感知控制作为癌症患者和癌症幸存者的自杀思想和行为潜在的保护因素:通过元分析进行系统审查
Judith Hirschmiller1, Jim Schmeckenbecher2,3, Tamara Schwinn1
1Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Psycho-oncology
|November 19, 2024
概括
感知控制对于减少癌症患者的自杀想法至关重要. 针对丧和绝望的干预措施可能有助于预防这一群体的自杀危机.
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:
- 癌症患者面临自杀危机的风险较高.
- 感知控制与社会认知理论相一致,可能起到保护因素的作用.
- 感知控制的可修改方面为癌症护理中的自杀预防提供了潜在的可能性.
研究的目的:
- 系统地综合有关感知控制及其与癌症患者自杀思想和行为相关的证据.
- 探索感知控制的特定方面,如自我效能和绝望的作用.
- 在这种关系中调查潜在的调节者,如癌症阶段和癌症特异性痛苦.
主要方法:
- 在多个数据库 (PubMed,CINAHL,PsycInfo,Web-of-Science,Cochrane) 和灰色文学中进行系统的文献搜索.
- 包括36项研究进行叙述性审查和25项进行元分析,并注册了PROSPERO.
- 计算聚合效应大小,调节和子组分析以量化关系.
主要成果:
- 在感知控制方面 (丧,绝望,自我效能) 和自杀念头之间发现了显著的正相关性 (r=0.45).
- 丧气和绝望与自杀念头的关联比一般的自我效能更强.
- 癌症阶段并没有缓解这种关系,但癌症特异性痛苦变量与自杀念头有更强烈的联系.
结论:
- 感知控制在减轻癌症患者的严重痛苦和自杀念头方面发挥着关键作用.
- 专注于加强感知控制的干预措施,特别是解决丧和绝望的干预措施是有必要的.
- 建议进行进一步的研究,以完善在癌症护理中更具体的背景下对感知控制的理解.
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