接受和承诺治疗过程及其与癌症中痛苦的关联:系统性审查和元分析
Sophie Fawson1,2, Zoe Moon1,3, Katherine Novogrudsky1
1Psychology Department, King's College London, London, UK.
Health psychology review
|September 25, 2023
概括
接受和承诺治疗 (ACT) 过程显示出明显的联系,以减少癌症的痛苦. 灵活的ACT技能,如自我同情,可以降低痛苦,而经验性回避可以增加痛苦.
科学领域:
- 心理学 心理学 心理学
- 在瘤学瘤学.
- 行为医学是一种行为医学.
背景情况:
- 大约42%的癌症患者经历了心理困扰.
- 接受和承诺疗法 (ACT) 显示了减轻痛苦的潜力,但机制尚不清楚.
研究的目的:
- 系统地审查和综合有关接受和承诺疗法 (ACT) 核心过程与癌症患者心理痛苦之间的联系的证据.
主要方法:
- 在六个数据库和灰色文献中进行了全面的搜索,截至2022年3月.
- 包括108项研究 (N=17,195),对77项研究进行了五次元分析.
- 随机效应的元分析检查了ACT过程和痛苦之间的相关性,而元回归则探索了调节者.
主要成果:
- 更高的参与灵活的ACT过程 (接受,当下意识,自我同情) 与较低的痛苦相关 (聚合r = -0.24至 -0.48).
- 更高的参与不灵活的ACT过程 (经验回避,认知融合) 与更高的痛苦相关 (聚合r=0.57到0.58).
- 没有发现任何显著的调节因子 (如癌症阶段,年龄,性别).
结论:
- 本综述支持ACT理论,通过展示特定ACT过程与癌症患者的痛苦水平之间的明显关联.
- 研究结果强调了在干预中针对灵活的ACT流程的潜力,以减轻与癌症相关的痛苦.
- 未来的研究应该调查自我作为背景,价值观和承诺的行动,并在受控试验中使用调解分析.
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