Group Support for Patients With Metastatic Cancer: A Randomized Prospective Outcome Study
Group Support for Patients With Metastatic Cancer: A Randomized Prospective Outcome Study
复制标题
对转移性癌症患者的团体支持：一项随机前瞻性结果研究
DOI：
10.1001/archpsyc.1980.01780300039004
复制
发表时间：
1981
影响因子：
--
通讯作者：
I. Yalom
中科院分区：
文献类型：
--
作者：
D. Spiegel;J. Bloom;I. Yalom
•在一项为期一年的随机前瞻性结果研究中，系统评估了每周支持小组会议对乳腺癌转移患者的影响。这些小组关注的是绝症的问题，包括改善与家人、朋友和医生的关系，以及在面对死亡时尽可能充分地生活。我们假设这种干预会改善治疗组的情绪、应对策略和自尊。86名患者每隔4个月接受一次测试。治疗组在情绪状态量表上的情绪障碍得分明显低于对照组，有更少的适应不良应对反应，恐惧程度也低于对照组。本研究提供了客观证据，证明支持团体干预对转移性癌症患者的心理有益。探讨了这种群体干预的有效性机制。
• The effects of weekly supportive group meetings for women with metastatic carcinoma of the breast were systematically evaluated in a one-year, randomized, prospective outcome study. The groups focused on the problems of terminal illness, including improving relationships with family, friends, and physicians and living as fully as possible in the face of death. We hypothesized that this intervention would lead to improved mood, coping strategies, and self-esteem among those in the treatment group. Eighty-six patients were tested at four-month intervals. The treatment group had significantly lower mooddisturbance scores on the Profile of Mood States scale, had fewer maladaptive coping responses, and were less phobic than the control group. This study provides objective evidence that a supportive group intervention for patients with metastatic cancer results in psychological benefit. Mechanisms underlying the effectiveness of this group intervention are explored.