Mental health outcome assessment for the psychological intervention with breast cancer survivors after treatments

• Main Authors: Wei-Szu Lin, 林暐偲
• Other Authors: Yong-Yuan Chang
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/35440685717241655921

碩士 === 高雄醫學大學 === 公共衛生學研究所 === 100 === Objective: The main purpose of the study is to evaluate the effectiveness of the mental health outcomes of psychological intervention program for the breast cancer survivals after treatment. Methods: A quasi-experimental study was designed and psychological intervention program was developed based on stress management, rational-emotive counseling. Patients were allocated in each group voluntarily. All of the data and records concerned with biological factors, genetic factors, and socio-demographic characteristics have been collected from the questionnaires. In addition, four scales for measuring the psychosocial factors in Chinese version have been administered to each breast cancer survivors in hospital outpatient department. Patients in the intervention group had been administered the psychological intervention program for 2-month 8 sessions under the lead of the advisor and research assistants according to 2 hour session a week. Patients in the group with no intervention had been received some information which are relevant to the prevention of recurrence. The repeated measures ANOVA had been applied to the psychological intervention program for the mental health outcome evaluation. Results: A total of 60 (21 in the intervention group and 39 in the comparison group) breast cancer survivors after finishing surgical treatment participated in the study. The repeated measures ANOVA with biobehavioral data showed that all patients responded with significant anxiety and psychological distress, but thereafter only the intervention group improved respectively (P=.010；P=.040). The scores of depression were significantly lower for the intervention group at 2 months (P=.038). Conclusion: A significant interaction effect has been found that the reduction of the level of depression, anxiety and cancer specific distress in the intervention group have been greatly significant than that of comparison group. Therefore, for the prevention of the recurrence of breast cancer after treatment effective, the implementation of psychological intervention program is highly suggested.