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认知行为疗法和心理教育干预在乳腺癌管理中的影响:一项前瞻性随机临床试验。

Impact of the Cognitive-Behavioral Approach and Psychoeducational Intervention in Breast Cancer Management: A Prospective Randomized Clinical Trial.

作者信息

Ardizzone Antonella, Bavetta Domenico, Garo Maria Luisa, Santangelo Domenico, Bongiorno Antonio, Bono Maria

机构信息

U.O. Oncologia Medica, Hospital Giovanni Paolo II, 92019 Sciacca, Italy.

Samo Onlus, 92100 Agrigento, Italy.

出版信息

Healthcare (Basel). 2022 Mar 27;10(4):629. doi: 10.3390/healthcare10040629.

Abstract

(1) Background: Breast cancer (BC) is the most prevalent malignancy in women. High cancer-related psychological distress levels have been observed in BC patients, with a potentially relevant impact on disease management, compliance with disease treatments, and everyday life activities and relationships. This work evaluated the effectiveness of three individual cognitive−behavioral therapy psychoeducational sessions versus a self-managed informative guide with individual counseling sessions without specific psychological treatment. (2) Methods: the intervention group received three individual 50-min sessions of psychoeducational training, and the control group received a self-managed informative guide with individual counseling sessions without any kind of psychological treatment. The Hospital Anxiety Depression Scale (HADS), the Distress Thermometer (DT), and the EORTC (European Organization for Research and Treatment of Cancer) QLQ-C30 were administered at baseline and two months after study inclusion. (3) Results: A total of 60 participants were included in the study (intervention group: 30, control group: 30). Significant improvements were observed in both groups after two months (p < 0.05), but no statistically significant differences emerged between groups. (4) Conclusions: Psychoeducational interventions and CBT help BC patients manage disease-related fear and distress, allowing them to achieve a good quality of life.

摘要

(1) 背景:乳腺癌(BC)是女性中最常见的恶性肿瘤。在乳腺癌患者中观察到较高的癌症相关心理困扰水平,这对疾病管理、疾病治疗依从性以及日常生活活动和人际关系可能产生相关影响。本研究评估了三次个体认知行为疗法心理教育课程与一份自我管理的信息指南加个体咨询课程(无特定心理治疗)的效果。(2) 方法:干预组接受三次时长50分钟的个体心理教育培训课程,对照组接受一份自我管理的信息指南加个体咨询课程,不进行任何形式的心理治疗。在基线期以及纳入研究两个月后,使用医院焦虑抑郁量表(HADS)、痛苦温度计(DT)和欧洲癌症研究与治疗组织(EORTC)QLQ-C30进行评估。(3) 结果:本研究共纳入60名参与者(干预组:30名,对照组:30名)。两个月后两组均有显著改善(p < 0.05),但两组之间未出现统计学上的显著差异。(4) 结论:心理教育干预和认知行为疗法有助于乳腺癌患者应对与疾病相关的恐惧和困扰,使其能够实现良好的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a1f/9025943/103e54d19a77/healthcare-10-00629-g001.jpg

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