Bahcivan Ozan, Gutierrez-Maldonado Jose, Estapé Tania
Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona, Barcelona, Spain.
Psiko-Onkologlar Dernegi (Turkish Psycho-Oncological Association), Izmir, Turkey.
Front Psychol. 2022 Oct 20;13:1007065. doi: 10.3389/fpsyg.2022.1007065. eCollection 2022.
Previously Mindfulness-Based Swinging Technique (MBST)'s immediate efficacy for overcoming psychological concerns has recently received empirical support, yet its longer-term efficacy needed to be evaluated among women with breast cancer. The objective of this study was to assess and report the efficacy of MBST intervention among breast cancer patients for hopelessness, anxiety, depression, self-efficacy, oxygen (SpO) intensity, and heart rate-beats per minute (HR-bpm) at an 8-week period.
The State-Trait Anxiety Inventory, The Emotion Thermometer, Hospital Anxiety and Depression Scale, Self-Efficacy for Managing Chronic Disease, and Beck's Hopelessness Scale were used for assessing the intervention's outcome; 149 BC patients were randomly assigned into two groups (equal-mean-age, = 0.262). The participants in the control group (CG, = 73) received Cognitive Behavioural Therapy (CBT)-Cognitive-Disputation (CBT-CD) for 20 min, and intervention group (IG, = 76) received MBST intervention. No additional psychological interventions were given between week-1 and week-8.
Outcomes of the 8-week post-treatment follow-up exhibited significantly higher improvements in all evaluated-measurements for CG, and some for IG with large effect size in the following: anxiety (CG < 0.05, r = 0.57; IG < 0.05, r = 0.44) and depression levels (CG < 0.05, r = 0.43). It increased self-efficacy for managing disease (CG < 0.05, r = 0.49; IG < 0.05, r = 0.41) and hopefulness (CG < 0.05, r = 0.59; IG < 0.05, r = 0.46), and saturation levels measured by pulse-meter/oximeter (CG < 0.05, r = 0.49; IG < 0.05, r = 0.32).
Both CBT-CD and MBST have been found to be efficacious interventions to shorten the psychotherapy duration for reducing clinical anxiety and hopelessness as well as increase self-efficacy for BC women. This may have a distinct clinical importance for supporting BC patient's adherence-to-treatment since CBT-CD could be an alternative technique to MBST as a brief intervention. In future studies, the effectiveness of MBST through adapting to virtual reality and other online delivery methods should be examined.
基于正念的摇摆技术（MBST）在克服心理问题方面的即时疗效最近得到了实证支持，但其长期疗效需要在乳腺癌女性中进行评估。本研究的目的是评估并报告MBST干预对乳腺癌患者在8周内的绝望感、焦虑、抑郁、自我效能感、血氧饱和度（SpO）强度和心率（每分钟心跳数，HR-bpm）的疗效。
使用状态-特质焦虑量表、情绪温度计、医院焦虑抑郁量表、慢性病管理自我效能量表和贝克绝望量表来评估干预结果；149名乳腺癌患者被随机分为两组（平均年龄相等，p = 0.262）。对照组（CG，n = 73）的参与者接受20分钟的认知行为疗法（CBT）-认知辩论（CBT-CD），干预组（IG，n = 76）接受MBST干预。在第1周和第8周之间未给予额外的心理干预。
治疗后8周随访结果显示，对照组在所有评估指标上均有显著更高的改善，干预组在以下方面也有一些改善且效应量较大：焦虑（CG，p < 0.05，r = 0.57；IG，p < 0.05，r = 0.44）和抑郁水平（CG，p < 0.05，r = 0.43）。它提高了疾病管理的自我效能感（CG，p < 0.05，r = 0.49；IG，p < 0.05，r = 0.41）和希望感（CG，p < 0.05，r = 0.59；IG，p < 0.05，r = 0.46），以及通过脉搏血氧仪测量的血氧饱和度水平（CG，p < 0.05，r = 0.49；IG，p < 0.05，r = 0.32）。
已发现CBT-CD和MBST都是有效的干预措施，可缩短心理治疗时间，以减轻临床焦虑和绝望感，并提高乳腺癌女性的自我效能感。这对于支持乳腺癌患者坚持治疗可能具有独特的临床重要性，因为CBT-CD作为一种简短干预措施，可以作为MBST的替代技术。在未来的研究中，应研究通过适应虚拟现实和其他在线交付方式的MBST的有效性。
