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群体疗法并不能延长乳腺癌患者的生存期
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Group Therapy Doesn't Extend Life in Breast Cancer By Will Dunham Reuters Monday, July 23, 2007; 12:00 AM WASHINGTON (Reuters) - Women with breast cancer who take part in group therapy sessions with other patients live no longer than those who do not, but experience a better quality of life and less pain, researchers said Monday. The study led by Dr. David Spiegel of Stanford University School of Medicine in California ran counter to findings published in 1989 by a group also led by Spiegel that women in psychotherapy groups outlived other breast cancer patients. That original study helped popularize such group therapy, but subsequent research produced mixed results. Spiegel said he was surprised and disappointed that the new study, which tracked 125 women with breast cancer that had spread to other parts of the body, did not find that group therapy prolonged their lives. But Spiegel said the study confirmed that these weekly sessions served to improve the quality of life for the women, with these patients reporting less pain, distress and anxiety. "The main finding was that overall, we did not replicate our earlier finding that group therapy for metastatic breast cancer leads to longer survival," Spiegel said in a telephone interview. "The take-home message for women is that support groups help you live better, whether or not they help you live longer," added Spiegel, whose findings are published in Cancer, a journal of the American Cancer Society. 如果你赞同本文的内容, 可以给作者, 你在连续七天内最多可以投4票, 今天可最多投4票. -------------------------------------------------------------------------------- • 【推荐】我国麻醉学专业教育的现状与发展（摘要）--曾因明 克林斯曼 发贴: 330 积分: 39 得票: 9 状态: 在线 2007-07-24 10:27 -------------------------------------------------------------------------------- 附：群体疗法的介绍 http://www.washingtonpost.com/wp ... R2007072300003.html FEAR OF DYING These group therapy sessions bring together patients to discuss issues like fear of dying, aiming to provide social support and allow for emotional expression. Group therapy advocates say it can improve coping and mood, and lower pain, depression and anxiety for patients facing a life-threatening illness. Group therapy for breast cancer patients has become more common in the past couple of decades. Spiegel estimated about a fifth of patients participate. Breast cancer patients took part in the study at three sites in Northern California beginning in 1991, and were tracked for up to a decade. Nearly all died during the study. Half took part in weekly 90-minute therapy sessions involving three to 15 patients led by two therapists and also were given education literature about breast cancer. The other half got only the literature. The women in the therapy groups on average survived 31 months compared to 33 months for the women who received education materials alone. Spiegel said a subgroup of the patients -- those with less common so-called estrogen receptor negative tumors, an aggressive breast cancer resistant to the newest hormonal treatments -- lived longer with group therapy: 30 months compared to 9 months for those getting literature alone. But Spiegel said more research is needed to confirm this finding. These women made up 20 percent of the study group. Spiegel said the contrasting findings in this study and the earlier one might be explained by the improvement in medical treatments and support for breast cancer patients in the intervening years, helping them live longer even without the benefits provided by group therapy. "It's certainly good for your spirit if not for your survival time to participate in one of these groups," he said. 群体疗法并不能延长乳腺癌患者的生存期 2007-7-23 12AM 星期一，Will Dunham报道 华盛顿（路透社）23日报道研究者在周一发布，患有乳腺癌的妇女和其他患者一起参加群体疗法，想比于那些没有参加群体疗法的患者她们的生存期并没有延长，但是享受更高的生活质量以及少承受痛苦。 该项研究由加利福尼亚州斯坦福大学医学院的David Spiegel医学博士主持，与发表于1989年由Spiegel主持的认为乳腺癌患者中接受心理治疗的患者可以活的更长研究发现正好相反。 最初的研究有力的推广了这种群体疗法，但是后继的研究产生了复杂的结果。Spiegel说他对这项新的研究结果非常吃惊和失望，在该项研究中随访了125名已经出现身体其他部位转移的乳腺癌患者，发现群体疗法并没有延长他们的生存期。但Spiegel又说这项研究证实了这种每周一次的疗程提高了这些妇女的生活质量，她们更少的诉说痛苦、悲伤和焦虑。“该研究的主要发现是，总的来说，我们并没有重复先前的发现认为已有转移的乳腺癌患者接受群体疗法可以延长生存期。” Spiegel在电话采访中说。“这种带你回家的祝词对于患者的意义是这种支持群体帮助你生活的更好，不管是否延长了生存期。” Spiegel后来又说。他的研究发现发表在美国癌症协会的一种叫《癌症》的杂志上。 |
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