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首页> 外文学位 >Efficacy of solitary and conjoint guided imagery with breast cancer patients.
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Efficacy of solitary and conjoint guided imagery with breast cancer patients.

机译：单独和联合引导的影像对乳腺癌患者的疗效。

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摘要

The purpose of this research was to study the effects of imagery and active spousal support on blood counts in women with diagnosed premenopausal breast cancer who had followed a standard course of treatment. For each participating couple a 15-day protocol was followed. In the initial session a baseline blood draw preceded a fifteen-minute immune system videotaped presentation (Bioimagery, 1993). In the two succeeding weeks pre- and post-treatment blood samples were obtained. The subjects utilized guided immunoimagery, alone and with their spouse, to ascertain whether imaging with a partner affects the desired increments in the assayed numerosities following imagery. For thirty minutes after each imagery session, prior to venipuncture, the woman or couple was asked to draw the cancer and their corresponding immunoimages. The pictorial accounts were assessed relative to the patient's and spouse's attitudes about the virulence of the cancer, and the power of the patient's immune system. The drawings were rated according to the IMAGE-CA developed by Achterberg and Lawlis (1984); the relative strength and vividness of the depicted cancer cells and immune system cells were related to blood count changes for white blood cells, absolute lymphocytes, total T-cells, helper/inducer T-cells, suppressor/cytotoxic T-cells, and segmented neutrophils. The couples' satisfaction and adjustment within the marital relationship (DAS scores/Spanier, 1976) was an intervening variable for both the solitary and conjoint imagery and the subsequent blood assays.;The uniform decreases in lymphocyte counts following imagery measured in this investigation (although generally within measurement error) are consistent with results in the few published studies evaluating short term blood cell changes following behavioral treatment. Clearly, a longer term study is indicated.;In only 8 of 72 instances did blood counts increase by more than 10% over the course of an imagery session; in slightly more than half the cases blood counts decreased by more than 10%. There was no significant two-week learning effect nor was there statistical support for the notion that conjoint imagery has an incrementing effect on blood count numerosity over a two-week time span. For all of the blood measures except segmented neutrophils, the probability that blood counts will stay the same or increase following the guided imagery was inversely related to the IMAGE-CA Score. There was no relationship between marital satisfaction and adjustment and changes in blood counts.
机译：这项研究的目的是研究影像学和积极的配偶支持对遵循标准治疗过程的经诊断为绝经前乳腺癌的妇女的血球计数的影响。对于每对参与的夫妇，都要遵循15天的协议。在最初的会议中，基线抽血是在十五分钟的免疫系统录像之前（Bioimagery，1993）。在随后的两个星期中，获得了治疗前和治疗后的血样。受试者单独和与配偶一起使用引导免疫成像来确定与伴侣的成像是否会影响成像后测定的数字的所需增量。在每次成像之后的30分钟内，在静脉穿刺之前，要求这对妇女或夫妇绘制癌症及其相应的免疫图像。相对于患者和配偶对癌症的毒性以及患者免疫系统的能力的态度，评估了图片说明。图纸根据Achterberg和Lawlis（1984）开发的IMAGE-CA进行评级；描绘的癌细胞和免疫系统细胞的相对强度和鲜艳度与白细胞，绝对淋巴细胞，总T细胞，辅助/诱导T细胞，抑制/细胞毒性T细胞和分段中性白细胞的血球计数变化有关。这对夫妻在婚姻关系中的满意度和适应能力（DAS分数/ Spanier，1976年）是一个单独变量和联合图像以及随后的血液检测的中间变量;该调查中图像测量后淋巴细胞计数的均匀减少（尽管通常在测量误差范围内）与少数发表的评估行为治疗后短期血细胞变化的研究结果一致。显然，需要进行更长期的研究。在成像过程中，只有72个实例中有8个的血细胞计数增加了10％以上；在略多于一半的病例中，血液计数下降了10％以上。没有显着的两周学习效果，也没有统计学上的支持，即联合图像在两周时间内对血细胞计数的数量增加有影响。对于除分段嗜中性粒细胞外的所有血液测量，引导图像后血细胞计数保持不变或增加的可能性与IMAGE-CA分数成反比。婚姻满意度与调节和血细胞计数之间没有关系。

著录项

  • 作者

    Leroi, Ellen.;

  • 作者单位

    Michigan State University.;

  • 授予单位 Michigan State University.;
  • 学科 Psychobiology.;Immunology.
  • 学位 Ph.D.
  • 年度 1997
  • 页码 210 p.
  • 总页数 210
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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