Feasibility and preliminary effect of a couple-based posttraumatic growth intervention for colorectal cancer couples: A randomized controlled pilot study

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-07-22 DOI:10.1002/cpp.2884

Zhiming Wang, Xuan Chen, Junrui Zhou, Chunyan Lin, Huamin Luo, Qiuping Li

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Abstract

Background

Colorectal cancer (CRC) causes severe physical and psychological impacts on the patients as well as their spousal caregivers. To facilitate the psychological adaptation of the CRC suffered couples, a couple-based posttraumatic growth (PTG) intervention was developed based on the PTG affective-cognitive processing model. The feasibility, acceptability and preliminary effect of this intervention were tested.

Methods

A pre–post randomized controlled pilot trail was conducted for Chinese couples coping with CRC. Participants in the intervention group were provided five weekly sessions consecutively, while those in the control group were treated with usual care during the testing period. Outcomes were described as positive changes (PTG, benefit finding [BF]), marital satisfaction, quality of life and anxiety and depression. Qualitative method was also used to evaluate the programme participating sense of the couples.

Results

The rate of programme recruitment and programme retention amounts to 78.6% and 87.5%, respectively. The participants have reported overall satisfaction for the programme attendance and have suggested detailed diet guidance. Significant effects were revealed in the outcomes for the CRC couples, including PTG, marital satisfaction, BF, physical and mental health and anxiety and depression.

Conclusion

The study confirmed the feasibility and preliminary positive effect of the couple-based PTG intervention for the CRC couples. However, in order to extend it in more general applications, large-scale researches are warranted.

Practical implication

The couple-based intervention is effective for couples coping with CRC. Clinicians should take the components of the intervention into consideration in their practice work for the CRC couples.

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针对结直肠癌夫妇的创伤后成长干预的可行性和初步效果：随机对照试点研究。

背景：大肠癌（CRC）对患者及其配偶照顾者造成了严重的生理和心理影响。为了促进 CRC 患者夫妇的心理适应，研究人员根据 PTG 情感-认知加工模型，开发了一种基于夫妇的创伤后成长（PTG）干预。我们对该干预措施的可行性、可接受性和初步效果进行了测试：方法：针对中国的 CRC 夫妻开展了一项前-后随机对照试验。干预组的参与者每周连续接受五次治疗，而对照组的参与者在试验期间接受常规护理。结果被描述为积极变化（PTG、受益发现[BF]）、婚姻满意度、生活质量以及焦虑和抑郁。此外，还采用了定性方法来评估夫妻的计划参与感：结果：计划的招募率和保留率分别为 78.6% 和 87.5%。参与者对参加该计划表示总体满意，并提出了详细的饮食指导建议。CRC 夫妇在 PTG、婚姻满意度、BF、身心健康、焦虑和抑郁等方面的效果显著：该研究证实了以夫妇为基础的 PTG 干预对 CRC 夫妇的可行性和初步积极效果。然而，为了将其推广到更广泛的应用中，还需要进行大规模的研究：实际意义：以夫妇为基础的干预对应对 CRC 的夫妇是有效的。实践意义：以夫妇为基础的干预对应对 CRC 的夫妇是有效的，临床医生在对 CRC 夫妇进行实践工作时应考虑到干预的组成部分。

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

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.