认知行为疗法对乳腺癌患者创伤后成长的影响

The effect of cognitive behavior therapy on posttraumatic growth of the breast cancer patients

目的探讨认知行为疗法对乳腺癌患者创伤后成长的影响。方法将乳腺癌患者分为实验组和对照组各30例,对照组予以乳腺外科常规护理,实验组在此基础上给予认知疗法和行为干预。结果干预后实验组乳腺癌患者的创伤后成长各维度及总分、应对方式的面对和回避维度得分和心理一致感各维度得分及总分均高于对照组(P<0.01或P<0.05),屈服维度得分低于对照组(P<0.01)。结论对乳腺癌患者实施结合积极心理学的认知行为疗法,有利于提高患者的创伤后成长水平,促进患者的心理健康,改善患者的生活质量。

Objective To explore the effect of cognitive behavior therapy on posttraumatic growth （PTG） in patients with breast cancer. Methods Breast cancer patients were divided into the experimental group and the control group with 30 cases in each. The experimental group received routine care combined with cognitive behavior therapy of positive psychology, while the control group received routine care. Results The scores of posttraumatic growth inventory, confronta- tion, avoidance, and sense of coherence in the experimental group were significantly higher than that of the control group （ P 〈 0.01 or P 〈 0.05 ）, the score of yield dimension was lower than the control group （ P 〈 0.01 ）. Conclusion The cognitive behavior therapy of positive psychology therapy can improve the postt- raumatic growth level, the mental state and quality of life of breast cancer patients.