喪中を体験する介護者のための緩和ケアにおける認知行動療法対支援カウンセリング:臨床試験の成功と課題
Michael Kozlov1, Bahareh Ehsaei2, Gabrielle Winkler2
1Department of Psychology, Brooklyn College, Brooklyn, New York, USA.
Folia medica Cracoviensia
|September 3, 2025
まとめ
この研究では 認知行動療法 (CBT) と サポートケアカウンセリングの両方が 介護者の悲しみやうつ症状を 軽減することを発見しました しかし,低所得層にサービスを提供している公立病院では,採用の課題が指摘された.
科学分野:
- 心理学
- 臨床心理学
- 公衆衛生
背景:
- 失恋を体験している介護者にとって 悲しみのサポートは極めて重要です
- ランダム化臨床試験では 認知行動療法 (CBT) と サポートケアカウンセリングを比較した.
- この研究は,亡くなった緩和ケア患者の介護者に焦点を当てました.
研究 の 目的:
- CBTの効果と 喪中支援カウンセリングの効果を 評価するためです
- 介護者の喪中支援のための臨床試験における成功と課題を特定する.
- 存在の喪失,罪悪感,怒り,憂鬱症の症状の変化を評価する.
主な方法:
- ニューヨークの公立病院で 亡くなった患者の介護者を募りました
- 6ヶ月の間に 8回のCBTや サポートケアカウンセリングを受けた
- 3ヵ月と6ヵ月で計測されたアウトカムには,哀悼体験アンケート-24 (BEQ-24) と患者健康アンケート-9 (PHQ-9) が使われました.
主要な成果:
- CBTとサポーターケアカウンセリングは 存在の喪失や 憂鬱症の症状を軽減しました
- サポートケアカウンセリングでは 罪悪感/罪悪感/怒りが増加し CBTでは ベースラインレベルが維持されました
- 101人の参加者に対して2人の参加者が減少した.
結論:
- この2つの治療法は 悲しみやうつ病の症状を緩和し,CBTは罪悪感や非難や怒りを緩和する可能性がある.
- 低所得者層を対象とする公立病院から参加者を募集することは大きな課題です.
- 脆弱な集団の採用戦略を最適化するためにさらなる研究が必要かもしれません.
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