Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
Department of Oncology, Asklepios Hospital Altona, Hamburg, Germany.
BMJ Open. 2023 Mar 28;13(3):e068963. doi: 10.1136/bmjopen-2022-068963.
The aim of this study was to evaluate the effectiveness of brief psychosocial support for patients with cancer and their relatives regarding their mental health.
Quasi-experimental controlled trial with measurements at three time points (baseline, after 2 weeks and after 12 weeks).
The intervention group (IG) was recruited at two cancer counselling centres in Germany. The control group (CG) included patients with cancer or relatives who did not seek support.
In total, n=885 participants were recruited and n=459 were eligible for the analysis (IG, n=264; CG, n=195).
One to two psychosocial support sessions (approximately hour) provided by a psycho-oncologist or social worker.
The primary outcome was distress. The secondary outcomes were anxiety and depressive symptoms, well-being, cancer-specific and generic quality of life (QoL), self-efficacy and fatigue.
The linear mixed model analysis showed significant differences between IG and CG at follow-up for distress (d=0.36), p=0.001), depressive (d=0.22), p=0.005) and anxiety symptoms (d=0.22), p=0.003), well-being (d=0.26, p=0.002), QoL (QoL mental; d=0.26, p=0.003), self-efficacy (d=0.21, p=0.011) and QoL (global; d=0.27, p=0.009). The changes were not significant for QoL (physical; d=0.04, p=0.618), cancer-specific QoL (symptoms; d=0.13, p=0.093), cancer-specific QoL (functional; d=0.08, p=0.274) and fatigue (d=0.04, p=0.643).
The results suggest that brief psychosocial support is associated with the improvement of mental health of patients with cancer and their relatives after 3 months.
DRKS00015516.
本研究旨在评估针对癌症患者及其家属的简短心理社会支持对其心理健康的有效性。
具有三个时间点（基线、2 周后和 12 周后）测量的准实验对照试验。
干预组（IG）在德国的两个癌症咨询中心招募。对照组（CG）包括未寻求支持的癌症患者或亲属。
共招募了 885 名参与者，其中 459 名符合分析条件（IG，n=264；CG，n=195）。
由心理肿瘤学家或社会工作者提供一到两次心理社会支持会议（约一小时）。
主要结果是困扰。次要结果是焦虑和抑郁症状、幸福感、癌症特异性和一般生活质量（QoL）、自我效能和疲劳。
线性混合模型分析显示，IG 和 CG 在随访时的困扰（d=0.36，p=0.001）、抑郁（d=0.22，p=0.005）和焦虑症状（d=0.22，p=0.003）、幸福感（d=0.26，p=0.002）、QoL（QoL 心理；d=0.26，p=0.003）、自我效能（d=0.21，p=0.011）和 QoL（整体；d=0.27，p=0.009）存在显著差异。QoL（身体；d=0.04，p=0.618）、癌症特异性 QoL（症状；d=0.13，p=0.093）、癌症特异性 QoL（功能；d=0.08，p=0.274）和疲劳（d=0.04，p=0.643）方面的变化不显著。
结果表明，简短的心理社会支持与癌症患者及其家属在 3 个月后心理健康的改善有关。
DRKS00015516。
