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心理社会干预对成年癌症患者的影响:随机试验的荟萃分析

Effects of psychosocial interventions with adult cancer patients: a meta-analysis of randomized experiments.

作者信息

Meyer T J, Mark M M

机构信息

Department of Environmental and community Medicine, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, USA.

出版信息

Health Psychol. 1995 Mar;14(2):101-8. doi: 10.1037//0278-6133.14.2.101.

DOI:10.1037//0278-6133.14.2.101
PMID:7789344
Abstract

Meta-analytic methods were used to synthesize the results of published randomized, controlled-outcome studies of psychosocial interventions with adult cancer patients. Forty-five studies reporting 62 treatment-control comparisons were identified. Samples were predominantly White, female, and from the United States. Beneficial effect size ds were .24 for emotional adjustment measures, .19 for functional adjustment measures, .26 for measures of treatment- and disease-related symptoms, and .28 for compound and global measures. The effect size of .17 found for medical measures was not statistically significant for the few reporting studies. Effect sizes for treatment-control comparisons did not significantly differ among several categories of treatment: behavioral interventions, nonbehavioral counseling and therapy, informational and educational methods, organized social support provided by other patients, and other nonhospice interventions.

摘要

采用荟萃分析方法综合已发表的针对成年癌症患者的心理社会干预随机对照结局研究结果。共识别出45项研究,报告了62项治疗组与对照组的比较。样本主要为白人、女性,且来自美国。情绪调整测量的有益效应量d为0.24,功能调整测量为0.19,治疗及疾病相关症状测量为0.26,复合及整体测量为0.28。在少数报告的研究中,医学测量的效应量0.17无统计学意义。治疗组与对照组比较的效应量在几类治疗中无显著差异:行为干预、非行为咨询与治疗、信息与教育方法、其他患者提供的有组织社会支持以及其他非临终关怀干预。

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