Utilization of Psychotherapeutic Interventions by Pediatric Psychosocial Providers.

Utilization of Psychotherapeutic Interventions by Pediatric Psychosocial Providers.
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DOI:
10.3390/children8111045
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发表时间:
2021-11-12
期刊:
Children (Basel, Switzerland)
影响因子:
--
通讯作者:
Wiener L
Wiener L
中科院分区:
其他
文献类型:
--
作者:
Fair C;Thompson A;Barnett M;Flowers S;Burke J;Wiener L

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癌症儿童及其家庭心理社会护理标准之一建议所有癌症青少年及其家庭成员在整个癌症轨迹中获得心理治疗干预和支持。本研究的目的是确定向癌症儿童及其家庭成员提供的心理社会干预和服务,以确定患者年龄和治疗阶段提供的干预措施是否存在差异,并了解提供心理社会服务的障碍。通过国家和国际专业组织的列表服务向社会心理服务提供者分发了一项在线调查。 242 名受访者中的大多数是心理学家 (39.3%) 或社会工作者 (26.9%),其中 79.7% 在美国工作。在治疗的每个阶段,最常向儿科患者、护理人员和兄弟姐妹提供的干预措施是心理教育(41.7-48.8%)。据报道,患者经常使用基于证据的干预措施,包括认知行为疗法(56.6%)和基于正念的干预措施(57.9%)。专门为儿科肿瘤人群设计的干预措施并未得到普遍认可。心理社会提供者报告称,通过增加工作人员、与医疗团队成员更好的沟通/合作以及增加社区资源,可以提高护理质量。未来的研究应侧重于提高针对特定人群的循证干预措施的可及性,并将科学转化为实践。
One of the Standards of Psychosocial Care for Children with Cancer and their Families recommends that all youth with cancer and their family members have access to psychotherapeutic interventions and support throughout the cancer trajectory. This study was created to identify the psychosocial interventions and services provided to children with cancer and their family members, to ascertain whether there are differences in interventions provided by age of the patient and stage of treatment, and to learn about barriers to psychosocial service provision. An online survey was disseminated to psychosocial providers through the listservs of national and international professional organizations. The majority of the 242 respondents were either psychologists (39.3%) or social workers (26.9%) and 79.7% worked in the United States. The intervention offered most often to pediatric patients, caregivers, and siblings, at every stage of treatment, was psychoeducation (41.7–48.8%). Evidence-based interventions, including cognitive behavioral therapy (56.6%) and mindfulness-based interventions (57.9%) were reported to be frequently used with patients. Interventions designed specifically for the pediatric oncology population were not commonly endorsed. Psychosocial providers reported quality of care would be improved by additional staff, better communication/collaboration with medical team members and increased community-based resources. Future research should focus on improving accessibility to population-specific evidenced-based interventions and translating science to practice.
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