Metacognitive Therapy for Emotional Distress in Adult Cancer Survivors: A Case Series.

Metacognitive Therapy for Emotional Distress in Adult Cancer Survivors: A Case Series.
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DOI:
10.1007/s10608-017-9862-9
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发表时间:
2017
影响因子:
2.8
通讯作者:
Salmon P
Salmon P
中科院分区:
心理学3区
文献类型:
--
作者:
Fisher PL;Byrne A;Salmon P

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许多成年癌症幸存者在完成癌症治疗后经历持续的情绪困扰。本研究的目的是测试一种简单的跨诊断心理干预--后设认知疗法(MCT)--在减少成年癌症幸存者情绪困扰方面的潜力。采用3个月和6个月随访的非同步多基线设计,在连续转诊至心理肿瘤服务的4例患者中评价MCT的效果。每例患者接受6次1小时的MCT治疗。焦虑,抑郁,担心/反刍,癌症复发的恐惧和元认知信念进行了评估,使用自我报告问卷。MCT与治疗结束时焦虑、抑郁、癌症复发恐惧、担忧/反刍和后认知信念的临床显著降低相关,所有患者的获益维持至3个月随访,4例患者中有3例患者的获益维持至6个月随访。MCT是一种很有前途的简短的跨诊断方法,以心理疾病的成年幸存者的癌症。现在需要更大规模的对照试验。
Many adult cancer survivors experience persistent emotional distress after completing cancer treatment. The aim of this study was to test the potential of a brief transdiagnostic psychological intervention—metacognitive therapy (MCT)—in reducing emotional distress in adult cancer survivors. A non-concurrent multiple baseline design with 3- and 6-months follow-up was used to evaluate the effects of MCT in four patients consecutively referred to a psycho-oncology service. Each patient received six 1-h sessions of MCT. Anxiety, depression, worry/rumination, fear of cancer recurrence and metacognitive beliefs were assessed using self-report questionnaires. MCT was associated with clinically significant reductions in anxiety, depression, fear of cancer recurrence, worry/rumination and metacognitive beliefs at the end of treatment, and gains were maintained in all patients to 3-months follow-up and in three out of four patients to 6-months follow-up. MCT is a promising brief transdiagnostic approach to psychological morbidity in adult survivors of cancer. Larger scale controlled trials are now required.
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