对癌症复发的恐惧接受和承诺治疗的有效性:系统性审查和元分析
概括
接受和承诺疗法 (ACT) 显著减少了癌症复发的恐惧 (FCR) 和幸存者的焦虑. 虽然ACT对心理困扰有效,但它对心理困扰有效.
科学领域:
- 心理瘤学 心理瘤学
- 行为医学是一种行为医学.
- 癌症的生存率 癌症的生存率
背景情况:
- 癌症复发的恐惧 (FCR) 是癌症幸存者普遍关注的一个问题.
- 需要有效的干预措施来管理FCR并改善生活质量.
研究的目的:
- 系统地审查和元分析接受和承诺疗法 (ACT) 对癌症幸存者的FCR的影响.
- 评估ACT对焦虑和经验回避等相关心理结果的影响.
主要方法:
- 在多个数据库 (PubMed,EMBASE等) 中进行全面的搜索. 在2024年6月1日之前进行.
- 用RevMan 5.3和Stata 17.0.0进行了对1093名参与者的11项研究的元分析.
- 小组分析探讨了异质性和混变量.
主要成果:
- 在干预后3个月和6个月,ACT显著降低了癌症幸存者的FCR (SMD = -1.26).
- 此外,ACT还减少了焦虑和经验回避.
- 干预的持续时间,形式和位置影响了结果;对疲劳的影响需要进一步研究.
结论:
- 接受和承诺疗法 (ACT) 有效地减少癌症复发的恐惧 (FCR),焦虑和癌症幸存者的经验性回避.
- ACT并没有显示出对疲劳水平的显著影响.
- 建议进一步进行高质量的随机对照试验,以证实这些发现.
相关概念视频
Behavior Therapy
37
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
37
Rational Emotive Behavior Therapy
39
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
39
Cognitive Therapy
44
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
44
Lazarus's Cognitive Appraisal Theory
124
Cognitive psychologist Richard Lazarus proposed the cognitive-mediational theory of emotions, which emphasizes how individuals' assessments of stressors significantly affect their experience of stress. According to Lazarus, the stress response is determined by a two-step appraisal process: primary appraisal and secondary appraisal. These cognitive appraisals help individuals evaluate the potential impact of a stressor and determine the adequacy of their coping resources.
Primary Appraisal:...
Primary Appraisal:...
124
Modeling in Therapy
39
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
39
Coping Strategies: Emotion Focused
37
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
37


