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Comparing dyadic cognitive behavioral therapy (CBT) with dyadic integrative body-mind-spirit intervention (I-BMS) for Chinese family caregivers of lung cancer patients: a randomized controlled trial.

肺癌患者中国家庭照顾者二元认知行为治疗 (CBT) 与二元整合身心精神干预 (i-bms) 的比较: 一项随机对照试验。

  • 影响因子:2.83
  • DOI:10.1007/s00520-019-04974-z
  • 作者列表:"Xiu D","Fung YL","Lau BH","Wong DFK","Chan CHY","Ho RTH","So TH","Lam TC","Lee VH","Lee AWM","Chow SF","Lim FM","Tsang MW","Chan CLW","Chow AYM
  • 发表时间:2020-03-01
Abstract

PURPOSE:The study adopted a randomized controlled trial to compare the effect of culturally compatible psychosocial interventions on multiple aspects of quality of life (QoL) for family caregivers of lung cancer patients. METHODS:157 Chinese informal caregivers of lung cancer patients were recruited together with the family members for whom they were providing care, and randomly assigned to either integrative body-mind-spirit intervention (I-BMS) or cognitive behavioral therapy (CBT). Patient-caregiver dyads attended the same arm of intervention in separate groups for 8 weeks. Assessments of generic QoL, anxiety, depression, perceived stress, insomnia, and caregiving burden were measured before intervention (T0), within 1-week (T1), 8-week (T2), and 16-week (T3) post-intervention. RESULTS:Adopting the intention-to-treat analysis, family caregivers in receipt of both I-BMS and CBT exhibited a statistically significant improvement in generic QoL immediately following intervention and at follow-up assessments, with moderate effect size. Improvement of insomnia was found at T1 for both modes, which deteriorated at follow-up; both modes reduced anxiety and perceived stress at follow-up. No intervention effect was observed in depression and domains of caregiving burden. There was no significant interaction effect between intervention type and time. No main or interaction effect between sample background variables and intervention type was found to predict symptomatic changes at T1 and T3. CONCLUSIONS:Culturally attuned I-BMS and CBT exhibited equivalent effectiveness in improving psychological distress and generic QoL for family caregivers of lung cancer patients. To improve the evaluation of outcomes, future study could benefit from incorporating a usual care control.

摘要

目的: 本研究采用随机对照试验,比较文化相容的心理社会干预对肺癌患者家庭照顾者生活质量多方面的影响。 方法: 招募 157 名肺癌患者的中国非正式照顾者及其家属,并随机分配到综合身心-精神干预 (i-bms) 或认知行为治疗 (CBT)。患者-看护者dyads在不同的组中参加相同的干预组,持续 8 周。在干预前 (T0),1 周内 (T1),8 周 (T2),测量一般QoL,焦虑,抑郁,感知压力,失眠和护理负担的评估。和干预后 16 周 (T3)。 结果: 采用意向治疗分析,接受I-BMS和CBT的家庭照顾者在干预后和随访评估后立即表现出通用QoL的统计学显著改善,具有中等的效果大小。在T1 时发现两种模式的失眠改善,其在随访时恶化; 两种模式都减少了随访时的焦虑和感知压力。在抑郁和护理负担领域没有观察到干预效果。干预类型与时间无显著交互作用。没有发现样本背景变量和干预类型之间的主要或交互作用来预测T1 和t3 时的症状变化。 结论: 文化上协调的I-BMS和CBT在改善肺癌患者家庭照顾者的心理困扰和一般生活质量方面表现出同等的效果。为了改善对结局的评估,未来的研究可以从纳入常规护理控制中获益。

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影响因子:6.93
发表时间:2020-01-15
DOI:10.1002/ijc.32532
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影响因子:6.93
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DOI:10.1002/ijc.32530
作者列表:["Zhang L","Yang Y","Chai L","Bu H","Yang Y","Huang H","Ran J","Zhu Y","Li L","Chen F","Li W"]

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