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基于正念减压疗法对鼻咽癌所致中度抑郁患者辅助治疗价值的评估

The Evaluation of the Adjunctive Therapeutic Value of Mindfulness-Based Stress Reduction Therapy for Patients With Nasopharyngeal Carcinoma Induced Moderate Depression.

作者信息

Zheng Zeyu, Han Jing

机构信息

Department of Otolaryngology, Head and Neck Surgery, The Second Affiliated Hospital of Harbin Medical University, 150000 Harbin, Heilongjiang, China.

出版信息

Actas Esp Psiquiatr. 2025 May;53(3):516-525. doi: 10.62641/aep.v53i3.1749.

Abstract

BACKGROUND

Nasopharyngeal carcinoma (NPC) presents a substantial challenge for patients, impacting their physical and psychological well-being. Patients may experience moderate depression, anxiety, and reduced quality of life due to the disease and its treatments. Therefore, we retrospectively analyzed the adjunctive therapeutic potential of mindfulness-based stress reduction (MBSR) therapy for NPC patients with moderate depression.

METHODS

Psychological parameters were assessed using standardized scales, including the Hamilton Depression Scale-17 (HAMD-17), Self-Rating Depression Scale (SDS), Perceived Social Support Scale (PSSS), the Short-From-12 Health Survey (SF-12), and Mindfulness Attention Awareness Scale (MAAS). Statistical analyses were performed to compare the two groups.

RESULTS

A total of 131 patients including 67 patients with control group and 64 patients with Mindfulness-Based Stress Reduction therapy group were included. After 8 weeks of treatment, the MBSR therapy group showed significant improvements in psychological parameters, including depression, anxiety, perceived stress, quality of life, and mindfulness attention awareness (p < 0.05), compared to the control group. Additionally, the MBSR therapy group reported significantly higher overall satisfaction with treatment, willingness to recommend treatment, and perceived benefit from treatment (p < 0.05).

CONCLUSION

The study findings support the adjunctive therapeutic value of MBSR therapy in improving psychological outcomes and patient satisfaction among individuals with NPC-induced moderate depression.

摘要

背景

鼻咽癌(NPC)给患者带来了巨大挑战,影响他们的身心健康。由于疾病及其治疗,患者可能会出现中度抑郁、焦虑,生活质量下降。因此,我们回顾性分析了基于正念减压(MBSR)疗法对中度抑郁的鼻咽癌患者的辅助治疗潜力。

方法

使用标准化量表评估心理参数,包括汉密尔顿抑郁量表-17(HAMD-17)、自评抑郁量表(SDS)、领悟社会支持量表(PSSS)、简短健康调查问卷(SF-12)和正念注意觉知量表(MAAS)。进行统计分析以比较两组。

结果

共纳入131例患者,其中对照组67例,基于正念减压疗法组64例。治疗8周后,与对照组相比,MBSR疗法组在心理参数方面有显著改善,包括抑郁、焦虑、感知压力、生活质量和正念注意觉知(p<0.05)。此外,MBSR疗法组对治疗的总体满意度、推荐治疗的意愿和从治疗中感知到的益处显著更高(p<0.05)。

结论

研究结果支持MBSR疗法在改善鼻咽癌所致中度抑郁患者的心理结局和患者满意度方面的辅助治疗价值。

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