晚期癌症患者的意义与目的 (MaP) 治疗:一项随机对照试验
David W Kissane1,2,3,4, Irene Bobevski5,6, Jane Appleton5,7
1School of Medicine, University of Notre Dame Australia, Sydney, Australia. David.kissane@monash.edu.
概括
意义与目的 (MaP) 疗法显著改善了晚期癌症患者的创伤后生长和生活态度. 这种简短的干预提供了希望,在严重疾病中保持生活的连贯性和目标.
科学领域:
- 心理瘤学 心理瘤学
- 癌症的生存率 癌症的生存率
- 临床心理学 临床心理学
背景情况:
- 晚期癌症对患者的意义和目的感提出了挑战.
- 现有的治疗方法可能无法完全满足这些患者的生存和心理需求.
研究的目的:
- 为了评估意义和目的 (MaP) 治疗的有效性.
- 评估MP疗法对晚期癌症患者创伤后生长和有意义的生活态度的影响.
主要方法:
- 随机对照试验,包括107名晚期癌症患者 (预后≥1年).
- 干预组接受了MaP治疗加上标准护理;对照组接受了通常的护理.
- 在基线,12周和24周测量结果,包括创伤后生长 (PTGI) 和生活态度 (LAPR).
主要成果:
- 干预后,MaP疗法组的PTGI得分显著提高 (科恩在12周的d=0.7,在24周的d=0.5).
- 在生活态度 (LAPR,d=0.4) 和精神福祉 (FACIT-Sp,d=0.4) 中观察到显著的改善.
- 在参与者完成至少六次MaP治疗时,观察到更大的效果大小.
结论:
- 简短的,结构化的Map疗法对于晚期癌症患者来说是一个有希望的干预措施.
- 该疗法支持持续的连贯感,意义和生活选择.
- 在这种人群中,map疗法可以增强心理健康和创伤后生长.
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