Test of mindfulness and hope components in a psychological intervention for women with cancer recurrence.
Test of mindfulness and hope components in a psychological intervention for women with cancer recurrence.
复制标题
对癌症复发女性进行心理干预时的正念和希望成分测试。
DOI：
10.1037/a0036959
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发表时间：
2014
影响因子：
5.9
通讯作者：
Andersen,BarbaraL
中科院分区：
文献类型：
--
作者：
Thornton,LisaM;Cheavens,JenniferS;Heitzmann,CarolynA;Dorfman,CarolineS;Wu,SaleneM;Andersen,BarbaraL
心理干预可以减轻痛苦，增强那些初步诊断为癌症的人的应对能力，但对于癌症复发的人来说，干预选择很少。为了解决这一差距，我们开发和测试了一种新的治疗相结合的正念，希望疗法，和biobiorbehavioral components.MethodAn不受控制的，重复的措施设计。以个体（n= 12）或组（n= 20）形式向复发性乳腺癌或妇科癌症的女性（N= 32）提供20次治疗。平均而言，参与者为中年人（M= 58）和白人（81%）。独立变量（即希望和正念）和心理结果（即抑郁，消极情绪，担忧和广泛性焦虑症的症状）在治疗前和2个月，4个月和7个月后进行评估。会话的治疗过程（积极和消极的影响，生活质量）和机制（使用干预特定的技能）的措施也included.ResultsDistress，焦虑，和消极的影响减少，而积极的影响和心理健康相关的生活质量增加在治疗过程中，表现在混合效应模型与意向治疗样本。希望和正念增加，正念技巧的使用与减少anxiety.ConclusionsThis治疗是可行的，并提供患者可以接受的。该试验作为针对复发性癌症特定困难的多组分干预的初步证据。组分的混合是新颖的，并且在理论和实践上是一致的。在文献中的差距得到解决，提供方向的测试干预措施，为患者应对持续的压力和癌症复发的挑战。（PsycINFO数据库记录（c）2016阿帕，保留所有权利）
ObjectivePsychological interventions can attenuate distress and enhance coping for those with an initial diagnosis of cancer, but there are few intervention options for individuals with cancer recurrence. To address this gap, we developed and tested a novel treatment combining Mindfulness, Hope Therapy, and biobehavioral components.MethodAn uncontrolled, repeated measures design was used. Women (N= 32) with recurrent breast or gynecologic cancers were provided 20 treatment sessions in individual (n= 12) or group (n= 20) formats. On average, participants were middle aged (M= 58) and Caucasian (81%). Independent variables (ie, hope and mindfulness) and psychological outcomes (ie, depression, negative mood, worry, and symptoms of generalized anxiety disorder) were assessed pre-treatment and 2, 4, and 7 months later. Session-by-session therapy process (positive and negative affect, quality-of-life) and mechanism (use of intervention-specific skills) measures were also included.ResultsDistress, anxiety, and negative affect decreased, whereas positive affect and mental-health-related quality-of-life increased over the course of treatment, as demonstrated in mixed-effects models with the intent-to-treat sample. Both hope and mindfulness increased, and use of mindfulness skills was related to decreased anxiety.ConclusionsThis treatment was feasible to deliver and was acceptable to patients. The trial serves as preliminary evidence for a multi-component intervention tailored to treat difficulties specific to recurrent cancer. The blending of the components was novel as well as theoretically and practically consistent. A gap in the literature is addressed, providing directions for testing interventions designed for patients coping with the continuing stressors and challenges of cancer recurrence.(PsycINFO Database Record (c) 2016 APA, all rights reserved)