对癌症患者的阿片类药物使用障碍风险进行基于接受和承诺治疗的干预:治疗开发研究
Miryam Yusufov1, R Kathryn McHugh2, Joseph A Greer3
1Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Harvard Medical School.
概括
这项研究开发了一种可接受的六次会议行为干预,以增加患有阿片类药物使用障碍风险的癌症患者的心理灵活性. 该干预,利用接受和承诺疗法,显示出减少阿片类药物滥用风险的希望.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 行为科学 行为科学
背景情况:
- 接受息治疗的癌症患者有患阿片类药物使用障碍 (OUD) 的风险.
- 需要基于证据的行为干预措施来缓解OUD风险.
- 心理灵活性是减少OUD风险的一个潜在机制.
研究的目的:
- 代地为患有OUD风险的癌症患者开发基于证据的行为干预措施.
- 增加心理灵活性作为一种减少OUD风险的机制.
- 评估开发的干预措施的可接受性和满意度.
主要方法:
- 利用国家卫生研究院的行为干预开发阶段模型.
- 开发了一个基于接受和承诺疗法 (ACT) 的六次会议干预.
- 从门诊息护理诊所招募的成年癌症患者有阿片类药物滥用高风险.
- 收集了基线和干预后的评估,并进行了半结构化的退出访谈.
主要成果:
- 十名患者完成了干预,报告了高度的接受度和满意度.
- 患者发现应对技能,如正念和认知缓解有帮助.
- 参与者表示更喜欢更长的干预时间 (更多的会议).
结论:
- 六个会议的行为干预增加心理灵活性是可以接受的和可行的癌症患者有OUD的风险.
- 该干预已经准备好在试点随机对照试验 (RCT) 中进行评估.
- 这些发现支持开发基于接受和正念的干预措施,用于患有OUD风险的息护理患者.
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