Cunningham A J, Lockwood G A, Edmonds C V
Ontario Cancer Institute/Princess Margaret Hospital, Toronto, Canada.
Int J Psychiatry Med. 1993;23(4):383-98. doi: 10.2190/EQ7N-2UFR-EBHJ-QW4P.
The purpose of this study was to explore the influence of a number of variables on the improvements in quality of life of some 400 cancer patients who completed a brief, group program providing psychosocial support and training in coping skills.
The factors tested were: patient gender, age, marital status, religion, education level, diagnostic site, recurrence status, expectations of the course, previous experience in self-help techniques, and different group leaders. Three assessment instruments were used, the Profile of Mood States (POMS), the Functional Living Index for Cancer (FLIC), and the Stanford Inventory of Cancer Patient Adjustment (SICPA). Assessments were made at three time points.
The overall finding was that the program improved mood and enhanced quality of life for most cancer patients: there was no evidence that it was more or less effective for subgroups based on gender, marital status, religious orientation, education level, and previous experience with mental self-help techniques. It was also found that several different group leaders with widely varying experience facilitated similar improvements. However, there was a significant tendency for patients under fifty to improve more by the end of the program, than older patients, although this difference disappeared at the three month follow-up. In addition, patients with recurrent disease showed less improvement in quality of life than those with primary cancer.
The beneficial effects on quality of life of a seven-session group psychoeducational program were seen across a wide range of categories of cancer patients. The generalizability and implications of these findings are briefly discussed.
本研究旨在探讨一系列变量对约400名癌症患者生活质量改善的影响，这些患者完成了一个简短的团体项目，该项目提供心理社会支持和应对技能培训。
所测试的因素包括：患者性别、年龄、婚姻状况、宗教信仰、教育水平、诊断部位、复发状态、对课程的期望、以前使用自助技巧的经验以及不同的团体领导者。使用了三种评估工具，即情绪状态剖面图（POMS）、癌症功能生活指数（FLIC）和斯坦福癌症患者适应量表（SICPA）。在三个时间点进行评估。
总体结果是，该项目改善了大多数癌症患者的情绪并提高了生活质量：没有证据表明基于性别、婚姻状况、宗教取向、教育水平和以前使用心理自助技巧的经验等亚组的效果有差异。还发现，几位经验差异很大的不同团体领导者促进了类似的改善。然而，有一个显著的趋势，即五十岁以下的患者在项目结束时比老年患者改善更多，尽管这种差异在三个月的随访中消失了。此外，复发疾病患者的生活质量改善程度低于原发性癌症患者。
一个为期七节的团体心理教育项目对生活质量的有益影响在广泛的癌症患者类别中都有体现。简要讨论了这些发现的普遍性和意义。
