Who benefits from a psychosocial counselling versus educational intervention to improve psychological quality of life in prostate cancer survivors?

Who benefits from a psychosocial counselling versus educational intervention to improve psychological quality of life in prostate cancer survivors?
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DOI:
10.1080/08870446.2012.731058
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发表时间:
2013
影响因子:
3.3
通讯作者:
Bishop M
Bishop M
中科院分区:
医学3区
文献类型:
--
作者:
Badger TA;Segrin C;Figueredo AJ;Harrington J;Sheppard K;Passalacqua S;Pasvogel A;Bishop M

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我们检查了选定的幸存者特征,以确定哪些因素可能会缓和对两种心理社会干预措施的反应。71名前列腺癌幸存者被随机分配到电话传递的健康教育(THE)干预或电话传递的人际咨询(TIP-C)干预。心理生活质量结果包括抑郁、消极和积极影响以及感知压力。对于三种心理结果(抑郁,负面影响和压力),参加THE有明显的优势。例如,当男性年龄较大,前列腺特异性功能较低,处于积极化疗中,朋友的社会支持较低以及癌症知识较低时,抑郁症的结果更有利。当男性接受过高等教育、前列腺特异性功能、朋友的社会支持和癌症知识时,参加TIP-C提供了更有利的积极影响结果。在推荐可能改善前列腺癌幸存者心理生活质量的干预措施时,必须考虑幸存者的独特特征。未来的研究必须研究谁受益最多,从心理干预的哪些组成部分,使临床医生建议适当的心理护理。
We examined selected survivor characteristics to determine what factors might moderate the response to two psychosocial interventions. Seventy-one prostate cancer survivors were randomly assigned to either a telephone-delivered health education (THE) intervention or a telephone-delivered interpersonal counseling (TIP-C) intervention. Psychological QOL outcomes included depression, negative and positive affect, and perceived stress. For three of the psychological outcomes (depression, negative affect and stress), there were distinct advantages from participating in THE. For example, more favorable depression outcomes occurred when men were older, had lower prostate specific functioning, were in active chemotherapy, had lower social support from friends and lower cancer knowledge. Participating in the TIP-C provided a more favorable outcome for positive affect when men had higher education, prostate specific functioning, social support from friends and cancer knowledge. Unique survivor characteristics must be considered when recommending interventions that might improve psychological QOL in prostate cancer survivors. Future research must examine who benefits most and from what components of psychosocial interventions to enable clinicians to recommend appropriate psychosocial care.
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