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正念支持性心理治疗对癌症患者创伤后成长、韧性和自我同情的疗效:一项初步研究。

Effectiveness of mindfulness-based supportive psychotherapy on posttraumatic growth, resilience, and self-compassion in cancer patients : A pilot study.

机构信息

Department of Psychology, Faculty of Humanistic and Social Sciences, Ardakan University, Ardakan, Iran.

Department of Psychiatry, Isfahan University of Medical Sciences and Iranian Cancer Control Center (MACSA), Isfahan, Iran.

出版信息

Wien Klin Wochenschr. 2022 Aug;134(15-16):593-601. doi: 10.1007/s00508-022-02057-4. Epub 2022 Jul 18.

DOI:10.1007/s00508-022-02057-4
PMID:35849181
Abstract

OBJECTIVE

The aim of this study was to investigate the effectiveness of mindfulness-based supportive psychotherapy on posttraumatic growth, resilience, and self-compassion of the cancer patients.

METHODS

This quasi-experimental study was conducted as a pre-test, post-test, and follow-up inquiry with a control group. A total of 30 patients who met the inclusion criteria were selected through the convenience sampling method out of all patients referred to ALA Cancer Prevention and Control Center (MACSA) in Isfahan city, Iran. They were randomly assigned to the experimental and control groups. The experimental group received mindfulness-based supportive psychotherapy (SP) for 6 sessions of 90-min, while the control group only received treatment as usual (TAU). Finally, both groups were re-evaluated through the post-test and follow-up stages after 3 months. The research instruments included the Post-Traumatic Growth Inventory, the Connor-Davidson Resilience Scale, and Neff's Self-Compassion Scale. Collected data were analyzed using the repeated measures analyses of variance (ANOVA).

RESULTS

The results showed that the group supportive psychotherapy significantly increased posttraumatic growth (p < 0.05) and resilience (p < 0.05), and improved self-compassion (p < 0.05) in the experimental group over the post-test phase. At the post-intervention phase, the effect sizes were Cohen's d = 0.72, d = 0.68, and d = 0.63 for post-traumatic growth, resilience, and self-compassion, respectively. Changes were constantly implemented in the follow-up phase as well.

CONCLUSION

According to the results of the present study, mindfulness-based supportive psychotherapy could be used along with usual medical treatment in order to improve post-traumatic growth, resilience, and self-compassion in cancer patients.

摘要

目的

本研究旨在探讨正念支持性心理疗法对癌症患者创伤后成长、韧性和自我同情的影响。

方法

这是一项准实验研究,采用前测、后测和对照组随访调查。采用便利抽样法,从伊朗伊斯法罕市 ALA 癌症预防与控制中心(MACSA)的所有患者中选取了 30 名符合纳入标准的患者。他们被随机分配到实验组和对照组。实验组接受 6 次 90 分钟的正念支持性心理疗法(SP),而对照组仅接受常规治疗(TAU)。3 个月后,通过后测和随访阶段对两组进行再次评估。研究工具包括创伤后成长量表、Connor-Davidson 韧性量表和 Neff 的自我同情量表。采用重复测量方差分析(ANOVA)对收集的数据进行分析。

结果

结果表明,支持性心理疗法组在创伤后成长(p<0.05)、韧性(p<0.05)和自我同情(p<0.05)方面显著提高,且在实验后阶段优于对照组。在干预后阶段,创伤后成长、韧性和自我同情的效应大小分别为 Cohen's d=0.72、d=0.68 和 d=0.63。在随访阶段也持续发生变化。

结论

根据本研究的结果,正念支持性心理疗法可以与常规医疗一起用于改善癌症患者的创伤后成长、韧性和自我同情。

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