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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Comparing dyadic cognitive behavioral therapy (CBT) with dyadic integrative body-mind-spirit intervention (I-BMS) for Chinese family caregivers of lung cancer patients: a randomized controlled trial
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Comparing dyadic cognitive behavioral therapy (CBT) with dyadic integrative body-mind-spirit intervention (I-BMS) for Chinese family caregivers of lung cancer patients: a randomized controlled trial

机译：与二元综合性身心治疗（CBT）对肺癌患者的中国家庭护理人员（I-BMS）进行比较：随机对照试验

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Purpose The study adopted a randomized controlled trial to compare the effect of culturally compatible psychosocial interventions on multiple aspects of quality of life (QoL) for family caregivers of lung cancer patients. Methods 157 Chinese informal caregivers of lung cancer patients were recruited together with the family members for whom they were providing care, and randomly assigned to either integrative body-mind-spirit intervention (I-BMS) or cognitive behavioral therapy (CBT). Patient-caregiver dyads attended the same arm of intervention in separate groups for 8 weeks. Assessments of generic QoL, anxiety, depression, perceived stress, insomnia, and caregiving burden were measured before intervention (T-0), within 1-week (T-1), 8-week (T-2), and 16-week (T-3) post-intervention. Results Adopting the intention-to-treat analysis, family caregivers in receipt of both I-BMS and CBT exhibited a statistically significant improvement in generic QoL immediately following intervention and at follow-up assessments, with moderate effect size. Improvement of insomnia was found at T-1 for both modes, which deteriorated at follow-up; both modes reduced anxiety and perceived stress at follow-up. No intervention effect was observed in depression and domains of caregiving burden. There was no significant interaction effect between intervention type and time. No main or interaction effect between sample background variables and intervention type was found to predict symptomatic changes at T-1 and T-3. Conclusions Culturally attuned I-BMS and CBT exhibited equivalent effectiveness in improving psychological distress and generic QoL for family caregivers of lung cancer patients. To improve the evaluation of outcomes, future study could benefit from incorporating a usual care control.
机译：目的该研究采用了随机对照试验，比较了文化兼容的心理社会干预对肺癌患者家庭护理人员的多种方面的多个方面的影响。方法157中国肺癌患者的非正式护理人员与他们提供护理的家庭成员一起招募，并随机分配给综合体灵精神干预（I-BMS）或认知行为治疗（CBT）。患者 - 护理人员在单独的群体中参加了相同的干预手臂8周。在干预（T-0），在1周（T-1），8周（T-2）和16周内测量仿制QoL，焦虑，抑郁，感知压力，失眠和护理负担的评估（T-3）干预后。结果采用意向治疗分析，家庭护理人员在收到I-BMS和CBT中，在干预后和随访评估后立即呈现出常见的QOL，具有中等效果大小。两种模式的T-1发现失眠的改善，在随访时劣化;两种模式都减少了随访时的焦虑和感知的压力。在护理负担的抑郁和域名中没有观察到干预效果。干预类型和时间之间没有显着的相互作用效果。发现样品背景变量与干预类型之间的主要或相互作用效果预测T-1和T-3的症状变化。结论文化调整I-BMS和CBT在改善肺癌患者家庭照顾者的心理困扰和通用QOL方面表现出相同的效果。为了改善结果的评估，未来的研究可以从常规护理控制中受益。

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