Group support for patients with metastatic cancer. A randomized outcome study.
Group support for patients with metastatic cancer. A randomized outcome study.
复制标题
对转移性癌症患者的团体支持。
作者：
D. Spiegel;J. Bloom;I. Yalom
在一项为期一年的随机前瞻性结果研究中，系统评价了每周一次的乳腺转移癌妇女支持小组会议的效果。这些团体关注的是绝症的问题，包括改善与家人、朋友和医生的关系，以及在面对死亡时尽可能充分地生活。我们假设本发明将导致治疗组中的那些人的情绪、应对策略和自尊的改善。86名患者每隔4个月进行一次测试。与对照组相比，治疗组的情绪状态量表上的情绪障碍评分显著较低，适应不良应对反应较少，恐怖症也较少。这项研究提供了客观的证据，支持性团体干预转移性癌症患者的心理效益。本小组的干预措施的有效性的机制进行了探讨。
The effects of weekly supportive group meetings for women with metastatic carcinoma of the breast were systematically evaluated in a one-year, randomized, prospective outcome study. The groups focused on the problems of terminal illness, including improving relationships with family, friends, and physicians and living as fully as possible in the face of death. We hypothesized that this invention would lead to improved mood, coping strategies, and self-esteem among those in the treatment group. Eighty-six patients were tested at four-month intervals. The treatment group had significantly lower mood-disturbance scores on the Profile of Mood States scale, had fewer maladaptive coping responses, and were less phobic than the control group. This study provides objective evidence that a supportive group intervention for patients with metastatic cancer results in psychological benefit. Mechanisms underlying the effectiveness of this group intervention are explored.