Effectiveness of adjuvant psychological therapy on alexithymia fatigue and affective dimensions among women with breast cancer
Notice bibliographique
Résumé
Psychological aspects in women with breast cancer are many. Among them are those related to what patients go through at different phases of treatment such as diagnosis, pre and post-surgery, chemotherapy and radiotherapy. Women with breast cancer experience psychological repercussions which are specific to them. Some of them are poor body image, self-depreciation, weight changes and hair loss can be distressing to women with breast cancer. The underlying cause could be a deficit in emotional processing and affect regulation. This could lead to an inability in verbalising and identifying feelings which is known as alexithymia. Closely related is the concept of fatigue which is subjective and tiredness which could last beyond treatments related to cancer. An overriding concept which could explain and understand these concepts is affect and mood. Towards this end the objective of the study was to examine the efficacy of adjuvant psychological therapy in breast cancer in terms of alexithymia, fatigue, depression, anxiety, stress and positive and negative affect. The study also explored if there was an association among alexithymia, fatigue, depression, anxiety, stress and negative affect. The study consisted of 20 patients in the intervention and control groups each. They were administered the following scales namely, Toronto Alexithymia Scale (TAS-20), Checklist of Individual Strength, Positive and Negative Affect Scale and Depression, Anxiety and Stress Scale. Towards the end of the sessions, they were administered Revised Sessions Reactions Scale. Adjuvant Psychological Therapy is a therapy tailor made for those with cancer which includes both cognitive and behavioral techniques. The results indicated that among the subscales and total alexithymia scores, there were statistically significant differences across three time-frames in the intervention group. Between the intervention and control groups, on total alexithymia, difficulty describing feelings and externally oriented thinking there was a statistically significant difference between the intervention and control groups. On the subscale of difficulty identifying feelings there were no statistically significant differences between the two groups. There was no statistically significant difference in alexithymia and subscales in the control group. On fatigue, there was a statistically significant reduction in fatigue, concentration, motivation and physical activity among women with breast cancer following intervention and follow up. Between the intervention and control groups, there were statistically significant differences between the intervention and control group. On concentration, motivation and physical activity there were no statistically significant differences. There were no statistically significant differences in fatigue and aspects of fatigue (fatigue, concentration, motivation and physical activity) in the control group. On positive affect, there was no statistically significant difference in the intervention group across time frames. On negative affect, there were statistically significant differences across the time-frames. There were no statistically significant differences among women with breast cancer in the intervention group as compared to the control group on positive affect and negative affect. In the present study, there was no statistically significant difference in the control group on both positive and negative affect. In the present study, there were statistically significant differences across time-frames in depression, anxiety and stress among women with breast cancer following intervention. There were no statistically significant differences between the intervention and control groups on depression, anxiety and stress. There were no statistically significant differences in depression, anxiety and stress in the control group. In correlational analysis, negative affect correlated with depression, anxiety and stress. Depression correlated with anxiety and stress. This study reveals the effectiveness of psychological interventions in those with breast cancer. It is imperative that psychological care is the need of the hour in oncology settings.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».