ABSTRACT

Breast cancer is a life-altering stressor requiring patients to use a variety of psychosocial strategies to cope. Patients employing maladaptive cognitive coping strategies are likely to experience detrimental effects in their lives. Studies of group psychoeducation (GPE) interventions and its effects on positive and negative cognitive emotion regulation are scarce, especially in low- and middle-income countries (LMICs) such as Nigeria. The present study investigated the effect of eight weeks of a GPE intervention on cognitive emotion regulation (CER) among a single group of Nigerian women with breast cancer. Twenty-eight women with breast cancer were randomly allocated to one of two conditions: a treatment group (TG, N = 15) and a control condition (CC, N = 13). The TG received eight weeks of GPE sessions, which included a 90-minute session per week, while the control condition (CC) included only a psychoeducational pamphlet. Assessments were carried out at baseline, posttreatment and 2-month follow-up with measures of CER Questionnaires. Data were analyzed using an independent sampled t test and chi square. The effect size was estimated with standard mean difference (SMD) and 95% confidence interval. The results showed that TG participants had a significant improvement in adaptive CER (acceptance and positive reappraisal) in posttest and at 2-month follow-up compared to CC. Participants in TG also showed a significant decrease in maladaptive CER (self-blame, rumination and catastrophizing) relative to CC at posttest and 2-month follow-up. Group psychoeducation is an effective psychosocial treatment for better CER management of breast cancer. Group psychoeducation may be integrated as an adjunct therapy in the management of cancer patients, especially in Nigeria oncology, to improve the quality of life of patients and increase their survival rate.

摘要

乳腺癌是一种改变生活的压力源，需要患者使用各种心理社会策略来应对。采用适应不良的认知应对策略的患者可能会在他们的生活中受到不利影响。关于团体心理教育 (GPE) 干预及其对积极和消极认知情绪调节的影响的研究很少，尤其是在尼日利亚等中低收入国家 (LMIC)。本研究调查了八周 GPE 干预对一组尼日利亚乳腺癌妇女的认知情绪调节 (CER) 的影响。28 名患有乳腺癌的女性被随机分配到两个条件之一：治疗组（TG，N = 15）和对照条件（CC，N = 13）。TG 接受了八周的 GPE 课程，其中包括每周 90 分钟的会议，而控制条件 (CC) 仅包括心理教育小册子。评估在基线、治疗后和 2 个月的随访时进行，并使用 CER 问卷测量。使用独立抽样 t 检验和卡方分析数据。使用标准平均差 (SMD) 和 95% 置信区间估计效应大小。结果表明，与 CC 相比，TG 参与者在后测和 2 个月的随访中在适应性 CER（接受和积极重新评估）方面有显着改善。在后测和 2 个月的随访中，TG 的参与者还表现出相对于 CC 的适应不良 CER（自责、反刍和灾难化）显着减少。团体心理教育是一种有效的社会心理治疗，可更好地管理乳腺癌的 CER。