了解退伍军人患肺癌和心理痛苦的经历:一种多方法方法
Katherine Ramos1, Heather A King2, Micaela N Gladney2
1Department of Psychiatry and Behavioral Sciences, Duke University Medical Center.
Psychological services
|March 4, 2024
概括
患有肺癌的退伍军人常有心理困扰,影响心理健康和生活质量. 需要进一步的研究来识别有风险的个体,并为这个脆弱的人群制定有针对性的干预措施.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 军人卫生保健 军人卫生保健
背景情况:
- 心理痛苦是癌症诊断和治疗的普遍但经常被忽视的后果.
- 没有解决的痛苦可能会恶化心理健康,损害健康管理,并降低生活质量.
- 退伍军人代表了一个代表性不足的人群,他们经历了肺癌及其相关的心理负担.
研究的目的:
- 调查患有肺癌的退伍军人的心理痛苦的普遍性和性质.
- 了解退伍军人生活在非小细胞肺癌 (NSCLC) 或小细胞肺癌 (SCLC) 的个人经历.
主要方法:
- 一项多方法研究,涉及60名被诊断患有NSCLC或SCLC的退伍军人.
- 利用临床心理学措施,包括抑郁症的患者健康问卷 (PHQ-9),焦虑症的泛性焦虑障碍 (GAD-7) 和创伤后压力症状检查清单.
- 雇佣了国家综合癌症网络 (NCCN) 应急措施和对25名退伍军人的次组进行了定性采访.
主要成果:
- 观察到高痛苦率:37%的抑郁,35%的焦虑和13%的与癌症有关的创伤后压力.
- 67%的退伍军人在NCCN应急措施中得分高于临床切线.
- 定性数据显示,痛苦是常见的,多样化的,烦人的,大多数人报告悲伤 (75%),担心 (73%) 和抑郁 (60%).
结论:
- 对于患有肺癌的退伍军人来说,心理困扰是一个重要的问题.
- 需要识别面临危险的退伍军人.
- 应为这些弱势群体开发和测试支持性心理健康干预措施.
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