针对适应障碍的癌症患者量身定制的心理干预计划的有效性和预算影响:随机对照试验
K Holtmaat1,2,3, F E van Beek1,2,3, L M A Wijnhoven4
1Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Psycho-oncology
|March 15, 2025
概括
这项研究发现,量身定制的心理干预计划 (AD计划) 并没有显著减少癌症患者的心理痛苦适应障碍 (AD). 由于包括大流行相关的招聘挑战在内的局限性,需要进行进一步的研究.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 卫生经济学 卫生经济学
背景情况:
- 对于癌症患者的心理干预存在有限的证据适应障碍 (AD).
- 适应障碍是影响癌症患者幸福感的一个重要问题.
研究的目的:
- 评估针对被诊断患有适应障碍的癌症患者的量身定制心理干预计划 (AD计划) 的有效性.
- 评估在临床环境中实施AD计划对预算的影响.
主要方法:
- 一项随机对照试验 (RCT) 涉及59名患有适应障碍的癌症患者.
- 该AD计划包括精神教育和额外的支持模块.
- 主要结局:心理困扰 (HADS);次要结局:心理适应癌症 (MAC) 和生活质量 (EORTC QLQ-C30).
主要成果:
- 在AD计划组和对照组之间,在减少心理痛苦方面没有统计学上显著的差异.
- 二次性结果 (MAC,生活质量) 也显示没有显著的群体间差异.
- 预计AD计划的预算影响为每年700万至2800万欧元,用于治疗14430名患者.
结论:
- 在这个随机对照试验中,AD计划没有显示出统计学上显著的疗效.
- 研究的局限性包括由于COVID-19大流行期间招聘困难而不足.
- 需要进一步的研究来探索心理干预措施对癌症患者适应障碍的有效性和实施.
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