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评估躯体经验疗法治疗癌症创伤:乳腺癌幸存者的初步证据。

Evaluating Somatic Experiencing to Heal Cancer Trauma: First Evidence with Breast Cancer Survivors.

机构信息

Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy.

Breast Unit, Humanitas Gavazzeni Clinical Institute, 24125 Bergamo, Italy.

出版信息

Int J Environ Res Public Health. 2023 Jul 20;20(14):6412. doi: 10.3390/ijerph20146412.

Abstract

Somatic Experiencing is a bio-psychological method for the treatment and prevention of trauma and chronic stress, which has never been investigated with breast cancer (BC) survivors. Eight weeks of web-based synchronous group sessions were structured between April and June 2022. Potential participants were recruited using a convenience sampling approach and through the collaboration of a public hospital in northern Italy and a non-profit association of BC women. Thirty-five eligible participants were enrolled and divided into an intervention group (n = 21) and a control group (n = 14). Anxiety, depression, distress (HADS), coping strategies (Mini-MAC), trauma reworking skills (PACT), and body image (BIS) were assessed at T0 and after 8 weeks (T1). Qualitative items concerning the most significant moments and learnings were completed at T1 by the intervention group. An independent -test confirmed no between-group psychological differences at T0. As hypothesized, paired-sample -tests showed decreases in anxiety, depression, distress ( < 0.05), and anxious preoccupation coping strategy ( < 0.001), but also improvements in forward focus ( < 0.05) and body image ( < 0.001) in the intervention group. The controls worsened over time with increases in hopeless/helplessness ( < 0.001) and avoidance ( < 0.05) coping strategies. Textual analyses extracted five dominant themes that summarized the meaning of the experience for participants. The preliminary results suggest the effectiveness of the intervention.

摘要

体感疗法是一种用于治疗和预防创伤和慢性应激的生物心理方法,尚未在乳腺癌(BC)幸存者中进行过研究。2022 年 4 月至 6 月期间,进行了为期 8 周的基于网络的同步小组课程。通过意大利北部一家公立医院和一家 BC 女性非营利协会的合作,采用方便抽样法招募潜在参与者。招募了 35 名符合条件的参与者,分为干预组(n=21)和对照组(n=14)。在 T0 和 8 周后(T1)评估焦虑、抑郁、苦恼(HADS)、应对策略(Mini-MAC)、创伤重铸技能(PACT)和身体形象(BIS)。干预组在 T1 时完成了关于最显著时刻和学习内容的定性项目。独立样本 t 检验证实 T0 时两组之间没有心理差异。如假设的那样,配对样本 t 检验显示干预组的焦虑、抑郁、苦恼(<0.05)和焦虑关注应对策略(<0.001)下降,但同时也提高了前进关注(<0.05)和身体形象(<0.001)。对照组随着无助/无助感(<0.001)和回避(<0.05)应对策略的增加而恶化。文本分析提取了五个主导主题,总结了参与者的体验意义。初步结果表明该干预措施有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b03/10380079/72dccad522c9/ijerph-20-06412-g001.jpg

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