Psychosocial Interventions with Cancer Patients

Psychosocial Interventions with Cancer Patients
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癌症患者的心理社会干预

DOI:
10.1300/j077v03n04_09
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发表时间:
1986
影响因子:
2.1
通讯作者:
D. Spiegel
D. Spiegel
中科院分区:
医学4区
文献类型:
--
作者:
D. Spiegel

文献摘要

被引文献

相似文献

本文回顾了有关癌症患者心理社会问题的文献,包括情感、身体症状、社会支持和认知四个方面,并描述了在一项为期一年的乳腺癌转移性妇女研究中使用的集体治疗过程。这些妇女每周在治疗师的带领下举行小组会议,旨在直接或间接地解决每一类心理社会问题。测量的主要结果变量是情感和疼痛。与没有接受干预的女性相比,尽管两组疼痛发作的频率和持续时间相似,但小组成员的情绪障碍和疼痛的反应成分显著减少。作者还讨论了未来团体治疗作为为癌症患者提供心理社会支持的手段所需的研究方向。
This article reviews the literature on the psychosocial problems of cancer patients, defined within the four areas of affect, physical symptoms, social support, and cognition, and describes a process of group treatment used in a one-year study of women who had metastatic carcinoma of the breast. These women met weekly in group sessions led by therapists in a manner designed to address, directly or indirectly, each category of psychosocial problems. The major outcome variables measured were affect and pain. As compared with women who did not receive intervention, group members experienced significant reductions in mood disturbance and in the reactive component of pain, although the frequency and duration of pain attacks were similar in both groups. The author also discusses the directions required for future research on group treatment as a means of providing psychosocial support for cancer patients.