Randomized controlled trial of cognitive behavioural therapy for depressive and anxiety symptoms in Chinese women with breast cancer

被引：26

作者：

Ren, Wenwei ^{[1
]}

Qiu, Huihua ^{[1
]}

Yang, Yanjie ^{[3
]}

Zhu, Xiongzhao ^{[4
]}

Zhu, Chunyan ^{[5
]}

Mao, Guangyun ^{[6
]}

Mao, Shanping ^{[7
]}

Lin, Yan ^{[8
]}

Shen, Shanshan ^{[9
]}

Li, Changjin ^{[10
]}

Xie, Xiaodan ^{[10
]}

Shi, Hongying ^{[6
]}

Jiang, Suo ^{[10
]}

Zhao, Ke ^{[10
]}

Chen, Li ^{[10
]}

He, Jingjing ^{[11
]}

Xu, Liuxiu ^{[12
]}

Fu, Ye ^{[13
]}

Hu, Xiaoqu ^{[14
]}

Yu, Yiqun ^{[14
]}

Gu, Yingying ^{[1
]}

Wang, Kai ^{[5
]}

Guo, Xiuchan ^{[2
]}

He, Jincai ^{[1
,10
]}

机构：

[1] Wenzhou Med Univ, Affiliated Hosp 1, Dept Neurol, Wenzhou 325000, Zhejiang, Peoples R China

[2] Wenzhou Med Univ, Sch Lab Med & Life Sci, Key Lab, Lab Med, Wenzhou 325000, Peoples R China

[3] Harbin Med Univ, Publ Hlth Inst, Dept Med Psychol, Harbin 150081, Heilongjiang, Peoples R China

[4] Cent S Univ, Xiangya Hosp 2, Med Psychol Inst, Changsha 410012, Hunan, Peoples R China

[5] Anhui Med Univ, Affiliated Hosp 1, Dept Psychiat, Hefei 230601, Anhui, Peoples R China

[6] Wenzhou Med Univ, Dept Prevent Med, Wenzhou 325000, Peoples R China

[7] Wuhan Univ, Renmin Hosp, Dept Neurol, Wuhan 430000, Hubei, Peoples R China

[8] Wenzhou Med Univ, Affiliated Hosp 2, Dept Neurol, Wenzhou 325000, Peoples R China

[9] Zhejiang Hosp, Dept Geriatr, Hangzhou 310013, Zhejiang, Peoples R China

[10] Wenzhou Med Univ, Dept Psychol, Wenzhou 325000, Peoples R China

[11] Tongde Hosp Zhejiang Prov, Dept Psychiat, Hangzhou 310012, Zhejiang, Peoples R China

[12] Dujiangyan Third Peoples Hosp, Dept Psychiat, Chengdu 611800, Sichuan, Peoples R China

[13] Ningbo Univ, Med Sch, Yinzhou Hosp, Ningbo 315175, Zhejiang, Peoples R China

[14] Wenzhou Med Univ, Affiliated Hosp 1, Dept Oncol, Wenzhou 325000, Peoples R China

来源：

PSYCHIATRY RESEARCH | 2019年 / 271卷

关键词：

Chinese population; Follow-up; Psychological symptom; Psychotherapy; PSYCHOLOGICAL MORBIDITY; SELF-MANAGEMENT; SEXUAL PROBLEMS; SURVIVORS; DISORDER; CLASSIFICATION; MORTALITY; ADHERENCE; DIAGNOSIS; DISEASE;

D O I：

10.1016/j.psychres.2018.11.026

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Depressive and anxiety symptoms are frequently observed in breast cancer survivors. To date, few randomized controlled trials have been conducted on the efficacy of cognitive behavioural therapy (CBT) for depressive and anxiety symptoms in Chinese population. This study aims to verify the efficacy of CBT in Chinese breast cancer survivors. Women (n = 392) with breast cancer were randomly assigned to 3 groups: CBT (n = 98), self-care management (SCM, n = 98), and usual care (UC, n = 196) using the proportion 1:1:2. Women in the CBT and SCM groups received a series of nine sessions for 12 weeks, while women in the UC group received their usual medical care only. Depressive and anxiety symptoms were assessed using the Hamilton Depression Rating Scale (HAMD) and the Hamilton Anxiety Scale (HAMA) score at baseline, 2, 4, 8, 12, 16, and 24 weeks. A significant intergroup difference was found in the HAMD and HAMA scores. Women in the CBT group showed significantly less depressive and anxiety symptoms compared with women in the SCM and UC groups over time. In conclusion, this study supports the efficacy of CBT for depressive and anxiety symptoms in Chinese breast cancer survivors.

引用

页码：52 / 59

页数：8

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