Daniels Jessica, Kissane David W
Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Curr Opin Oncol. 2008 Jul;20(4):367-71. doi: 10.1097/CCO.0b013e3283021658.
To evaluate recent studies of psychosocial interventions to improve survival, health, quality of life, and somatic symptoms for patients with cancer.
Survival in advanced breast cancer was not affected by group therapy in two large randomized controlled studies. However, several recent trials have shown improvements in quality of life and physical symptoms with both group and individual therapies. Specific therapies for symptomatic patient types are more likely to be efficacious than those applied to more general populations. There continues to be a predominance of studies in breast cancer.
The experience and training of therapists are crucial. New therapies are targeting meaning as an approach to optimize adaptation and ameliorate distress. Effective treatment of anxiety and depression will remain the mainstay of work for the psychooncologist.
评估近期关于心理社会干预对癌症患者生存、健康、生活质量和躯体症状影响的研究。
两项大型随机对照研究表明,团体治疗对晚期乳腺癌患者的生存无影响。然而,最近的几项试验显示,团体治疗和个体治疗均能改善生活质量和躯体症状。针对特定症状患者类型的治疗比应用于更广泛人群的治疗更可能有效。乳腺癌相关研究仍占主导地位。
治疗师的经验和培训至关重要。新的治疗方法以意义为导向,旨在优化适应并减轻痛苦。焦虑和抑郁的有效治疗仍将是心理肿瘤学家工作的重点。