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Piloting a Coping Skills Group Intervention to Reduce Depression and Anxiety Symptoms in Patients Awaiting Kidney or Liver Transplant

机译:试点应对技能小组干预以减少等待肾脏或肝移植患者的抑郁和焦虑症状

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The authors evaluated the use of a coping skills group (CSG) therapy intervention to decrease depression and anxiety and increase healthy coping skills in a population of kidney and liver transplant candidates. The study, using a pre-posttest design, piloted a CSG with a convenience sample of 41 consenting participants on a waiting list or in workup for kidney or liver transplant. Two transplant social workers led five eight-week closed psychoeducational groups. Coping skills, depression symptoms, and anxiety symptoms were assessed preintervention, postintervention, and at follow-up one month later. Results suggest that the CSG group created significant changes in some coping areas, such as decreasing the use of denial and self-blame and increasing the use of acceptance, religion, and instrumental supports. In this study, instrumental supports are strategies such as seeking assistance, finding information, or asking for advice about what to do. The effects on instrumental supports did not sustain at the one-month follow-up. Anxiety and depression scores were significantly reduced, and these changes were sustained at one-month follow-up. This study supports the use of a group-based psychosocial intervention for the pretransplant population and will be most relevant to social workers practicing in the transplant field.
机译:作者评估了使用应对技能组(CSG)治疗干预,降低抑郁和焦虑,并提高肾脏和肝移植候选人群中的健康应对技能。使用前测试前设计的研究导航了一个CSG,其中便利样品为41人同意等待名单或肾脏或肝移植的工程。两名移植社会工作者带领五周闭合心理教育集团。应对技能,抑郁症状和焦虑症状被评估为期,后期和一个月后的后续行动。结果表明,CSG集团在一些应对领域创造了重大变化,例如降低拒绝和自我责任的使用,并增加接受,宗教和工具支持的使用。在这项研究中,仪器支持是寻求帮助,寻找信息或询问有关该做什么的策略等策略。对乐器支持的影响在一个月的随访中没有维持。焦虑和抑郁分数明显减少,这些变化是在一个月的随访中持续。本研究支持利用基于组的心理社会干预,以便预持有人的人群,与移植领域的社会工作者最相关。

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