Stress and Response to Treatment: Insights From a Pilot Study Using a 4-week Contemplative Self-Healing Meditation Intervention for Posttraumatic Stress in Breast Cancer.
Stress and Response to Treatment: Insights From a Pilot Study Using a 4-week Contemplative Self-Healing Meditation Intervention for Posttraumatic Stress in Breast Cancer.
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DOI：
10.1177/2156587217708522
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发表时间：
2017-10
期刊：
影响因子：
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通讯作者：
Charlson ME
中科院分区：
文献类型：
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作者：
Offidani E;Peterson JC;Loizzo J;Moore A;Charlson ME
沿着焦虑和抑郁的症状，许多乳腺癌幸存者经历创伤后应激障碍（PTSD）的症状，这些症状可能在其他压力性生活事件的背景下恶化。这项试点研究的目的是评估我们的沉思自我愈合计划的4周版本是否会在基线时有或没有慢性压力的乳腺癌幸存者之间减少PTSD症状方面产生不同的效果。使用事件影响量表（IES）测量PTSD症状。采用线性混合模型分析评价患者IES评分的变化。结果显示，经历慢性压力的乳腺癌患者比没有慢性压力的患者报告IES评分有更大的改善。我们的初步研究结果揭示了需要评估乳腺癌患者的生活压力。评估慢性压力对于预测哪些癌症患者可能从心理干预中获益最大可能是至关重要的。
Along with symptoms of anxiety and depression, many breast cancer survivors experience symptoms of posttraumatic stress disorder (PTSD) that may worsen in the setting of other stressful life events. The aim of this pilot study was to evaluate whether a 4-week version of our Contemplative Self-Healing program would have different effects in reducing PTSD symptoms between breast cancer survivors with or without chronic stress at baseline. PTSD symptoms were measured using the Impact of Events scale (IES). A linear mixed model analysis was used to evaluate within patients changes in IES score. Results showed that breast cancer patients who were experiencing chronic stress reported greater improvement in IES score than those without chronic stress. Our preliminary findings shed light on the need to evaluate life stressors in breast cancer patients. Evaluating chronic stress may be essential in predicting which cancer patients may benefit most from a psychological intervention.