Depression and anxiety in women with breast cancer and their partners

Depression and anxiety in women with breast cancer and their partners
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DOI:
10.1097/00006199-200701000-00006
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发表时间:
2007-01-01
期刊:
影响因子:
2.5
通讯作者:
Lopez, Ana Maria
Lopez, Ana Maria
中科院分区:
医学4区
文献类型:
--
作者:
Badger, Terry;Segrin, Chris;Lopez, Ana Maria

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背景资料:心理社会干预可以改善心理生活质量(抑郁和焦虑症状)的妇女与乳腺癌及其合作伙伴,但不提供常规的妇女和他们的partner.Objective:测试。假设,电话提供的心理社会干预减少抑郁症和焦虑症的妇女与乳腺癌及其partner.Methods:该研究的设计是一个三波重复测量与受试者之间的因素(治疗组)。96名妇女和他们的96个合作伙伴被随机分配到三个不同的6周的程序之一:(a)电话人际咨询(TIP-C);(B)自我管理的运动;或(c)注意力控制(AC)。结果:混合模型方差分析的抑郁症状的妇女乳腺癌患者中发现妇女的抑郁症状评分随着时间的推移在所有组下降。对于焦虑,TIP-C和运动组的女性焦虑症状随着时间的推移而减少,但AC组没有。对伴侣的抑郁和焦虑数据进行了一组平行分析,在调查过程中,伴侣的抑郁和焦虑症状显着下降。类似的妇女,合作伙伴的焦虑症状显着下降的TIP-C和运动组,但不是在AC group.Discussion:从这项研究的结果支持,这些电话提供的心理社会干预措施是有效的,减少抑郁症和焦虑症的症状,以提高心理生活质量时,相比AC组。
Background: Psychosocial interventions can improve psychological quality of life (symptoms of depression and anxiety) of both women with breast cancer and their partners, but are not offered routinely to women and their partners.Objective: To test the. hypotheses that telephone-delivered psychosocial interventions decrease depression and anxiety in women with breast cancer and their partners.Methods: The design of the study was a three-wave repeated measures with a between-subjects factor (treatment group). Ninety-six women and their 96 partners were assigned randomly to participate in one of three different 6-week programs: (a) telephone interpersonal counseling (TIP-C); (b) self-managed exercise; or (c) attention control (AC).Results: The mixed-model analysis of variance for symptoms of depression among women with breast cancer revealed women's depressive symptom scores decreased over time in all groups. For anxiety, women's symptoms of anxiety decreased in the TIP-C and exercise groups over time, but not in the AC group. A parallel set of analyses was conducted on partners' depression and anxiety data, Symptoms of depression and anxiety among the partners decreased substantially over the course of the investigation. Similar to the women, partners' symptoms of anxiety decreased significantly in the TIP-C and exercise groups, but not in the AC group.Discussion: Findings from this study support that these telephone-delivered psychosocial interventions were effective for decreasing symptoms of depression and anxiety to improve psychological quality of life when compared to an AC group.