Randomized pilot of a self-guided Internet coping group for women with early-stage breast cancer
Randomized pilot of a self-guided Internet coping group for women with early-stage breast cancer
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DOI：
10.1207/s15324796abm3001_7
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发表时间：
2005-08-01
影响因子：
3.8
通讯作者：
Tucker, DC
中科院分区：
文献类型：
--
作者：
Owen, JE;Klapow, JC;Tucker, DC
背景：为癌症幸存者提供心理支持和干预的基于互联网的方法有望增加此类治疗的公众影响。目的：本对照试点研究的目的是检验自我指导、基于互联网的应对技能培训小组对早期乳腺癌妇女生活质量结局的影响和潜在作用机制。方法：62名妇女完成基线评估，随机分为小型在线应对组和等候名单对照组。结果：12周随访无明显疗效。然而，基线自我报告的健康状况与治疗之间存在显著的相互作用，例如，自我认为健康状况较差的妇女在分配到治疗条件时，随着时间的推移，她们的健康状况得到了更大的改善。语言分析显示，生活质量变量的积极变化与悲伤和焦虑等负面情绪的更多表达、更大的认知加工和更低的健康相关担忧的表达有关。结论：本研究结果显示了网络自助应对小组的潜在疗效，同时也凸显了网络自助应对小组的局限性。
Background: Internet-based methods for provision of psychological support and intervention to cancer survivors hold promise for increasing the public impact of such treatments. Purpose: The goal of this controlled pilot study was to examine the effect and potential mechanisms of action of a self-guided, Internet-based coping-skills training group on quality of life outcomes in women with early-stage breast cancer Methods: Sixty-two women completed baseline evaluations and were randomized into either a small online coping group or a waiting-list control condition. Results: No main effects for treatment were observed at the 12-week follow up. However, there was a significant interaction between baseline self-reported health status and treatment, such that women with poorer self-perceived health status showed greater improvement in perceived health over time when assigned to the treatment condition. Linguistic analyses revealed that positive changes across quality of life variables were associated with greater expression of negative emotions such as sadness and anxiety, greater cognitive processing, and lower expression of health-related concerns. Conclusions: These results demonstrate the potential efficacy of self-guided Internet coping groups while highlighting the limitations o such groups.