对意大利乳腺癌幸存者实施框架肖像体验:一项试点研究,评估存在主义方法对身体形象、应对技能和自我效能的短期影响。

IF 3.1 2区 医学 Q2 ONCOLOGY
Journal of Cancer Survivorship Pub Date : 2024-12-01 Epub Date: 2023-08-19 DOI:10.1007/s11764-023-01438-6
Denise Vagnini, Antonia Sorge, Chiara Acquati, Francesca Antonia Colafemmina, Emanuela Saita
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引用次数: 0

摘要

目的:乳腺癌(BC)及其治疗对妇女的心理健康有很大影响。根据记录,在癌症幸存者期间提供的干预措施对生活质量有积极影响。然而,有关实施治疗性摄影的证据却很有限。本研究调查了对乳腺癌幸存者实施框架肖像体验(FPE)的效果:方法:进行了一项准实验研究。参与者被纳入一个非随机的前后干预对比组。采用方便抽样的方法招募了 40 名 BC 幸存者;其中 20 人随后被分配到干预组(FPE 组),20 人被分配到对比组。在测试前和测试后(3 周后),使用身体形象、应对能力、自尊和自我效能的自我报告测量方法对参与者进行评估。独立样本 t 检验比较了测试前的组别构成。2 × 2 重复测量方差分析检验了相关变量在测试前和测试后的变化:结果:各组在测试前没有发现差异。在身体形象、以问题为中心的应对方式、以情绪为中心的应对方式和自我效能能力分量表中发现了明显的交互作用效应(p < 0.05)。经 Bonferroni 校正的事后配对比较表明,FPE 组与对比组相比,在这些方面都有所改善。此外,还发现时间对自我效能感总分和幅度分量表有明显的主效应(P < 0.05):初步结果支持 FPE 的有效性,但仍需进一步研究:对癌症幸存者的启示:可以利用包括自画像和疾病叙事在内的存在主义方法来帮助卑诗省幸存者控制疾病的心理后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Implementing the framed portrait experience with Italian breast cancer survivors: a pilot study assessing short term effects of an existential approach to body image, coping skills, and self-efficacy.

Implementing the framed portrait experience with Italian breast cancer survivors: a pilot study assessing short term effects of an existential approach to body image, coping skills, and self-efficacy.

Purpose: Breast cancer (BC) and its treatments significantly impact the psychological wellbeing of women. Interventions offered during cancer survivorship have documented positive consequences for quality of life. However, limited evidence is available regarding the implementation of therapeutic photography. This study investigated the efficacy of the framed portrait experience (FPE) when implemented to BC survivors.

Methods: A quasi-experimental study was conducted. Participants were enrolled in a non-randomized pre-post intervention with a comparison group. Forty BC survivors were recruited using a convenience sampling approach; of these, 20 were subsequently allocated to the intervention (FPE group) and 20 to the comparison group. Participants were assessed at pretest and posttest (3 weeks later) using self-reported measures of body image, coping, self-esteem, and self-efficacy. Independent samples t-tests compared group composition at pretest. Mixed between-within 2 × 2 repeated-measures ANOVAs examined pretest-posttest changes in the variables of interest.

Results: No differences were detected between groups at pretest. A significant interaction effect on body image, problem-focused coping, emotion-focused coping, and in self-efficacy competence subscale (p < 0.05) was identified. Post hoc pairwise comparisons with the Bonferroni correction indicated improvement on these domains in the FPE group vs. comparison group. Additionally, significant main effects of time on self-efficacy total score and magnitude subscale (p < 0.05) were found.

Conclusions: Preliminary results support the efficacy of FPE, but further research is needed.

Implications for cancer survivors: Existential approaches inclusive of self-portraits and illness narratives can be utilized to support BC survivors in the management of the psychological consequences of the illness.

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来源期刊
CiteScore
7.00
自引率
10.80%
发文量
149
审稿时长
>12 weeks
期刊介绍: Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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