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探索神经反馈对癌症后认知障碍和疲劳的影响:一项初步可行性研究。

Exploring the effect of neurofeedback on postcancer cognitive impairment and fatigue: A pilot feasibility study.

作者信息

Luctkar-Flude Marian, Tyerman Jane, Burnett Shawna, Giroux Janet, Groll Dianne

机构信息

Queen's University, School of Nursing, 92 Barrie St. Kingston, ON, K7L 3N6, 613-533-6000 Ext. 77383;

University of Ottawa, School of Nursing, Ottawa, ON,

出版信息

Can Oncol Nurs J. 2022 Apr 1;32(2):214-222. doi: 10.5737/23688076322214222. eCollection 2022 Spring.

DOI:10.5737/23688076322214222
PMID:35582249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9040776/
Abstract

PURPOSE

Postcancer cognitive impairment (PCCI) and fatigue are adverse effects that often persist following cancer treatment, and impact quality of life. The study purpose was to evaluate feasibility and effect of neurofeedback on cognitive functioning and fatigue in cancer survivors. Specifically, we aimed to test feasibility of recruitment strategies and our study protocol including outcome measures.

DESIGN

This pilot feasibility study used a 10-week wait-list design. Participants served as their own controls and received neurofeedback training twice a week for 10 weeks.

PARTICIPANTS

The sample consisted of breast cancer survivors from Kingston, Ontario (n = 16).

METHODS

Outcomes were assessed using validated, self-report scales and neuropsychological tests before, during, and after neurofeedback.

FINDINGS

The neurofeedback protocol was feasible and resulted in significant decreases in perceived cognitive deficits, fatigue, sleep, and psychological symptoms.

IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS

Neurofeedback may be an effective, non-invasive complementary therapy for PCCI in breast cancer survivors.

摘要

目的

癌症后认知障碍(PCCI)和疲劳是癌症治疗后经常持续存在的不良反应,会影响生活质量。本研究的目的是评估神经反馈对癌症幸存者认知功能和疲劳的可行性及效果。具体而言,我们旨在测试招募策略和我们的研究方案(包括结果测量指标) 的可行性。

设计

这项初步可行性研究采用了为期10周的等待列表设计方案。参与者作为自身对照,接受为期10周、每周两次的神经反馈训练。

参与者

样本包括来自安大略省金斯顿的乳腺癌幸存者(n = 16)。

方法

在神经反馈训练前、训练期间和训练后,使用经过验证的自我报告量表和神经心理学测试对结果进行评估。

结果

神经反馈方案是可行的,并且在感知到的认知缺陷、疲劳、睡眠和心理症状方面有显著下降。

对心理社会服务提供者的启示

神经反馈可能是一种针对乳腺癌幸存者PCCI 的有效、非侵入性的辅助治疗方法。

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本文引用的文献

1
Cancer-Related Cognitive Impairment in Patients With a History of Breast Cancer.有乳腺癌病史患者的癌症相关认知障碍
JAMA. 2021 Nov 2;326(17):1736-1737. doi: 10.1001/jama.2021.13309.
2
Cancer-related cognitive impairment: an update on state of the art, detection, and management strategies in cancer survivors.癌症相关认知障碍:癌症幸存者的最新现状、检测和管理策略。
Ann Oncol. 2019 Dec 1;30(12):1925-1940. doi: 10.1093/annonc/mdz410.
3
Integrative Oncology: International Perspectives.《肿瘤整合医学:国际视角》
Integr Cancer Ther. 2019 Jan-Dec;18:1534735418823266. doi: 10.1177/1534735418823266.
4
Exploring the Use of Neurofeedback by Cancer Survivors: Results of Interviews with Neurofeedback Providers and Clients.探索癌症幸存者对神经反馈疗法的使用:对神经反馈疗法提供者和客户的访谈结果
Asia Pac J Oncol Nurs. 2019 Jan-Mar;6(1):35-42. doi: 10.4103/apjon.apjon_34_18.
5
Cognitive Impairment Associated with Cancer: A Brief Review.与癌症相关的认知障碍:简要综述
Innov Clin Neurosci. 2018 Feb 1;15(1-2):36-44.
6
Mind-Body Therapies in Cancer: What Is the Latest Evidence?癌症中的身心疗法:最新证据是什么?
Curr Oncol Rep. 2017 Aug 18;19(10):67. doi: 10.1007/s11912-017-0626-1.
7
Closed-loop brain training: the science of neurofeedback.闭环脑训练:神经反馈的科学。
Nat Rev Neurosci. 2017 Feb;18(2):86-100. doi: 10.1038/nrn.2016.164. Epub 2016 Dec 22.
8
Acupoint stimulation, massage therapy and expressive writing for breast cancer: A systematic review and meta-analysis of randomized controlled trials.穴位刺激、按摩疗法及表达性写作对乳腺癌的影响:一项随机对照试验的系统评价与荟萃分析
Complement Ther Med. 2016 Aug;27:87-101. doi: 10.1016/j.ctim.2016.06.003. Epub 2016 Jun 18.
9
Cancer-related fatigue and associated disability in post-treatment cancer survivors.癌症治疗后幸存者的癌症相关疲劳及相关残疾
J Cancer Surviv. 2016 Feb;10(1):51-61. doi: 10.1007/s11764-015-0450-2. Epub 2015 Apr 16.
10
Tuning pathological brain oscillations with neurofeedback: a systems neuroscience framework.通过神经反馈调节病理性脑振荡:一个系统神经科学框架。
Front Hum Neurosci. 2014 Dec 18;8:1008. doi: 10.3389/fnhum.2014.01008. eCollection 2014.