Group Psychoeducation to Improve Cognitive Emotion Regulation in Nigerian Women with Breast Cancer.

IF 1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Maria-Chidi Christiana Onyedibe, Mike Chuka Ifeagwazi
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Abstract

Breast cancer is a life-altering stressor requiring patients to use a variety of psychosocial strategies to cope. Patients employing maladaptive cognitive coping strategies are likely to experience detrimental effects in their lives. Studies of group psychoeducation (GPE) interventions and its effects on positive and negative cognitive emotion regulation are scarce, especially in low- and middle-income countries (LMICs) such as Nigeria. The present study investigated the effect of  eight weeks of a GPE intervention on cognitive emotion regulation (CER) among a single group of Nigerian women with breast cancer. Twenty-eight women with breast cancer were randomly allocated to one of two conditions: a treatment group (TG, N = 15) and a control condition (CC, N = 13). The TG received  eight weeks of GPE sessions, which included a 90-minute session per week, while the control condition (CC) included only a psychoeducational pamphlet. Assessments were carried out at baseline, posttreatment and 2-month follow-up with measures of CER Questionnaires. Data were analyzed using an independent sampled t test and chi square. The effect size was estimated with standard mean difference (SMD) and 95% confidence interval. The results showed that TG participants had a significant improvement in adaptive CER (acceptance and positive reappraisal) in posttest and at 2-month follow-up compared to CC. Participants in TG also showed a significant decrease in maladaptive CER (self-blame, rumination and catastrophizing) relative to CC at posttest and 2-month follow-up. Group psychoeducation is an effective psychosocial treatment for better CER management of breast cancer. Group psychoeducation may be integrated as an adjunct therapy in the management of cancer patients, especially in Nigeria oncology, to improve the quality of life of patients and increase their survival rate.

团体心理教育改善尼日利亚乳腺癌妇女认知情绪调节
摘要癌症是一种改变生命的压力源,需要患者使用各种心理社会策略来应对。采用不适应的认知应对策略的患者可能会在生活中经历有害影响。关于群体心理教育干预措施及其对积极和消极认知情绪调节的影响的研究很少,尤其是在尼日利亚等中低收入国家。本研究调查了8周的GPE干预对癌症尼日利亚女性认知情绪调节(CER)的影响。20名患有癌症的女性被随机分配到两种情况中的一种:治疗组(TG,N=15)和对照组(CC,N=13)。TG接受了8周的GPE治疗,其中包括每周90分钟的治疗,而对照组(CC)只包括一本心理教育小册子。在基线、治疗后和2个月的随访中使用CER问卷进行评估。使用独立抽样t检验和卡方对数据进行分析。用标准平均差(SMD)和95%置信区间估计效应大小。结果显示,与CC相比,TG参与者在测试后和2个月随访时的适应性CER(接受和积极重新评估)显著提高。与CC相比在测试后或2个月的随访时,TG参与者的不适应CER(自责、沉思和灾难)也显著降低。团体心理教育是一种有效的心理社会治疗方法,可以更好地管理癌症的CER。在癌症患者的管理中,特别是在尼日利亚肿瘤学中,可以将群体心理教育作为一种辅助疗法,以提高患者的生活质量并提高他们的存活率。
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来源期刊
CiteScore
2.30
自引率
7.70%
发文量
16
期刊介绍: Recognized as the leading source of information on group therapy theory, practice, and research, this journal features contributions from foremost experts in the field. International Journal of Group Psychotherapy offers: - Clinical articles on group treatment models, process issues, and techniques - Research reviews that keep practitioners up to date - Thought-provoking essays in the Reader"s Forum and Commentary sections - Reviews of current books and video releases - Special issues on such topics as evidence-based practice and ethics
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