{"title":"接受承诺疗法对质子重离子治疗癌症患者心理康复的疗效：一项非随机对照试验。","authors":"Fei Qin, Yu Zhu, Shuman Wang, Lijuan Zhang, Ziying Wang, Hongwei Wan","doi":"10.1007/s00520-024-09126-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To develop an appropriate intervention utilizing acceptance and commitment therapy (ACT) tailored specifically for cancer patients undergoing radiotherapy, and to investigate its impact on hope, psychological resilience, psychological flexibility, and psychological distress among cancer patients receiving proton and heavy ion therapy.</p><p><strong>Methods: </strong>Eighty participants were allocated into an intervention group (n = 40) or a control group (n = 40) based on their admission time. The control and intervention groups underwent a 3-week health education program, with the intervention group additionally participating in a 3-week, 6-session acceptance and commitment therapy (ACT) group psychological intervention. Discrepancies in hope levels, psychological resilience, psychological flexibility, and psychological distress between the two groups were assessed at baseline, post-intervention, and a 3-month follow-up using linear mixed-effects analysis (LMM).</p><p><strong>Results: </strong>LMM analyses revealed that at the end of the intervention, scores for hope and psychological resilience were higher in the intervention group compared to the control group (P = 0.025, P = 0.003), and scores for psychological flexibility were lower in the intervention group (P = 0.001). Furthermore, at the 3-month follow-up, HHI scores remained higher in the intervention group compared to the control group (P = 0.015). In contrast, scores for psychological flexibility and psychological distress were lower in the intervention group (P = 0.001, P = 0.001). These differences persisted even after adjusting for baseline values.</p><p><strong>Conclusion: </strong>A psychological intervention program based on the ACT model of treatment helps to promote psychological recovery in cancer patients with radiotherapy. Evidence is provided for the effectiveness of positive clinical psychological interventions.</p><p><strong>Trial registration: </strong>The study was registered in the Chinese Clinical Trial Registry (ChiCTR2300068349) on 15th February, 2023.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 1","pages":"73"},"PeriodicalIF":2.8000,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficacy of acceptance and commitment therapy on psychological rehabilitation in cancer patients treated with proton and heavy ion therapy: a non-randomized controlled trial.\",\"authors\":\"Fei Qin, Yu Zhu, Shuman Wang, Lijuan Zhang, Ziying Wang, Hongwei Wan\",\"doi\":\"10.1007/s00520-024-09126-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To develop an appropriate intervention utilizing acceptance and commitment therapy (ACT) tailored specifically for cancer patients undergoing radiotherapy, and to investigate its impact on hope, psychological resilience, psychological flexibility, and psychological distress among cancer patients receiving proton and heavy ion therapy.</p><p><strong>Methods: </strong>Eighty participants were allocated into an intervention group (n = 40) or a control group (n = 40) based on their admission time. The control and intervention groups underwent a 3-week health education program, with the intervention group additionally participating in a 3-week, 6-session acceptance and commitment therapy (ACT) group psychological intervention. Discrepancies in hope levels, psychological resilience, psychological flexibility, and psychological distress between the two groups were assessed at baseline, post-intervention, and a 3-month follow-up using linear mixed-effects analysis (LMM).</p><p><strong>Results: </strong>LMM analyses revealed that at the end of the intervention, scores for hope and psychological resilience were higher in the intervention group compared to the control group (P = 0.025, P = 0.003), and scores for psychological flexibility were lower in the intervention group (P = 0.001). Furthermore, at the 3-month follow-up, HHI scores remained higher in the intervention group compared to the control group (P = 0.015). 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引用次数: 0
摘要
目的：探讨接受与承诺疗法（ACT）对接受质子和重离子治疗的癌症患者的希望、心理弹性、心理弹性和心理困扰的影响。方法：80例受试者根据入院时间分为干预组（n = 40）和对照组（n = 40）。对照组和干预组分别进行为期3周的健康教育，干预组在此基础上进行为期3周、6期的接受与承诺治疗（ACT）小组心理干预。在基线、干预后和3个月的随访中，采用线性混合效应分析（LMM）评估两组患者在希望水平、心理弹性、心理灵活性和心理困扰方面的差异。结果：LMM分析显示，干预结束时，干预组希望和心理弹性得分高于对照组（P = 0.025, P = 0.003），心理灵活性得分低于对照组（P = 0.001）。此外，在3个月的随访中，干预组的HHI得分仍然高于对照组（P = 0.015）。相比之下，干预组心理灵活性和心理困扰得分较低（P = 0.001, P = 0.001）。即使在调整基线值之后，这些差异仍然存在。结论：基于ACT治疗模式的心理干预方案有助于促进肿瘤放疗患者的心理康复。为积极临床心理干预的有效性提供了证据。试验注册：该研究于2023年2月15日在中国临床试验注册中心（ChiCTR2300068349）注册。
Efficacy of acceptance and commitment therapy on psychological rehabilitation in cancer patients treated with proton and heavy ion therapy: a non-randomized controlled trial.
Objective: To develop an appropriate intervention utilizing acceptance and commitment therapy (ACT) tailored specifically for cancer patients undergoing radiotherapy, and to investigate its impact on hope, psychological resilience, psychological flexibility, and psychological distress among cancer patients receiving proton and heavy ion therapy.
Methods: Eighty participants were allocated into an intervention group (n = 40) or a control group (n = 40) based on their admission time. The control and intervention groups underwent a 3-week health education program, with the intervention group additionally participating in a 3-week, 6-session acceptance and commitment therapy (ACT) group psychological intervention. Discrepancies in hope levels, psychological resilience, psychological flexibility, and psychological distress between the two groups were assessed at baseline, post-intervention, and a 3-month follow-up using linear mixed-effects analysis (LMM).
Results: LMM analyses revealed that at the end of the intervention, scores for hope and psychological resilience were higher in the intervention group compared to the control group (P = 0.025, P = 0.003), and scores for psychological flexibility were lower in the intervention group (P = 0.001). Furthermore, at the 3-month follow-up, HHI scores remained higher in the intervention group compared to the control group (P = 0.015). In contrast, scores for psychological flexibility and psychological distress were lower in the intervention group (P = 0.001, P = 0.001). These differences persisted even after adjusting for baseline values.
Conclusion: A psychological intervention program based on the ACT model of treatment helps to promote psychological recovery in cancer patients with radiotherapy. Evidence is provided for the effectiveness of positive clinical psychological interventions.
Trial registration: The study was registered in the Chinese Clinical Trial Registry (ChiCTR2300068349) on 15th February, 2023.
期刊介绍：
Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease.
Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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