Greer Steven
St Raphael's Hospice, London Road, North Cheam, Surrey SM3 9DX, UK.
Psychooncology. 2008 Feb;17(2):170-3. doi: 10.1002/pon.1205.
The detrimental effect of a helpless coping response on the quality of life of cancer patients is well documented. Helplessness is significantly related to emotional distress. There is also evidence that this coping response is an independent prognostic factor associated with a significantly increased risk of disease recurrence and death. These findings highlight the need to develop specific strategies to enable patients to overcome helplessness. Recent research in patients with advanced cancer indicates that emotional distress appears to be caused by low levels of positive effect. Consequently, attention should be paid to the much neglected study of positive psychological states such as fighting spirit and resilience. In the meantime, some suggestions-based on clinical experience-of inducing and fostering positive effect in our patients are outlined.
无助应对反应对癌症患者生活质量的不利影响已有充分文献记载。无助感与情绪困扰显著相关。也有证据表明，这种应对反应是一个独立的预后因素，与疾病复发和死亡风险显著增加有关。这些发现凸显了制定具体策略以使患者克服无助感的必要性。近期对晚期癌症患者的研究表明，情绪困扰似乎是由积极情绪水平较低所致。因此，应关注对诸如斗志和恢复力等被严重忽视的积极心理状态的研究。同时，本文概述了一些基于临床经验的、在我们的患者中诱导和培养积极情绪的建议。
