The effectiveness of a psycho-educational group after early-stage breast cancer treatment: results of a randomized French study
The effectiveness of a psycho-educational group after early-stage breast cancer treatment: results of a randomized French study
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DOI：
10.1002/pon.1440
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发表时间：
2009-06-01
期刊：
影响因子：
3.6
通讯作者：
Dickes, P.
中科院分区：
文献类型：
--
作者：
Dolbeault, S.;Cayrou, S.;Dickes, P.
背景 许多患有乳腺癌的女性在治疗后需要心理帮助才能更有效地应对。认知和行为技术在法国尚未完善。进行了一项多中心随机研究，以评估心理教育小组干预对该人群的效果。方法：在初步治疗后招募的 203 名患者被随机分配到治疗组（心理教育干预）或等待名单对照组。为期 8 周的课程（每次 2 小时）包括主题讨论、信息和压力管理技术培训。基线评估、8 个疗程后以及项目完成后一个月，包括使用 STAI、POMS、MAC、EORTC QLQ-C30 和 EORTC QLQ-BR23 乳房模块量表进行评估。 结果：我们观察到小组参与者的焦虑 (STAI、POMS) 显着减少，愤怒、抑郁和疲劳 (POMS) 减少，活力和人际关系 (POMS)、情绪和角色功能、健康状况和疲劳水平显着改善（EORTC QLQ-C30）。相比之下，各组之间的应对策略（MAC）没有显着差异。没有观察到与群体相关的负面影响，总体满意度非常高。结论：这项研究证明了心理教育干预的可行性和有效性，可以加速减少治疗结束时出现的负面影响。它是法国广泛提出的个人心理肿瘤治疗支持的绝佳补充或替代方案，现在应该在患有其他类型癌症和处于其他疾病阶段的群体中进行测试。版权所有 (C) 2008 约翰·威利父子有限公司
Background Many women with breast cancer need psychological help to cope more effectively after treatment. Cognitive and behavioural techniques are not yet well established in France. A multi-site randomized study was conducted to evaluate the effects of a psycho-educational group intervention in this population.Methods: Two hundred and three patients, recruited after primary treatment, were randomly assigned either to a treatment group (psycho-educational intervention) or to a waiting-list control group. The 8-week programme of 2 h sessions comprised of thematic discussions, information and training in stress management techniques. Evaluation at baseline, after 8 sessions, and I month after programme completion, included evaluations using the STAI, POMS, MAC, EORTC QLQ-C30 and EORTC QLQ-BR23 breast module scales.Results: We observed a significant reduction in anxiety (STAI, POMS) among group participants, a reduction in anger, depression and fatigue (POMS), a significant improvement in vigor and interpersonal relationships (POMS), in emotional and role functioning, in health status and fatigue level (EORTC QLQ-C30). In contrast, coping strategies (MAC) were not significantly different between groups. No group-related negative effects were observed and the global satisfaction levels were very high.Conclusion: This study demonstrates the feasibility and effectiveness of a psycho-educational intervention, which can accelerate the reduction of those negative affects which are present at the end of treatment. It represents an excellent complement or an alternative to individual psycho-oncologic therapeutic support, widely proposed in France, and should now he tested in groups with other types of cancer and at other disease phases. Copyright (C) 2008 John Wiley & Sons, Ltd.