Rui Gong, Aaron Heller, Patricia I Moreno, Betina Yanez, Frank J Penedo
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Multilevel models compared participants' PC-specific quality of life (sexual, hormonal, urinary), affect-based psychosocial burden (cancer-related anxiety and distress), and coping strategies at baseline, 6 months, and 12 months. Covariates were included in all models as appropriate.</p><p><strong>Results: </strong>Participants randomized to the CBSM condition showed significantly greater improvements in fear of cancer recurrence and cancer-related intrusive thoughts than those in the HP control condition. A significant condition by time interaction was also found, indicating that CBSM improved participants' PC-related fear in both short- (6 months) and long-term (12 months). However, the CBSM intervention did not significantly impact APC-related symptom burden. Only for the urinary domain, clinically meaningful changes (CBSM vs HP) were observed. In addition, all participants, regardless of condition, reported less coping (e.g., emotion-, problem- and avoidance-focused) over time.</p><p><strong>Conclusion: </strong>As predicted, the CBSM intervention improved several affect-based psychosocial outcomes for APC survivors with low baseline SWB.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333730/pdf/","citationCount":"0","resultStr":"{\"title\":\"Low Social Well-Being in Advanced and Metastatic Prostate Cancer: Effects of a Randomized Controlled Trial of Cognitive Behavioral Stress Management.\",\"authors\":\"Rui Gong, Aaron Heller, Patricia I Moreno, Betina Yanez, Frank J Penedo\",\"doi\":\"10.1007/s12529-024-10270-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Social well-being impacts cancer patients' health-related quality of life (HRQOL) and coping style. 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引用次数: 0
摘要
背景:社会幸福感会影响癌症患者的健康相关生活质量(HRQOL)和应对方式。本二次分析旨在研究社会幸福感低的晚期前列腺癌幸存者是否会从基于网络的认知行为压力管理(CBSM)干预中受益:接受过雄激素剥夺疗法(ADT)的APC幸存者(N = 192)被随机分配到为期10周的CBSM或健康促进(HP)对照组。干预前SWB较低的参与者(n = 61)(以来自家庭和朋友的社会支持以及与家庭和朋友关系的满意度来衡量)被纳入研究。多层次模型比较了基线、6 个月和 12 个月时参与者的 PC 特异性生活质量(性生活、荷尔蒙分泌、泌尿系统)、基于情感的社会心理负担(与癌症相关的焦虑和痛苦)以及应对策略。所有模型均酌情纳入了相关变量:结果:与HP对照组相比,随机接受CBSM治疗的患者在癌症复发恐惧和癌症相关侵扰性想法方面的改善明显更大。此外,还发现条件与时间之间存在明显的交互作用,这表明 CBSM 在短期(6 个月)和长期(12 个月)内都改善了参与者与 PC 相关的恐惧。然而,CBSM 干预并未对 APC 相关症状负担产生明显影响。只有在泌尿系统方面,观察到了有临床意义的变化(CBSM vs HP)。此外,随着时间的推移,所有参与者,无论病情如何,都报告了较少的应对方式(例如,以情绪、问题和逃避为重点的应对方式):正如预测的那样,CBSM 干预改善了基线 SWB 较低的 APC 幸存者的几种基于情感的社会心理结果。
Low Social Well-Being in Advanced and Metastatic Prostate Cancer: Effects of a Randomized Controlled Trial of Cognitive Behavioral Stress Management.
Background: Social well-being impacts cancer patients' health-related quality of life (HRQOL) and coping style. This secondary analysis was conducted to examine whether advanced prostate cancer survivors who had experienced low social well-being would benefit from a web-based cognitive behavioral stress management (CBSM) intervention.
Method: APC survivors (N = 192) who had received androgen deprivation therapy (ADT) were randomized to a 10-week CBSM or a health promotion (HP) control condition. A subsample of participants (n = 61) with low pre-intervention SWB (measured by social support from and relationship satisfaction with family and friends) was included in the study. Multilevel models compared participants' PC-specific quality of life (sexual, hormonal, urinary), affect-based psychosocial burden (cancer-related anxiety and distress), and coping strategies at baseline, 6 months, and 12 months. Covariates were included in all models as appropriate.
Results: Participants randomized to the CBSM condition showed significantly greater improvements in fear of cancer recurrence and cancer-related intrusive thoughts than those in the HP control condition. A significant condition by time interaction was also found, indicating that CBSM improved participants' PC-related fear in both short- (6 months) and long-term (12 months). However, the CBSM intervention did not significantly impact APC-related symptom burden. Only for the urinary domain, clinically meaningful changes (CBSM vs HP) were observed. In addition, all participants, regardless of condition, reported less coping (e.g., emotion-, problem- and avoidance-focused) over time.
Conclusion: As predicted, the CBSM intervention improved several affect-based psychosocial outcomes for APC survivors with low baseline SWB.
期刊介绍:
The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.