在乳腺癌患者的随机对照试验中测试了两个数字压力管理干预措施
Karianne Svendsen1,2, Lise Solberg Nes3,4,5, Sigrid Leithe6
1Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway. karianne.svendsen@fhi.no.
Scientific reports
|November 6, 2025
概括
数字压力管理干预措施并没有显著改善乳腺癌幸存者的结局,在经历乳腺癌后应对 (CABC) 试验. 需要进一步的研究,以优化对这一群体的数字干预措施.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 心理学 心理学 心理学
背景情况:
- 数字压力管理干预措施有望改善癌症幸存者的福祉.
- 乳腺癌后应对 (CABC) 试验调查了基于StressProffen. 的修改数字干预措施.
- 以前的研究表明,StressProffen与癌症幸存者的生活质量改善有关.
研究的目的:
- 与常规护理相比,评估数字认知行为治疗应激管理干预 (CBI) 和基于正念的数字应激管理干预 (MBI) 的有效性.
- 评估感知压力水平,生活质量,焦虑,抑郁,疲劳,正念,睡眠和应对能力的变化.
- 检查6个月访问已修改的StressProffen干预措施以数字方式交付的效果.
主要方法:
- 一项随机对照试验,涉及6-9个月前被诊断患有乳腺癌的女性.
- 参与者被随机分为三个组:数字认知行为疗法压力管理干预 (CBI),基于正念的数字压力管理干预 (MBI) 或通常的护理 (控制).
- 主要结局是感知压力水平的变化 (PSS-10);次要结局包括与健康相关的生活质量 (HRQoL),焦虑,抑郁,疲劳,正念,睡眠和应对.
主要成果:
- 在6个月后的随访中,CBI或MBI组和对照组之间的感知压力水平没有发现统计学上显著的差异.
- 大多数次要结局也没有显示出干预组的统计学上显著的改善与通常护理相比.
- 在所有组中,基线感知压力水平都很低,这可能会影响发现重大变化的情况.
结论:
- 数字认知行为疗法和基于正念的压力管理干预措施没有给乳腺癌幸存者带来明显改善的结果,与通常的护理相比.
- 需要进一步的研究来探索最佳的干预设计,交付模型,时间和个人对数字压力管理工具的偏好.
- 这些发现凸显了对癌症幸存者护理有效数字健康策略的持续调查的需要.
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