Social-cognitive processes as moderators of a couple-focused group intervention for women with early stage breast cancer
Social-cognitive processes as moderators of a couple-focused group intervention for women with early stage breast cancer
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DOI：
10.1037/0278-6133.26.6.735
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发表时间：
2007-11-01
影响因子：
4.2
通讯作者：
Winkel, Gary
中科院分区：
文献类型：
--
作者：
Manne, Sharon;Ostroff, Jamie S.;Winkel, Gary
目的：目的是研究社会认知变量是否会调节以夫妻为中心的群体干预（CG）对早期乳腺癌妇女的疗效。设计：参与者（N = 238）被随机分配到以夫妻为中心的组和常规护理组的6个疗程。意向治疗成长曲线模型分析表明情绪表达和情绪加工调节CG对抑郁的影响。主要结局指标：本研究的主要结局指标为心理困扰和心理健康。结果：治疗损耗分析表明，情绪表达、情绪处理和保护性缓冲在参加CG的参与者中减缓了CG的效果，其中情绪处理对痛苦和幸福指标的影响最为一致。结论：CG干预可能对开始使用情绪方法应对策略的患者更有效。
Objective: The purpose was to examine whether social-cognitive variables would moderate the efficacy of a couple-focused group intervention (CG) for women diagnosed with early stage breast cancer. Design: Participants (N = 238) were randomly assigned to 6 sessions of a couple-focused group versus usual care. Intent to treat growth curve modeling analyses indicated that emotional expression and emotional processing moderated CG effects on depression. Main Outcome Measures: The primary outcome measures for this study were psychological distress and psychological well-being. Results: Treatment attrition analyses separating out participants assigned to but not attending CG indicated that emotional expression, emotional processing, and protective buffering moderated the effects of CG among those who attended CG with the most consistent effects noted for emotional processing on indicators of distress and well-being. Conclusion: The CG intervention may be more effective for patients who begin the group experience using emotional approach coping strategies to deal with cancer.