Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer
Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer
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DOI：
10.1037/0278-6133.20.1.20
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发表时间：
2001-01-01
影响因子：
4.2
通讯作者：
Carver, CS
中科院分区：
文献类型：
--
作者：
Antoni, MH;Lehman, JM;Carver, CS
作者对100名新接受0-II期乳腺癌治疗的女性进行了为期10周的认知行为压力管理干预。干预降低了中度抑郁症的患病率（在对照条件下保持相对稳定），但对其他情绪困扰的测量没有影响。干预还增加了参与者的报告，即患乳腺癌对他们的生活做出了积极贡献，并增加了普遍的乐观情绪。在干预后3个月的随访中，两者均保持显著升高。进一步的分析显示，在基线时乐观程度最低的女性中，干预对这两个变量的影响最大。讨论集中在检查对创伤性事件的积极反应的重要性上——成长、对生活的欣赏、优先事项的转移和积极的影响——以及消极的反应。
The authors tested effects of a 10-week group cognitive-behavioral stress management intervention among 100 women newly treated for Stage 0-II breast cancer. The intervention reduced prevalence of moderate depression (which remained relatively stable in the control condition) but did not affect other measures of emotional distress. The intervention also increased participants' reports that having breast cancer had made positive contributions to their lives, and it increased generalized optimism. Both remained significantly elevated at a 3-month follow-up of the intervention. Further analysis revealed that the intervention had its greatest impact on these 2 variables among women who were lowest in optimism at baseline. Discussion centers on the importance of examining positive responses to traumatic events-growth, appreciation of life, shift in priorities, and positive affect-as well as negative responses.