与癌症相关的创伤后应激障碍的心理干预:叙事审查
Daniel Anderson1, Victoria Jones2
1The Christie NHS Foundation Trust, Manchester, UK.
BJPsych bulletin
|June 8, 2023
概括
本次审查强调需要对与癌症相关的创伤后应激障碍 (PTSD) 干预措施进行更好的研究. 目前的治疗方法差异很大,对于这种常见的癌症并发症,高质量的研究很少.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 癌症患者经常经历创伤后应激障碍 (PTSD) 症状.
- 了解癌症相关PTSD的有效干预措施对于患者护理至关重要.
研究的目的:
- 审查当前关于癌症相关PTSD成年人心理干预的证据.
- 确定有效的治疗方法,并评估现有研究的质量.
主要方法:
- 通过全面的数据库搜索 (EMBASE,Medline,PsycINFO,PubMed) 发现的研究的叙述性综述,截至2021年12月.
- 纳入标准集中在被诊断为患有癌症的成年人中,他们经历了PTSD症状.
- 包括的研究的方法质量被独立评估.
主要成果:
- 从182个记录的初始搜索中,包括了11项研究.
- 认知行为疗法 (CBT) 和眼动脱敏和再处理 (EMDR) 是有前途的.
- 在审查的研究的方法质量中发现了显著的变化.
结论:
- 癌症相关PTSD的高质量干预研究显著缺乏.
- 现有的管理方法在癌症群体和方法上表现出相当大的异质性.
- 未来的研究应该优先考虑患者和公众参与,并针对特定癌症群体量身定制干预措施.
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