Hsiao Fei-Hsiu, Ho Chao-Chi, Yu Chong-Jen, Shih Jin-Yuan, Lin Zhong-Zhe, Huang Feng-Ying, Chen Yu-Ting, Hsieh Chia-Chen
National Taiwan University College of Medicine School of Nursing Taipei Taiwan School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
National Taiwan University Hospital Department of Nursing Taipei Taiwan Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
Psychosoc Interv. 2025 Jan 2;34(1):1-9. doi: 10.5093/pi2025a1. eCollection 2025 Jan.
This study compared the long-term effects of a mindful compassion program on improving depression in lung cancer patients, both in patient-caregiver dyads and in patient-only groups, and examined the moderating roles of anxiety and quality of life (QOL). Participants consisted of 56 dyads, who were randomly assigned to either the dyadic or patient-only groups. Data collection included various assessments at different time points: baseline (T0), end of intervention (T1), and follow-up at the 5th month (T2), 8th month (T3), and 14th month (T4). Patients in the dyadic group experienced a significant reduction in depressive symptoms. The dyadic intervention was particularly beneficial for younger patients and those with higher baseline QOL symptom distress. Improvements in patients' mindfulness and self-compassion contributed to reduced depression by enhancing general health and lowering anxiety. Additionally, caregivers' self-compassion played a role in reducing patients' depression by improving patients' QOL functioning and decreasing anxiety. Mindfulness and compassion interventions, whether provided dyadically or individually, can be tailored to each patient's specific condition.
本研究比较了正念慈悲计划对改善肺癌患者抑郁的长期影响，包括患者-照顾者二元组和仅患者组，并考察了焦虑和生活质量（QOL）的调节作用。参与者包括56个二元组，他们被随机分配到二元组或仅患者组。数据收集包括在不同时间点的各种评估：基线（T0）、干预结束时（T1）以及第5个月（T2）、第8个月（T3）和第14个月（T4）的随访。二元组中的患者抑郁症状显著减轻。二元干预对年轻患者和基线QOL症状困扰较高的患者尤其有益。患者正念和自我慈悲的改善通过增强总体健康和降低焦虑有助于减轻抑郁。此外，照顾者的自我慈悲通过改善患者的QOL功能和降低焦虑在减轻患者抑郁方面发挥了作用。正念和慈悲干预，无论是二元组形式还是个体形式提供，都可以根据每个患者的具体情况进行调整。
