辨证行为疗法对调节膀胱癌术后患者心理弹性、认知情绪的作用

Influence of dialectical behavior therapy on resilience and cognitive emotion regulation of post-operative bladder cancer patients

目的探讨辨证行为疗法对膀胱癌术后患者心理弹性、认知情绪的调节效果。方法将72例膀胱癌术后患者随机分为对照组和干预组各36例,对照组行常规健康教育,干预组在常规健康教育基础上进行辨证行为疗法干预。采用心理弹性量表、认知情绪调节量表评价干预效果。结果干预后干预组心理弹性总分及各维度得分显著高于对照组(P<0.05,P<0.01);消极情绪调节策略中的沉思、自我责难、灾难化维度得分显著低于对照组,积极情绪调节策略中的接受、积极重新关注、积极重新评价维度得分显著高于对照组(均P<0.01)。结论辨证行为疗法能够提高膀胱癌术后患者的心理弹性,降低消极情绪调节水平和提高积极情绪调节水平,有利于改善患者心理状态。

Objective To explore the effect of dialectical behavior therapy(DBT)on resilience and cognitive emotion regulation of post-operative bladder cancer patients.Methods A total 72 post-operative bladder cancer patients were evenly randomized into 2 groups.The control group was given routine health education,while the intervention group was additionally subjected to DBT.The Conner-Davidson Resilience Scale and Cognitive Emotion Regulation Questionnaire were used to evaluate the results.Results After the intervention,the total score and dimension scores of psychological resilience in the intervention group were significantly higher than those in the control group(P<0.05,P<0.01);the scores of contemplation,self-blame,and catastrophizing of negative emotion regulation strategy in the former group were significantly lower than those in the control group(P<0.01 for all);the scores of acceptance,active re-focus,and active re-evaluation of positive emotion regulation strategy were significantly higher than those of the control group(P<0.01 for all).Conclusion DBT can improve psychological resilience and optimize cognitive emotion regulation of patients after bladder cancer,by reducing the level of negative emotion regulation and increasing the level of positive emotion regulation,which is beneficial to improve the mental state of patients.