Spiegel David
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California 94305-5718, USA.
Nat Rev Cancer. 2002 May;2(5):383-9. doi: 10.1038/nrc800.
The possibility that psychotherapy could extend survival time for cancer patients has attracted attention among clinical investigators interested in the mind-body connection, among cancer patients seeking the best possible outcome and among the general public. A small number of randomized trials have been conducted, and they have produced conflicting results. Does emotional support affect the course of cancer? What physiological pathways might mediate such an effect? Given what we now know, should we change the standard of care for cancer patients?
心理治疗能否延长癌症患者的生存时间,这一可能性已经引起了关注,它既吸引了关注身心联系的临床研究人员,也吸引了寻求最佳治疗效果的癌症患者以及普通大众。已经开展了少量随机试验,但其结果相互矛盾。情感支持是否会影响癌症病程?哪些生理途径可能介导这种影响?鉴于我们目前所了解的情况,我们是否应该改变癌症患者的护理标准?