Contemplative self healing in women breast cancer survivors: a pilot study in underserved minority women shows improvement in quality of life and reduced stress.
Contemplative self healing in women breast cancer survivors: a pilot study in underserved minority women shows improvement in quality of life and reduced stress.
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DOI：
10.1186/1472-6882-14-349
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发表时间：
2014-09-23
影响因子：
--
通讯作者：
Peterson JC
中科院分区：
文献类型：
--
作者：
Charlson ME;Loizzo J;Moadel A;Neale M;Newman C;Olivo E;Wolf E;Peterson JC
在服务不足的少数族裔乳腺癌幸存者中，这个试点项目旨在评估20周冥想自我治疗计划的生活质量。先前治疗过I-III期乳腺癌的妇女在20周计划前后用FACT-G， FACT-B, fact - spirituality， ECOG和事件影响量表进行评估。他们参加了为期20周的干预，包括引导冥想和认知-情感-行为学习。平均年龄为63岁，62%的参与者是非裔美国人或拉丁裔。自诊断为乳腺癌以来平均5.4年，72%的ECOG表现状态为1。57%的人目前有工作。基线FACT-G为80.5±15.1，基线事件影响量表为26.3±18.9。患者内FACT-G改善为4.6±10.9 (p = 0.01)；同时，FACT-B得分提高2.8±12.8分（p = 0.03）。事件影响量表提高6.6±15.5分（p = 0.01）。患者回避量表（3.8±9.2）和侵入量表（2.9±7.9）均有显著改善。参加更多的会议和进行更多的家庭实践的患者在生活质量方面有更大的改善。接受20次冥想自我修复干预的患者表现出生活质量的改善，在临床和统计上都有显著的FACT-G增加。此外，通过事件影响量表（Impact of Events Scale）评估，这一人群的创伤后应激症状显著减轻。临床试验Gov NCT00278837。
Among underserved, largely minority women who were breast cancer survivors, this pilot project was designed to evaluate the quality of life outcomes of a 20 week Contemplative Self-Healing Program. Women previously treated for stage I-III breast cancer were assessed before and after the 20 week program with the FACT-G, FACT-B, FACIT-Spirituality, ECOG, and the Impact of Events Scale. They participated in a 20-week intervention involving guided meditation and cognitive-affective-behavioral learning. With an average age of 63, 62% of the participants were African-American or Latino. With an average of 5.4 years since the diagnosis of breast cancer, 72% had an ECOG performance status of 1. 57% were currently working. Their baseline FACT-G was 80.5 ± 15.1, and their baseline Impact of Events Scale was 26.3 ± 18.9. The within-patient improvement on the FACT-G was 4.6 ± 10.9 (p = .01); in parallel the FACT-B improved by 2.8 ± 12.8 points (p = .03). The Impact of Events Scale improved by 6.6 ± 15.5 points (p = .01). There was significant within-patient improvement on both the avoidance scale (3.8 ± 9.2) and on the intrusion scale (2.9 ± 7.9). Patients who attended more sessions and conducted more home practice had greater improvements in quality of life. Persons receiving a 20-session contemplative self healing intervention showed improved quality of life, with a clinically and statistically significant increase in the FACT-G. In addition, this population showed a significant reduction in post-traumatic stress symptoms assessed by the Impact of Events Scale. Clinical Trials Gov NCT00278837.
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影响因子：
4.2
作者：
Carver, CS;Smith, RG;Derhagopian, RP
通讯作者：
Derhagopian, RP
影响因子：
5.9
作者：
CORDOVA, MJ;ANDRYKOWSKI, MA;REDD, WH
通讯作者：
REDD, WH
影响因子：
4.2
作者：
Carver, CS;Antoni, MH
通讯作者：
Antoni, MH
影响因子：
4.2
作者：
Cordova, MJ;Cunningham, LLC;Andrykowski, MA
通讯作者：
Andrykowski, MA
DOI：
10.1093/jnci/85.5.365
发表时间：
1993-03-03
期刊：
JOURNAL OF THE NATIONAL CANCER INSTITUTE
影响因子：
--
作者：
AARONSON, NK;AHMEDZAI, S;TAKEDA, F
通讯作者：
TAKEDA, F