在姑息治疗中，构建层次、沉思和心理困扰。
Construal level, rumination, and psychological distress in palliative care.
机构信息
University of Exeter, Exeter, UK.
出版信息
Psychooncology. 2012 Jun;21(6):680-3. doi: 10.1002/pon.1948. Epub 2011 Mar 6.
BACKGROUND
Patients with a life-limiting illness, such as cancer, and their carers experience elevated psychological distress. However, the psychological mechanisms underpinning distress in palliative care have been little studied. Recent theories predict that individuals who experience increased uncertainty in the context of ongoing difficulties, such as palliative patients and their carers, will (a) think more abstractly; (b) ruminate more; and (c) be more distressed.
METHODS
Palliative patients (n = 36, 90% with cancer), their carers (n = 29), and age-matched controls (n = 30) completed standardized questionnaires to assess anxiety, depression, and rumination, and open-ended interviews to identify their concerns and idiosyncratic levels of rumination. Concerns were analyzed linguistically for level of abstraction.
RESULTS
As predicted, (i) palliative patients and carers reported significantly more uncertainty, rumination, and abstract thinking than controls; (ii) uncertainty, abstractness, and rumination were associated with psychological distress.
CONCLUSIONS
Abstraction and rumination are psychological mechanism potentially involved in increased psychological distress in palliative care.
背景
患有绝症（如癌症）的患者及其照顾者会经历更高水平的心理困扰。然而，在姑息治疗中，困扰的心理机制却很少被研究。最近的理论预测，在持续存在困难的情况下（如姑息治疗患者及其照顾者），那些经历更多不确定性的个体将：（a）更抽象地思考；（b）更多地沉思；以及（c）感到更痛苦。
方法
姑息治疗患者（n = 36，90%患有癌症）、其照顾者（n = 29）和年龄匹配的对照组（n = 30）完成了标准化问卷，以评估焦虑、抑郁和沉思，以及开放性访谈以确定他们的关注点和独特的沉思水平。关注点从语言上分析其抽象程度。
结果
正如预测的那样，（i）姑息治疗患者和照顾者报告的不确定性、沉思和抽象思维明显高于对照组；（ii）不确定性、抽象性和沉思与心理困扰相关。
结论
抽象思维和沉思是姑息治疗中增加心理困扰的潜在心理机制。
Zotero 插件