心理社会干预可以降低乳腺癌患者的皮质醇:系统性审查和元分析
Edith Mészáros Crow1, Rosa López-Gigosos1,2, Eloisa Mariscal-López1
1Department of Public Health and Psychiatry, School of Medicine, University of Málaga, Málaga, Spain.
Frontiers in psychology
|July 13, 2023
概括
在乳腺癌患者中,心理社会干预显著降低了慢性压力的生物标志物皮质醇水平. 这支持将这些干预措施作为一种具有成本效益的非侵入性疗法来改善患者护理.
科学领域:
- 内分泌学 在内分泌学.
- 心理神经免疫学 心理神经免疫学
- 在瘤学瘤学.
背景情况:
- 慢性压力,包括对复发的恐惧,会影响癌症的进展和存活率.
- 皮质醇水平是下丘脑-垂体-上腺轴的生物标志物,受到压力和免疫反应的影响.
- 心理干预可以调节癌症患者的皮质醇水平.
研究的目的:
- 量化评估心理社会干预对乳腺癌患者皮质醇水平的影响.
- 为了确定皮质醇降低是否预测乳腺癌的进展.
主要方法:
- 一个对八个随机对照试验和准实验研究的元分析.
- 包括366名乳腺癌患者 (阶段0-IV).
- 测量唾液和血皮质醇水平,使用随机效应模型和PRISMA指南进行分析.
主要成果:
- 心理社会干预导致皮质醇水平显著降低.
- 对于降低血液皮质醇 (科恩d = -1.82) 的效果大,对于唾液皮质醇 (d = -1.73) 的效果略小.
- 皮质醇降低的整体效应大小是d = -1.76.
结论:
- 在乳腺癌患者中,某些心理社会干预措施有效降低皮质醇,这是慢性压力的指标.
- 辅助心理社会支持可以成为乳腺癌患者的有价值的非侵入性治疗方法.
- 这种方法可能有助于为乳腺癌管理提供更具成本效益的医疗保健.
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