Adapting meaning-centered psychotherapy for World Trade Center responders.
Adapting meaning-centered psychotherapy for World Trade Center responders.
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DOI：
10.1017/s1478951520000061
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发表时间：
2020-12
影响因子：
2.2
通讯作者：
Breitbart W
中科院分区：
文献类型：
--
作者：
Masterson-Duva M;Haugen P;Werth A;Foster A;Chassman E;Roberts K;DePierro J;Morales-Miller M;Lowe S;Pessin H;Lichtenthal W;Breitbart W
到目前为止，近10，000名世界贸易中心（WTC）反应人员已被诊断出至少一种与WTC相关的癌症，超过70种癌症与WTC职业暴露有关。由于观察到的恶性肿瘤潜伏期，WTC健康计划预计新癌症诊断率会增加。鉴于这一人群中癌症诊断的数量不断增加，迫切需要开发一种新的干预措施来解决WTC癌症响应者的心理社会需求。意义中心心理治疗（MCP）是一种结构化的心理治疗干预，最初是为了帮助晚期癌症患者找到并维持生活的意义，尽管疾病相关的限制。潜在的痛苦和意义的丧失是心理健康的关键和未充分研究的因素，这些因素在WTC癌症响应者中被广泛忽视。我们已经调整了MCP for WTC responses（MCP-WTC），用于治疗被诊断患有WTC认证癌症的WTC应答者。MCP-WTC旨在针对那些应对9/11袭击并随后因其服务而被诊断出患有癌症的响应者所面临的复杂危机。我们描述了MCP-WTC的适应和这种干预的应用，以满足那些暴露于2001年9月11日（9/11）恐怖袭击的独特需求，参加了救援，恢复和清理工作在归零地，并被诊断为与WTC相关的癌症。我们强调了这种干预的新方面，其目的是促进在患者对9/11的反应和随后的癌症诊断的背景下产生意义。这项工作为MCP-WTC提供了一个理论基础，以及这种干预措施改善WTC响应者生活质量的潜力，并帮助这些患者在9/11和癌症后生活。
To date, nearly 10,000 World Trade Center (WTC) responders have been diagnosed with at least one type of WTC-related cancer, and over 70 types of cancer have been related to WTC occupational exposure. Due to the observed latency period for malignancies, the WTC Health Program anticipates increases in rates of new cancer diagnoses. Given the growing number of cancer diagnoses in this population, there is an urgent need to develop a novel intervention to address the psychosocial needs of WTC responders with cancer. Meaning-centered psychotherapy (MCP) is a structured psychotherapeutic intervention originally developed to help patients with advanced cancer find and sustain meaning in life despite illness-related limitations. Existential distress and loss of meaning are critical and understudied elements of psychological health that have been widely overlooked among WTC responders with cancer. We have adapted MCP for WTC responders (MCP-WTC) for the treatment of WTC responders who have been diagnosed with WTC-certified cancers. MCP-WTC aims to target the complex crisis in meaning faced by those responders who responded to the 9/11 attacks and subsequently were diagnosed with cancer as a result of their service. We describe the adaptation of MCP-WTC and the application of this intervention to meet the unique needs of those exposed to the terrorist attacks of September 11, 2001 (9/11), participated in the rescue, recovery, and clean-up effort at Ground Zero, and were diagnosed with WTC-related cancer. We highlight the novel aspects of this intervention which have been designed to facilitate meaning-making in the context of the patient’s response to 9/11 and subsequent diagnosis of cancer. This work provides a rationale for MCP-WTC and the potential for this intervention to improve the quality of life of WTC responders and help these patients navigate life after 9/11 and cancer.