LeMay Katerine, Wilson Keith G
School of Psychology, University of Ottawa, Ottawa, ON, Canada.
Clin Psychol Rev. 2008 Mar;28(3):472-93. doi: 10.1016/j.cpr.2007.07.013. Epub 2007 Aug 7.
Understanding the factors that underlie existential suffering at the end of life has become the focus of a growing body of research. A number of studies have concluded that existential questions can be distressing for some patients. Other studies have shown that existential concerns are an important dimension of quality of life and can increase a patient's risk for suicidal ideation and desire for death. Over the years, a number of psychological interventions have been developed aimed at addressing such suffering in patients with cancer. In this paper, we review the evidence supporting the importance of existential concerns in terminally ill patients, describe eight manualized interventions explicitly addressing existential themes, and evaluate the effectiveness of these interventions. Similarities and differences between each intervention are noted, and clinical and empirical considerations are discussed.
了解临终时存在性痛苦背后的因素已成为越来越多研究的焦点。一些研究得出结论，存在性问题可能会让一些患者感到痛苦。其他研究表明，存在性担忧是生活质量的一个重要方面，会增加患者产生自杀念头和求死欲望的风险。多年来，已经开发出了一些心理干预措施，旨在解决癌症患者的此类痛苦。在本文中，我们回顾了支持存在性担忧对绝症患者重要性的证据，描述了八项明确涉及存在性主题的手册化干预措施，并评估了这些干预措施的有效性。我们指出了每种干预措施之间的异同，并讨论了临床和实证方面的考虑因素。
