Mobile cognitive behavioral therapy for posttraumatic stress: Diving back in after hematopoietic stem cell transplant.
Mobile cognitive behavioral therapy for posttraumatic stress: Diving back in after hematopoietic stem cell transplant.
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DOI：
10.1002/pon.6022
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发表时间：
2022-10
期刊：
影响因子：
3.6
通讯作者：
Applebaum, Allison J.
中科院分区：
文献类型：
--
作者：
Mitchell, Hannah-Rose;Smith, Sophia K.;Gebert, Rebecca;Applebaum, Allison J.
癌症的诊断和治疗通常是令人恐惧和费力的，可以被视为创伤性的，引发创伤后应激障碍（PTSD）症状。这些包括关于癌症的侵入性想法，对癌症提醒的行为和认知回避，觉醒和反应的改变（例如，睡眠障碍，感到烦躁，容易受惊），以及消极的认知和情绪（例如，快感缺乏，自责）。1造血干细胞移植（HSCT）是一种特别孤立且负担沉重的治疗方法，它增加了癌症幸存者患PTSD症状的风险，2如果不及时治疗，可能会损害生活质量并导致长期健康后果。支持认知行为疗法（cbt）治疗创伤后应激障碍的有效性的证据是强有力的，特别是对于非医疗创伤（例如，战斗暴露，灾难）。这些疗法包括认知加工疗法（CPT）、长时间暴露疗法（PE）、以创伤为重点的CBT和眼动脱敏和再加工（EMDR），有证据表明它们可以治疗癌症相关的创伤后应激障碍。1,4,5创伤后应激障碍的cbt是结构化的，有时间限制的，目标导向的，针对改变的认知和行为，使恐惧反应持续存在，导致痛苦。它们通常包括基于暴露的成分，以消除恐惧，并促进对创伤相关线索的适应性反应的重新学习。它通常在传统的面对面环境中交付；然而，获得面对面的治疗越来越具有挑战性。COVID-19大流行在免疫功能低下的造血干细胞移植幸存者中尤其如此，并且从根本上加剧了这种情况，这些幸存者在医学上是弱势的，在地理和社会经济上也是异质的。
Cancer diagnosis and treatment, often frightening and taxing, can be perceived as traumatic, precipitating posttraumatic stress disorder (PTSD) symptoms. These include intrusive thoughts about cancer, behavioral and cognitive avoidance of its reminders, alterations in arousal and reactivity (eg, sleep impairment, feeling irritated, startling easily), and negative cognitions and mood (eg, anhedonia, self-blame). 1 Hematopoietic stem cell transplantation (HSCT), an especially isolating and burdensome treatment, increases cancer survivors’ risk for PTSD symptoms, 2 which left untreated, can impair quality of life and contribute to long-term health consequences. 1Evidence supporting the efficacy of cognitive behavioral therapies (CBTs) to treat PTSD is robust, especially for non-medical traumas (eg, combat exposure, disaster). 3 These include Cognitive Processing Therapy (CPT), Prolonged Exposure therapy (PE), trauma-focused CBT, and Eye Movement Desensitization and Reprocessing (EMDR), with some evidence for treating cancer-related PTSD. 1, 4, 5 CBTs for PTSD are structured, time-limited and goal-oriented, targeting altered cognitions and behaviors perpetuating the fear response, contributing to distress. They typically include exposure-based components to extinguish fear and facilitate re-learning of more adaptive responses to trauma-associated cues. 3 It is usually delivered in traditional face-to-face settings; however, accessing in-person therapy is increasingly challenging. This is especially the case and radically exacerbated by the COVID-19 pandemic in immunocompromised HSCT survivors who are medically vulnerable and geographically and socioeconomically heterogeneous.
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影响因子：
4.6
作者：
Edmondson, Donald
通讯作者：
Edmondson, Donald
影响因子：
2.2
作者：
Smith SK;Somers TJ;Kuhn E;Laber E;Sung AD;Syrjala KL;Feger B;Kelleher SA;Majestic C;Gebert R;LeBlanc M;Owen JE;Applebaum AJ
通讯作者：
Applebaum AJ
DOI：
10.1016/s2215-0366(17)30014-7
发表时间：
2017-04
期刊：
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影响因子：
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影响因子：
3.2
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El-Jawahri, Areej
影响因子：
4.7
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