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基于正念的艺术疗法(MBAT)对接受化疗的乳腺癌患者心理困扰和精神健康的影响。

Effect of Mindfulness-Based Art Therapy (MBAT) on Psychological Distress and Spiritual Wellbeing in Breast Cancer Patients Undergoing Chemotherapy.

作者信息

Joshi Anjali Mangesh, Mehta Suchitra Ajay, Pande Nikhil, Mehta Ajay Omprakash, Randhe Kamaljeet Sanjay

机构信息

Department of Psycho-Oncology, HCG NCHRI Cancer Centre, Nagpur, Maharashtra, India.

Department of Medical Oncology, HCG NCHRI Cancer Centre, Nagpur, Maharashtra, India.

出版信息

Indian J Palliat Care. 2021 Oct-Dec;27(4):552-560. doi: 10.25259/IJPC_133_21. Epub 2021 Sep 29.

Abstract

OBJECTIVES

Psychological distress and spiritual well-being (SWB) are directly related to the quality of life in cancer patients. Mindfulness-Based Art Therapy (MBAT) integrates mindfulness practices with art therapy and has shown to decrease distress levels and improve SWB in women with breast cancer. The objective of the study was to identify the effects of a 1-week MBAT intervention on psychological distress and SWB in breast cancer patients undergoing chemotherapy.

MATERIALS AND METHODS

This was a single group, pre-test post-test study carried out in a clinical setting. The psycho-oncology assessment questionnaire, Distress Thermometer (DT) and Functional Assessment of Chronic Illness Therapy-SWB Scale 12 (FACIT-SP12) Version 4 were administered before, post1 supervised MBAT session and post 1 week of home practice to breast cancer patients undergoing chemotherapy ( = 30). The MBAT intervention included mindfulness meditation for 15 min and mindful coloring for 30 min daily for 1 week. Data analysis was done using R i386 4.0.3.

RESULTS

The median DT score significantly decreased from pre-session to immediate post-session and pre-session to post 1-week session. The median of meaning, peace, and faith subscales of FACIT SP12 scores along with total FACIT SP12 score significantly increased from pre-session to immediate post-session as well as from pre-session to post 1 week.

CONCLUSION

One-week MBAT intervention for breast cancer patients undergoing chemotherapy significantly decreased the psychological distress and significantly improved the SWB in terms of meaning, peace, and faith.

摘要

目的

心理困扰与精神幸福感(SWB)与癌症患者的生活质量直接相关。基于正念的艺术疗法(MBAT)将正念练习与艺术疗法相结合,已显示出可降低乳腺癌女性的困扰水平并改善其精神幸福感。本研究的目的是确定为期1周的MBAT干预对接受化疗的乳腺癌患者心理困扰和精神幸福感的影响。

材料与方法

这是一项在临床环境中进行的单组前后测研究。对30名接受化疗的乳腺癌患者在干预前、1次MBAT督导课程后以及在家练习1周后,分别进行心理肿瘤学评估问卷、痛苦温度计(DT)和慢性病治疗功能评估-精神幸福感量表12(FACIT-SP12)第4版的测评。MBAT干预包括每天进行15分钟的正念冥想和30分钟的正念涂色,为期1周。使用R i386 4.0.3进行数据分析。

结果

DT得分中位数从干预前到课程结束后即刻以及从干预前到1周后显著降低。FACIT SP12得分的意义、平静和信仰子量表的中位数以及FACIT SP12总分从干预前到课程结束后即刻以及从干预前到1周后均显著增加。

结论

对接受化疗的乳腺癌患者进行为期1周的MBAT干预可显著降低心理困扰,并在意义、平静和信仰方面显著改善精神幸福感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b3/8655656/7eb3a0af81a8/IJPC-27-552-g001.jpg

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