Evans R L, Connis R T
VA Medical Center, Seattle, WA 98108, USA.
Public Health Rep. 1995 May-Jun;110(3):306-11.
Although many studies have documented patterns of emotional distress in persons undergoing radiation treatment for cancer, there have been few controlled evaluations of counseling or psychotherapy outcomes with these persons. In this research, the effects of cognitive-behavioral and socially supportive group therapy were evaluated. A total of 72 depressed cancer patients were randomly assigned to one of three conditions--cognitive-behavioral treatment, social support, or a no-treatment control condition. Before and after intervention and at 6-month followup, study participants were individually assessed by using measures of symptom distress. Relative to the comparison group, both the cognitive-behavioral and social support therapies resulted in less depression, hostility, and somatization. The social support intervention also resulted in fewer psychiatric symptoms and reduced maladaptive interpersonal sensitivity and anxiety. It was concluded that both group therapies can reduce symptoms of distress for depressed persons undergoing radiation treatment for cancer. Both forms of therapy resulted in improvements in psychosocial function (compared with no treatment at all), but social support groups demonstrated more changes that were evident at 6-month followup. Further research is needed to evaluate the differential effectiveness of mental health services provided to cancer patients undergoing radiation.
尽管许多研究记录了癌症放疗患者的情绪困扰模式，但针对这些患者的咨询或心理治疗效果的对照评估却很少。在本研究中，评估了认知行为和社会支持团体治疗的效果。总共72名抑郁的癌症患者被随机分配到三种情况之一——认知行为治疗、社会支持或无治疗对照情况。在干预前后以及6个月随访时，通过症状困扰测量对研究参与者进行个体评估。相对于对照组，认知行为治疗和社会支持治疗均导致抑郁、敌意和躯体化症状减轻。社会支持干预还导致精神症状减少，适应不良的人际敏感性和焦虑降低。得出的结论是，两种团体治疗都可以减轻接受癌症放疗的抑郁患者的困扰症状。两种治疗形式都导致心理社会功能改善（与完全不治疗相比），但社会支持团体在6个月随访时表现出更明显的变化。需要进一步研究来评估为接受放疗的癌症患者提供的心理健康服务的差异有效性。
