Adapting Meaning-Centered Psychotherapy for the palliative care setting: Results of a pilot study.
Adapting Meaning-Centered Psychotherapy for the palliative care setting: Results of a pilot study.
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DOI：
10.1177/0269216316651570
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发表时间：
2017-02
影响因子：
4.4
通讯作者：
Breitbart W
中科院分区：
文献类型：
--
作者：
Rosenfeld B;Saracino R;Tobias K;Masterson M;Pessin H;Applebaum A;Brescia R;Breitbart W
为满足姑息治疗患者生命最后几周或几个月的需求而量身定制的以意义为中心的心理治疗的简化版本的可行性、可接受性和实用性建立初步证据。令人惊讶的是，很少有心理健康干预措施专门针对姑息治疗患者的心理需求，因为身体舒适似乎优先于心理健康和情感需求。然而，针对这些患者的心理健康服务的需求是显而易见的，因为三分之一的姑息治疗患者经历临床上显着的抑郁症，同等比例的人经历临床上显着的焦虑。这项试点研究采用开放标签设计来评估以意义为中心的心理治疗-姑息治疗的可行性、可接受性和感知效用，这是一种专注于增强临终意义的简短干预措施。共有 12 名入住姑息治疗医院接受支持治疗的患者同意参加该研究。在开始治疗的 11 名患者中（一名患者在第一次疗程前死亡），8 名患者完成了三疗程的干预。患者对干预的结构、重点和时长表达了积极的反馈，但他们认为最有帮助的具体元素各不相同。针对姑息治疗患者的需求而定制的以意义为中心的心理治疗的缩写版（以意义为中心的心理治疗-姑息治疗）似乎是可行的、可以接受的，并且有潜力帮助患者更好地应对死亡和临终所固有的挑战。为了阐明这种方法的优点和缺点，需要使用更大、更具代表性的样本进行进一步的研究。
To establish preliminary evidence for the feasibility, acceptability, and utility of an abbreviated version of Meaning-Centered Psychotherapy tailored to the needs of palliative care patients in the final weeks or months of life. Surprisingly, few mental health interventions have specifically targeted the psychological needs of palliative care patients, when physical comfort seems to take precedence over mental health and emotional needs. Yet the need for mental health services targeting these patients is clear, as one in three palliative care patients experience clinically significant depression and an equal proportion experience clinically significant anxiety. This pilot study used an open-label design to assess the feasibility, acceptability, and perceived utility of Meaning-Centered Psychotherapy–palliative care, a brief intervention that focuses on enhancing meaning at the end of life. A total of 12 patients admitted to a palliative care hospital for supportive care consented to participate in the study. Of the 11 patients that began treatment (one patient died before the first session), 8 completed the three-session intervention. Patients expressed positive feedback about the structure, focus, and length of the intervention, but varied in precisely which elements they found most helpful. An abbreviated version of Meaning-Centered Psychotherapy tailored to the needs of palliative care patients (Meaning-Centered Psychotherapy–palliative care) appears to be feasible, acceptable, and has the potential to help patients better cope with the challenges inherent in confronting death and dying. Further research, with larger and more representative samples, is needed in order to clarify the strengths and weaknesses of this approach.