接纳承诺疗法对合并抑郁的前列腺癌患者的影响

The effect of acceptance commitment therapy in patients with prostate cancer and depression

目的探讨接纳承诺疗法(ACT)对前列腺癌合并抑郁患者知觉压力的影响。方法选取本院2020年1月~2023年1月收治的300例前列腺癌合并抑郁患者,采取随机数表法分为观察组与对照组,各150例。对照组采用常规干预,观察组在对照组基础上联合ACT。比较两组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)及中文版压力知觉量表(CPSS)得分,同时评估其医学应对方式(MCMQ)。结果观察组干预后SDS、SAS、CPSS评分显著低于对照组,差异有统计学意义(P>0.05);观察组干预后面对评分显著高于对照组,回避、屈服评分低于对照组,差异有统计学意义(P>0.05)。结论对前列腺合并抑郁患者实施ACT不仅能显著改善患者焦虑、抑郁情绪以及心理压力,还能改善其应对疾病方式。

Objective Explore the effect of acceptance commitment therapy(ACT)in patients with prostate cancer and depression.Methods 300 patients with prostate cancer and depression admitted to our hospital from January 2020 to January 2023 were selected and randomly divided into an observation group and a control group,with 150 cases in each group.The control group received routine intervention,while the observation group received ACT combined with the control group.The Self Rating Anxiety Scale(SAS),Self Rating Depression Scale(SDS),and Chinese version of Stress Perception Scale(CPSS)were compared before and after intervention between two groups,and the scores of Medical Coping Style Questionnaire(MCMQ)of two groups were evaluated.Results After intervention,the SDS,SAS,and CPSS scores of the observation group were significantly lower than those of the control group,with a statistically significant difference(P>0.05).After intervention,the observation group had a significantly higher face score than the control group,while the avoidance and yield scores were lower than the control group,with a statistically significant difference(P>0.05).Conclusion Implementing ACT on patients with prostate combined depression can not only significantly improve their anxiety,depressive mood,and psychological stress,but also improve their coping styles.