The effect of a couple-based posttraumatic growth intervention in supporting couples coping with colorectal cancer: A randomized controlled study.

IF 3.3 2区 医学 Q2 ONCOLOGY Psycho‐Oncology Pub Date : 2024-03-01 DOI:10.1002/pon.6326
Zhiming Wang, Xuan Chen, Junrui Zhou, Chunyan Lin, Jie Zhao, Qiuping Li
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Abstract

Objectives: To promote posttraumatic growth (PTG) in colorectal cancer (CRC) couples, a couple-based PTG intervention was conducted, and the intervention had previously proved be feasible in CRC couples. The current study was conducted to validate the effects of intervention in CRC couples.

Method: This is a randomized controlled study that included 174 CRC couples. All participants were randomized to either the intervention (usual care plus 5-week PTG intervention, n = 87) or the control group (usual care, n = 87). Data were collected from CRC couple dyads at baseline and immediately post-intervention periods. Primary outcome refers to positive changes, and secondary outcomes include marital satisfaction, quality of life (QOL), and anxiety and depression. Multilevel modeling was applied to analyze the intervention effects.

Results: Participants in the program showed increased PTG, marital satisfaction, and QOL both physically and mentally, and decreased levels of anxiety and depression over time. And spousal caregivers showed greater improvement in marital satisfaction and physical QOL compared with patients. In addition, significant intervention effects were shown in the participants' benefit finding, physical health and depressive symptoms.

Conclusion: The study confirmed the effect of the PTG intervention on CRC couples' benefit finding, physical health and depressive symptoms. However, this study only measured outcome variables at two time-points. Future studies should add follow-up assessments to evaluate long-term effects of the intervention in CRC couples.

Registration number: ChiCTR2300067809.

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以夫妻为基础的创伤后成长干预在支持夫妻应对结直肠癌方面的效果:随机对照研究。
目的:为促进结直肠癌(CRC)夫妇的创伤后成长(PTG),开展了以夫妇为基础的创伤后成长干预,该干预曾被证明在CRC夫妇中是可行的。本研究旨在验证在 CRC 夫妇中进行干预的效果:这是一项随机对照研究,包括 174 对 CRC 夫妇。所有参与者被随机分配到干预组(常规护理加 5 周 PTG 干预,n = 87)或对照组(常规护理,n = 87)。在基线期和干预后立即收集 CRC 夫妇二人组的数据。主要结果是指积极变化,次要结果包括婚姻满意度、生活质量(QOL)、焦虑和抑郁。采用多层次模型分析干预效果:结果:随着时间的推移,项目参与者的 PTG、婚姻满意度和身心健康质量都有所提高,焦虑和抑郁水平也有所下降。与患者相比,配偶照顾者在婚姻满意度和身体QOL方面的改善幅度更大。此外,在参与者的获益发现、身体健康和抑郁症状方面也显示出了明显的干预效果:该研究证实了 PTG 干预对 CRC 夫妇的获益发现、身体健康和抑郁症状的影响。然而,本研究仅测量了两个时间点的结果变量。未来的研究应增加后续评估,以评估干预对 CRC 夫妇的长期影响:注册编号:ChiCTR2300067809。
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来源期刊
Psycho‐Oncology
Psycho‐Oncology 医学-心理学
CiteScore
6.30
自引率
8.30%
发文量
220
审稿时长
3-8 weeks
期刊介绍: Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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