乳腺癌幸存者的认知行为压力管理和身体活动:一个两部分的增长模型
Ruth G St Fleur1, Molly Ream2, Mason J Krueger2
1Department of Epidemiology, Brown University School of Public Health.
概括
认知行为压力管理 (CBSM) 增加了乳腺癌 (BC) 妇女中适度至剧烈体力活动 (MVPA) 参与的可能性. 然而,压力管理技能并没有调解这种效应,这表明可能涉及其他途径.
科学领域:
- 在瘤学瘤学.
- 行为医学是一种行为医学.
- 心理社会瘤学
背景情况:
- 乳腺癌 (BC) 患者在治疗期间经常遇到身体活动方面的挑战.
- 认知行为压力管理 (CBSM) 是一种潜在的干预措施,以支持BC患者的福祉.
研究的目的:
- 模拟乳腺癌妇女中适度至剧烈体力活动 (MVPA) 参与度和频率的变化.
- 调查CBSM干预对癌症治疗第一年MVPA参与的影响.
主要方法:
- 240名患有0-III期BC的妇女被随机分配到10周的CBSM干预或精神教育 (PE) 控制组.
- 身体活动 (PA) 和感知压力管理技能在基线,随机化后6个月和12个月被评估.
- 使用潜增长建模来分析MVPA参与度和频率的变化.
主要成果:
- 在完整的样本中,参与MVPA的可能性随着时间的推移显著增加.
- 与PE对照组相比,被分配到CBSM与MVPA参与的可能性更大.
- 通过CBSM干预,放松能力得到了更大的改善,但压力意识或应对能力没有得到改善,并且没有影响MVPA频率.
结论:
- 在初级治疗期间,CBSM干预增加了乳腺癌患者参与体育活动的可能性.
- 感知到的压力管理技能并没有调解CBSM和MVPA参与之间的关系.
- 需要进一步的研究来确定CBSM支持癌症幸存者的身体活动的具体机制.
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