对于癌症患者失眠的心理干预:一个范围审查
Alyssa Alinda Gonzalez1, Gladys Janice Jimenez-Torres1, Aline Rozman de Moraes1
1Department of Palliative Care, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
认知行为疗法 (CBT) 是癌症患者失眠的最有效的心理治疗方法. 虽然数字和基于互联网的选择显示出希望,但专业交付的CBT在这个人群中获得了管理睡眠障碍的最佳结果.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 睡眠医学 睡眠医学
背景情况:
- 失眠是癌症患者普遍和令人痛苦的症状,有效的治疗选择有限.
- 心理干预经常被评估,但不一致的方法阻碍了对比和结合发现.
- 本综述旨在综合有关癌症相关失眠心理干预措施的证据.
研究的目的:
- 为患有癌症和失眠的患者严格合成心理干预措施.
- 描述癌症相关失眠的当前治疗方法.
- 确定研究缺口,并建议支持性干预措施.
主要方法:
- 在五个主要数据库中进行了全面的文献搜索.
- 包括随机和非劣等性试验,评估对患有失眠的癌症患者的心理干预.
- 综合包括了21项高质量的研究 (PEDro规模).
主要成果:
- 认知行为疗法 (CBT) 优于其他干预措施,如精神教育,正念和放松技术.
- 数字,最小和基于互联网的CBT模式对癌症患者的失眠有效.
- 在评估的干预措施中,专业的CBT表现出最高的疗效.
结论:
- 认知行为疗法 (CBT) 是癌症患者失眠的主要心理干预措施.
- 对CBT的实施挑战需要进一步的研究.
- 未来的研究应该专注于为特定的患者子组和环境确定最佳心理干预措施.
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