Cognitive-behavioral stress management improves stress-management skills and quality of life in men recovering from treatment of prostate carcinoma
Cognitive-behavioral stress management improves stress-management skills and quality of life in men recovering from treatment of prostate carcinoma
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DOI：
10.1002/cncr.11894
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发表时间：
2004-01-01
期刊：
影响因子：
6.2
通讯作者：
Antoni, MH
中科院分区：
文献类型：
--
作者：
Penedo, FJ;Dahn, JR;Antoni, MH
背景本研究评价了为期10周、以小组为基础的认知行为压力管理（CBSM）干预与为期半天的研讨会在改善接受根治性前列腺切除术（RP）或放射治疗的局限性前列腺癌（PC）患者生活质量（QoL）方面的疗效。92名男性被随机分配到为期10周的CBSM组干预或为期1天的研讨会（对照组）。该干预旨在通过帮助参与者识别和有效管理压力体验来改善生活质量，并重点关注PC的治疗相关后遗症。分层回归模型被用来预测干预后的生活质量。最终模型，包括所有预测因子和相关协变量（即，收入、基线生活质量、种族和群体状况），可解释生活质量评分变异的62.1%。分组是10周干预期后生活质量的显著预测因子（β =-0.14; P = 0.03），即使在控制了种族、收入和基线生活质量后也是如此。事后分析显示，在CBSM干预条件下的个人生活质量显着改善相对于男性在1天的控制研讨会。生活质量的改善是通过更高的压力管理技能来介导的。为期10周的认知行为小组干预在改善PC治疗男性的生活质量方面是有效的，这些变化与干预相关的感知压力管理技能的增加显著相关。(C)2003年美国癌症协会。
BACKGROUND. The current study evaluated the efficacy of a 10-week, group-based, cognitive-behavioral stress management (CBSM) intervention relative to a half-day seminar in improving quality of life (QoL) among men who were treated for localized prostate carcinoma (PC) with either radical prostatectomy (RP) or radiation therapy.METHODS. Ninety-two men were assigned randomly to either the 10-week CBSM group intervention or a 1-day seminar (control group). The intervention was designed to improve QoL by helping participants to identify and effectively manage stressful experiences and was focused on the treatment-related sequelae of PC.RESULTS. A hierarchical regression model was used to predict postintervention QoL. The final model, including all predictors and relevant covariates (i.e., income, baseline QoL, ethnicity, and group condition), explained 62.1% of the variance in QoL scores. Group assignment was a significant predictor (beta = - 0.14; P = 0.03) of QoL after the 10-week intervention period, even after controlling for ethnicity, income, and baseline QoL. Post-hoc analyses revealed that individuals in the CBSM intervention condition showed significant improvements in QoL relative to men in the 1-day control seminar. Improved QoL was mediated by greater perceived stress-management skill.CONCLUSIONS. A 10-week cognitive-behavioral group intervention was effective in improving the QoL in men treated for PC, and these changes were associated significantly with intervention-associated increases in perceived stress-management skills. (C) 2003 American Cancer Society.