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基于正念的在线干预对中国乳腺癌幸存者癌症复发恐惧和生活质量的影响。

Effects of an online mindfulness-based intervention on Fear of Cancer Recurrence and quality of life among Chinese breast cancer survivors.

机构信息

Department of Military Psychology, Army Medical University, Chongqing, 400038, China.

Department of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, China.

出版信息

Complement Ther Clin Pract. 2022 Nov;49:101686. doi: 10.1016/j.ctcp.2022.101686. Epub 2022 Nov 3.

Abstract

OBJECTIVE

Mindfulness-based interventions (MBIs) targeting cancer-related emotions and quality of life have attracted extensive attention in recent years. The purpose of the current study was to assess the feasibility and acceptability of an online mindfulness-based intervention and examine its effects on Chinese breast cancer survivors.

METHODS

Sixty-five breast cancer survivors were randomized to either an online MBI or to wait for the next available program. The control group received usual care, while the intervention group also received six weeks of online MBI training. Participants completed the Short Form of the Fear of Cancer Recurrence Inventory (FCRI-SF), Five Facet Mindfulness Questionnaire (FFMQ) and European Organization for Research and Treatment of Cancer questionnaire (EORTC-QLQ-C30) at baseline (T1), immediately after the intervention (postintervention: T2) and 1 month later (1-month postintervention: T3). In addition, answers provided to questions about the experience of participating in the course were analyzed.

RESULTS

Compared with the control group, the mindfulness, emotional and cognitive function of the MBI group was significantly improved after the intervention, and the FCR of breast cancer survivors was significantly alleviated. These effects were still significant 1 month after the end of the intervention. Additionally, participants were satisfied with the online MBI through the qualitative survey.

CONCLUSION

This online MBI showed promise for Chinese breast cancer survivors, facilitating a reduction in FCR and improving their quality of life. The results of our study indicated that online MBI treatment could offer a scalable approach to manage FCR and maintain mental health for breast cancer survivors.

摘要

目的

近年来,针对癌症相关情绪和生活质量的正念干预(MBI)引起了广泛关注。本研究旨在评估一种在线正念干预的可行性和可接受性,并探讨其对中国乳腺癌幸存者的影响。

方法

将 65 名乳腺癌幸存者随机分为在线 MBI 组或等待下一个可用方案组。对照组接受常规护理,而干预组还接受六周的在线 MBI 训练。参与者在基线(T1)、干预后立即(干预后:T2)和 1 个月后(干预后 1 个月:T3)完成简短版癌症复发恐惧量表(FCRI-SF)、五因素正念量表(FFMQ)和欧洲癌症研究与治疗组织问卷(EORTC-QLQ-C30)。此外,还分析了参与者对参加课程的体验的回答。

结果

与对照组相比,MBI 组在干预后正念、情绪和认知功能明显改善,乳腺癌幸存者的 FCR 明显减轻。这些效果在干预结束后 1 个月仍保持显著。此外,通过定性调查,参与者对在线 MBI 表示满意。

结论

本研究中的在线 MBI 对中国乳腺癌幸存者有一定效果,有助于降低 FCR 并提高生活质量。我们的研究结果表明,在线 MBI 治疗可能为乳腺癌幸存者提供一种可扩展的方法来管理 FCR 并维持心理健康。

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