团体心理治疗改善肺癌患者生活质量及情绪状态的开放对照研究

An open controlled study of group psychotherapy on quality of life and mood in patients with lung cancer

目的:探讨团体心理治疗对肺癌患者生活质量及情绪状态的改善效果。方法:采用开放对照试验设计。选取就诊于北京大学肿瘤医院门诊的肺癌患者59例,按自愿原则分为团体治疗组(n=29)和电话支持组(n=30)。对团体治疗组进行每周1次,每次90分钟,共10次的团体心理治疗;而对电话支持组仅提供学习材料和定期电话随访。采用生活质量核心问卷(QLQ-C30)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对所有被试进行基线和10周后测评,比较治疗前后肺癌患者躯体功能、情绪功能、社会功能、整体健康和生活质量及焦虑抑郁情绪状态的变化,并与电话支持组患者进行对比。结果:团体治疗组在干预结束时脱落1人,电话支持组在10周后测评时脱落3人。有效数据团体治疗组28人,电话支持组27人。10周后测评时,团体治疗组的社会功能得分高于基线,电话支持组的躯体功能和情绪功能得分高于基线(均P<0.05);团体治疗组的躯体功能和SDS得分均低于电话支持组(均P<0.05),其余各项得分的组间差异均无统计学意义(均P>0.05)。结论:团体心理治疗可提高肺癌患者社会功能和减轻抑郁情绪,但其改善情绪功能、躯体功能、整体健康和生活质量效果不明显。

Objective：To explore the effect of group psychotherapy on the quality of life and mood in patients with lung cancer.Methods：In this open controlled trail,totally 59 patients with previously diagnosed lung cancer and finished active treatment were consecutively included and divided into the intervention group （n =29） and the control group （n =30）.The patients in the intervention group were offered 10 weekly 90-minute sessions of group psychotherapy,and those in the control group were only offered learning material and telephone support.All participants completed baseline measures and pest-intervention measures with the Cancer Quality-of-life Core Questionnaire （QLQ-C30）,Self-Rating Depression Scale （SDS） and Self-Rating Anxiety Scale （SAS）.Results：Totally 28 patients in the intervention group and 27 patients in the control group finished the post-intervention measures.After 10-week intervention,the QLQ-C30 social function scores in the patients with group psychotherapy were higher than the baseline scores,and the physical function and emotion function scores in the controls were higher than the baseline scores.When the effect of baseline status was controlled,the patients with group psychotherapy got lower scores of physical function and SDS than the controls after 10-week intervention （P ＜ 0.05）.There were no statistical differences between two groups on the other items.Conclusion：This study suggests that the group psychotherapy could improve social function and alleviate depression in patients with lung cancer,but may not have obvious improving effects on physical function,emotional function,overall health and quality of life.