Monti Daniel A, Sufian Meryl, Peterson Caroline
Myrna Brind Center of Integrative Medicine, Thomas Jefferson University and Hospital, Philadelphia, Pennsylvania 19107, USA.
Cancer. 2008 Jun 1;112(11 Suppl):2607-16. doi: 10.1002/cncr.23443.
The use of complementary and alternative medicine (CAM) by cancer survivors is high, particularly among those with psychosocial distress, poor quality of life, culturally based health beliefs, and those who experience health disparities in the mainstream healthcare system. As the number of cancer survivors continues to increase, so does the diversity of the survivorship population, making it increasingly important to understand and address the CAM culture in different survivor groups. Given the known communication barriers between cancer patients and their physicians regarding CAM, it would be useful for oncology providers to have a platform from which to discuss CAM-related issues. It is proposed that mind-body therapies with some basis in evidence could provide such a platform and also serve as a possible means of connecting cancer survivors to psychosocial supportive services. This article reviews a few mind-body therapies that may have particular relevance to cancer survivors, such as hypnosis and meditation practices. A theoretical foundation by which such therapies provide benefit is presented, with particular emphasis on self-regulation.
癌症幸存者对补充和替代医学(CAM)的使用频率很高,尤其是那些有心理社会困扰、生活质量差、基于文化的健康观念以及在主流医疗系统中经历健康差异的人。随着癌症幸存者数量的持续增加,幸存者群体的多样性也在增加,因此了解和应对不同幸存者群体中的补充和替代医学文化变得越来越重要。鉴于癌症患者与其医生之间在补充和替代医学方面已知存在沟通障碍,肿瘤学提供者拥有一个讨论补充和替代医学相关问题的平台将很有用。有人提出,有一定证据基础的身心疗法可以提供这样一个平台,并且还可以作为将癌症幸存者与心理社会支持服务联系起来的一种可能方式。本文回顾了一些可能与癌症幸存者特别相关的身心疗法,如催眠和冥想练习。介绍了这些疗法产生益处的理论基础,特别强调自我调节。