Cognitive-behavioral stress management relieves anxiety, depression, and post-traumatic stress disorder in parents of pediatric acute myeloid leukemia patients: a randomized, controlled study.

IF 2 4区医学 Q3 HEMATOLOGY Hematology Pub Date : 2024-12-01 Epub Date: 2023-12-14 DOI:10.1080/16078454.2023.2293498

Li Wang, Hui Duan, Hongmei Zuo, Zhongyu Wang, Shuili Jiao, Yanli Liu, Huihui Li, Jie Chen

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Abstract

Objectives: Cognitive-behavioral stress management (CBSM) is an effective psychological intervention to relieve psychological and symptomatic distress. This study aimed to investigate the effect of CBSM in anxiety, depression, and post-traumatic stress disorder (PTSD) in parents of pediatric acute myeloid leukemia (AML) patients.

Methods: Totally, 56 pediatric AML patients and 100 parents were randomized into the CBSM group (28 patients and 49 parents) and the normal control (NC) group (28 patients and 51 parents) to receive corresponding interventions for 10 weeks. The questionnaire scores were assessed at month M0, M1, M3, and M6.

Results: In parents of pediatric AML patients, self-rating anxiety scale score at M1 (p = 0.034), M3 (p = 0.010), and M6 (p = 0.003), as well as anxiety at M3 (p = 0.036) and M6 (p = 0.012) were decreased in the CBSM group versus the NC group. Self-rating depression scale score at M3 (p = 0.022) and M6 (p = 0.002), as well as depression at M6 (p = 0.019) were declined in the CBSM group versus the NC group. Symptom checklist-90 (a psychotic status questionnaire) score at M3 (p = 0.031) and M6 (p = 0.019) were declined in the CBSM group versus the NC group. Regarding PTSD, the impact of the events scale-revised score at M3 (p = 0.044) and M6 (p = 0.010) were decreased in the CBSM group versus the NC group. By subgroup analyses CBSM (versus NC) improved all outcomes in parents with anxiety at M0 and depression at M0 (all p < 0.050), but could not affect the outcomes in parents without anxiety or depression at M0 (all p > 0.050).

Conclusion: CBSM reduces anxiety, depression, and PTSD in parents of pediatric AML patients.

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认知行为压力管理缓解小儿急性髓性白血病患者父母的焦虑、抑郁和创伤后应激障碍：一项随机对照研究。

目的：认知行为压力管理（CBSM）是一种有效的心理干预方法，可缓解心理和症状困扰。本研究旨在探讨认知行为压力管理对小儿急性髓性白血病（AML）患者父母的焦虑、抑郁和创伤后应激障碍（PTSD）的影响：56名小儿急性髓性白血病患者和100名家长被随机分为CBSM组（28名患者和49名家长）和正常对照组（28名患者和51名家长），接受为期10周的相应干预。在M0、M1、M3和M6月进行问卷评分：在小儿急性髓细胞白血病患者的家长中，CBSM组与NC组相比，在M1（p = 0.034）、M3（p = 0.010）和M6（p = 0.003）时的自评焦虑量表得分以及在M3（p = 0.036）和M6（p = 0.012）时的焦虑程度均有所下降。与 NC 组相比，CBSM 组在 M3（p = 0.022）和 M6（p = 0.002）时的自评抑郁量表得分以及 M6（p = 0.019）时的抑郁程度均有所下降。CBSM组与NC组相比，在M3（p = 0.031）和M6（p = 0.019）的症状检查表-90（精神病状态问卷）得分均有所下降。在创伤后应激障碍方面，CBSM 组与 NC 组相比，事件量表修订版在 M3（p = 0.044）和 M6（p = 0.010）的影响得分均有所下降。通过分组分析，CBSM（与 NC 相比）改善了 M0 期焦虑和 M0 期抑郁父母的所有结果（所有 p p > 0.050）：结论：CBSM 可减少小儿急性髓细胞白血病患者父母的焦虑、抑郁和创伤后应激障碍。

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

Hematology 医学-血液学

CiteScore

2.60

自引率

5.30%

发文量

140

审稿时长

3 months

期刊介绍： Hematology is an international journal publishing original and review articles in the field of general hematology, including oncology, pathology, biology, clinical research and epidemiology. Of the fixed sections, annotations are accepted on any general or scientific field: technical annotations covering current laboratory practice in general hematology, blood transfusion and clinical trials, and current clinical practice reviews the consensus driven areas of care and management.