Efficacy of stress management program for depressive patients with advanced head and neck cancer: A single-center pilot study.
Efficacy of stress management program for depressive patients with advanced head and neck cancer: A single-center pilot study.
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DOI：
10.1016/j.ijchp.2020.06.003
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发表时间：
2020-09
期刊：
影响因子：
--
通讯作者：
Matsushima E
中科院分区：
文献类型：
--
作者：
Ichikura K;Nakayama N;Matsuoka S;Ariizumi Y;Sumi T;Sugimoto T;Fukase Y;Murayama N;Tagaya H;Asakage T;Matsushima E
头颈部癌症（HNC）患者有一些问题，如呼吸，进食和/或说话功能障碍。本研究的目的是检查HNC患者的压力管理计划（SMAP-HNC）与常规护理（UC）相比的疗效。我们在2016年1月至2018年3月期间对抑郁HNC患者进行了SMAP-HNC的初步研究。该计划包括心理教育，压力应对训练和操作性强化。结果测量是医院焦虑和抑郁量表（HADS），癌症治疗的功能评估（FACT）和简短应对量表（科普）。20例患者随机分配至SMAP-HNC和UC组。虽然样本量较小，但SMAP-HNC组与UC组之间的抑郁评分变化无显著差异（Hedges'd g-0.83; 95%CI-1.80至0.13）。这是第一个对HNC患者进行压力管理的研究。不幸的是，我们的试验设计为随机对照试验，不足以得出SMAP-HNC疗效的结论。然而，也有一些有价值的建议，以修改未来的压力管理计划。
Patients with head and neck cancer (HNC) have some problems such as dysfunction of breathing, eating, and/or speaking. The aim of this study was to examine efficacy of the stress management program for HNC patients (SMAP-HNC) compared with usual care (UC). We conducted a pilot study of SMAP-HNC for depressive HNC patients between January 2016 and March 2018. The program contains psychoeducation, stress coping training, and operant reinforcement. The outcome measure was the Hospital Anxiety and Depression Scale (HADS), Functional Assessment of Cancer Therapy (FACT), and Brief Coping Inventory (COPE). Twenty patients were randomly assigned to SMAP-HNC and UC group. Although a small sample sizes, there was no significant difference of depression score change between SMAP-HNC and UC group (Hedges’d g -0.83; 95% CI -1.80 to 0.13). It was the first study to conduct stress management program for HNC patients. Unfortunately, our trial designed as a randomized controlled trial is underpowered to make conclusion as to the efficacy of SMAP-HNC. However, there are some valuable suggestions to modify the stress management program in future.
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DOI：
10.1136/bmj.j2835
发表时间：
2017-06-30
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
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通讯作者：
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影响因子：
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发表时间：
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影响因子：
8.8
作者：
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影响因子：
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影响因子：
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