Couple-focused group intervention for women with early stage breast cancer
Couple-focused group intervention for women with early stage breast cancer
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DOI：
10.1037/0022-006x.73.4.634
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发表时间：
2005-08-01
影响因子：
5.9
通讯作者：
Frazier, T
中科院分区：
文献类型：
--
作者：
Manne, SL;Ostroff, JS;Frazier, T
本研究旨在探讨以夫妻为中心的团体干预对早期乳腺癌女性心理适应的有效性，并评估是否感知伴侣不支持行为或患者功能障碍调节干预效果。238名妇女被随机分配接受6次以夫妇为中心的小组干预或常规护理。意向治疗生长曲线分析表明，分配到夫妇组的参与者报告了较低的抑郁症状。妇女评级为他们的合作伙伴更不支持受益于干预的妇女比不支持的合作伙伴，和妇女更多的身体损害受益于干预组比妇女较少的损害。亚组分析比较妇女参加夫妇为重点的团体干预与妇女不参加团体和与通常的护理参与者表明，妇女参加会议的报告显着减少痛苦比妇女接受通常的护理和妇女谁退出了干预。
This study examined the efficacy of a couple-focused group intervention on psychological adaptation of women with early stage breast cancer and evaluated whether perceived partner unsupportive behavior or patient functional impairment moderated intervention effects. Two hundred thirty-eight women were randomly assigned to receive either 6 sessions of a couple-focused group intervention or usual care. Intent-to-treat growth curve analyses indicated that participants assigned to the couples' group reported lower depressive symptoms. Women rating their partners as more unsupportive benefited more from the intervention than did women with less unsupportive partners, and women with more physical impairment benefited more from the intervention group than did women with less impairment. Subgroup analyses comparing women attending the couple-focused group intervention with women not attending groups and with usual care participants indicated that women attending sessions reported significantly less distress than did women receiving usual care and women who dropped out of the intervention.