A randomized controlled trial: Evaluating whether a cognitive behavioral internet-delivered intervention targeting emotion regulation improves health-related quality of life in cancer survivors.

IF 3.2 2区心理学 Q1 PSYCHOLOGY

Health Psychology Pub Date : 2025-10-01 Epub Date: 2025-04-10 DOI:10.1037/hea0001497

Rebecca Wallace, Isabelle Smith, Daphne Day, Marliese Alexander, Karen L Weihs, Joshua F Wiley

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引用次数: 0

Abstract

Objective: Cancer survivors experience reduced overall health-related quality of life (HRQoL) compared to the general population. This research assesses and compares the efficacy of an emotion-focused (CanCopeMind [CM]) and lifestyle (CanCopeLifestyle [CL]) intervention to improve HRQoL among cancer survivors.

Method: This 8-week, internet-delivered, randomized controlled trial compared CM (n = 110) and CL (n = 114) on self-reported HRQoL (range -0.022 = indicating a state akin to dead to 1.0 representing perfect health) at baseline, postintervention, and 3-month follow-up. CM, adapted from the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders, targeted core emotion regulation skills (understanding emotions, mindfulness, flexible thinking, and changing behaviors). CL, the active control, targeted healthy lifestyle domains (diet, exercise, relaxation, and sleep).

Results: HRQoL increased in both groups from baseline to postintervention (CM, p < .001, SMD_median = 0.54; CL, p < .001, SMD_median = 0.40), and these improvements were sustained at follow-up (CM, p < .001, SMD_median = 0.52; CL, p = .005, SMD_median = 0.33). The difference between each group was not significant at either postintervention (p = .095, SMD_median = 0.19) or follow-up (p = .081, SMDmedian = 0.23). Subgroup analyses revealed no moderation by cancer stage, treatment type, months since treatment, cancer type or sex.

Conclusion: The findings indicate that an accessible, internet-delivered emotion-focused and lifestyle interventions hold promise for improving HRQoL among cancer survivors. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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一项随机对照试验：评估以情绪调节为目标的认知行为互联网干预是否能改善癌症幸存者的健康相关生活质量。

目的：与普通人群相比，癌症幸存者的总体健康相关生活质量（HRQoL）降低。本研究评估并比较了以情绪为中心（CanCopeMind [CM]）和生活方式（CanCopeLifestyle [CL]）干预对改善癌症幸存者HRQoL的疗效。方法：这项为期8周的互联网随机对照试验比较了CM （n = 110）和CL （n = 114）在基线、干预后和3个月的随访中自我报告的HRQoL（范围从-0.022 =表示类似于死亡的状态到代表完美健康的1.0）。CM改编自《情绪障碍跨诊断治疗统一方案》，针对核心情绪调节技能（理解情绪、正念、灵活思维和改变行为）。CL，主动控制，目标健康的生活方式领域（饮食，运动，放松和睡眠）。结果：两组患者HRQoL均较干预后升高(CM, p < 0.001, SMDmedian = 0.54；CL, p < 0.001, SMDmedian = 0.40)，这些改善在随访中持续(CM, p < 0.001, SMDmedian = 0.52；CL, p = 0.005, SMDmedian = 0.33)。干预后（p = 0.095, SMDmedian = 0.19）和随访（p = 0.081, SMDmedian = 0.23）两组间差异均无统计学意义。亚组分析显示，在癌症分期、治疗类型、治疗后数月、癌症类型或性别方面，没有任何缓和。结论：研究结果表明，一种可访问的、互联网传递的以情感为中心的生活方式干预有望改善癌症幸存者的HRQoL。（PsycInfo Database Record (c) 2025 APA，版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Psychology 医学-心理学

CiteScore

4.90

自引率

2.40%

发文量

170

审稿时长

4-8 weeks

期刊介绍： Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.