Pulmonology and Respiratory Medicine, University of Sebelas Maret, Surakarta, Central Java, 57126, Indonesia.

Dr Moewardi General Hospital, Surakarta, Central Java, 57126, Indonesia.

出版信息

Asian Pac J Cancer Prev. 2021 Nov 1;22(11):3455-3460. doi: 10.31557/APJCP.2021.22.11.3455.

Abstract

OBJECTIVE

To evaluate the effectiveness of cognitive behavior therapy on anxiety, depression, and quality of life of pre-diagnosed lung cancer patients.

METHODS

A total of 32 pre-diagnosed subjects were divided into 16 Cognitive behaviour theraphy (CBT)-intervention patients and 16 control subjects. The study subjects were pre-diagnosed lung cancer patients hospitalized at Regional Public Hospital Dr. Moewardi Surakarta. For the treatment group, CBT psychotherapy interventions were given for up to 6 sessions every 2 days. The patient was tested for Hamilton Anxiety Rating Scale (HARS)-based anxiety symptom criteria and Hamilton Depression Rating Scale (HRSD)-based depression and followed The World Health Organization Quality of Life- Brief version (WHOQOL-BREF)-based quality of life criteria. The effect of CBT intervention was measured using an independent t-test and the Mann-Whitney test.

RESULTS

There was a significant difference in the intervention group post-test: HARS criteria decreased by -8.38 ± 2.90, HRSD decreased by an average of -6.75 ± 3.30, and WHOQOL-BREF increased by an average of 16.80 ± 10.13 compared with the control group.

CONCLUSION

CBT affects the improvement of anxiety, depression, and quality of life for pre-diagnosed lung cancer patients.

摘要

目的

评估认知行为疗法对确诊前肺癌患者焦虑、抑郁和生活质量的影响。

方法

共纳入 32 名确诊前的受试者,分为 16 名认知行为疗法(CBT)干预组患者和 16 名对照组患者。研究对象为在梭罗地区公立医院 Dr. Moewardi 住院的确诊前肺癌患者。对于治疗组,每两天进行 6 次 CBT 心理治疗干预。患者接受基于汉密尔顿焦虑量表(HARS)的焦虑症状标准、基于汉密尔顿抑郁量表(HRSD)的抑郁标准以及基于世界卫生组织生活质量简表(WHOQOL-BREF)的生活质量标准测试。使用独立 t 检验和曼-惠特尼检验来衡量 CBT 干预的效果。

结果

干预组的测试后有显著差异:HARS 标准降低了-8.38±2.90,HRSD 平均降低了-6.75±3.30,而 WHOQOL-BREF 平均增加了 16.80±10.13,与对照组相比。

结论

CBT 影响了确诊前肺癌患者焦虑、抑郁和生活质量的改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3626/9068169/82b3f44e5a5a/APJCP-22-3455-g001.jpg

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