Rodríguez Vega B, Bayón Pérez C, PalaoTarrero A, Fernández Liria A
Psychiatrist.Psychiatry Service, La Paz University Hospital, IdiPaz, Autonoma University, Madrid, Spain.
Clin Psychol Psychother. 2014 Sep-Oct;21(5):411-9. doi: 10.1002/cpp.1847. Epub 2013 May 28.
Mindfulness-based narrative therapy (MBNT) is a therapeutic intervention for the treatment of depression in cancer patients. In a previous randomized controlled trial, MBNT was found to ameliorate anxiety and depression, improve functional dimensions of quality of life, and enhance treatment adherence. In this review, we describe MBNT and its technical characteristics in the context of other psychotherapeutic interventions for depression in cancer patients. We highlight needed adjustments to other narrative approaches and recommend clinical modifications tailored to the needs of cancer patients that are intended to encompass the client's initial depressive narrative. The narrative construction is supported by emotional regulation and attachment relationships on the one hand and by individual and social linguistic capabilities on the other. Through destabilization of the depressive narrative, MBNT facilitates the emergence of new meanings using both verbal and non-verbal techniques based on mindfulness. The attitude and practice of mindfulness are integrated throughout the therapeutic process. In summary, MBNT makes use of linguistic interventions, promotes mindfulness and emotional regulation, and can be adapted specifically for use with cancer patients.
In this review, we describe mindfulness-based narrative therapy (MBNT) for the treatment of depression in cancer patients. In a previous controlled trial, we found significant benefits of MBNT in terms of reducing depressive symptoms and improving treatment adherence and quality of life in depressed, non-metastatic cancer patients. Narrative construction is socially and neurobiologically derived. MBNT makes use of linguistic interventions, promotes mindfulness and emotional regulation, and can be adapted specifically for use with cancer patients. MBNT is proposed as an interesting and promising intervention, particularly for patients with somatic pathologies.
基于正念的叙事疗法（MBNT）是一种用于治疗癌症患者抑郁症的治疗性干预措施。在之前的一项随机对照试验中，发现MBNT可缓解焦虑和抑郁，改善生活质量的功能维度，并提高治疗依从性。在本综述中，我们在针对癌症患者抑郁症的其他心理治疗干预措施的背景下描述了MBNT及其技术特征。我们强调了对其他叙事方法所需的调整，并推荐了根据癌症患者需求进行的临床调整，旨在涵盖患者最初的抑郁叙事。叙事构建一方面受到情绪调节和依恋关系的支持，另一方面受到个人和社会语言能力的支持。通过破坏抑郁叙事的稳定性，MBNT使用基于正念的言语和非言语技术促进新意义的出现。正念的态度和实践贯穿于整个治疗过程。总之，MBNT利用语言干预，促进正念和情绪调节，并且可以专门适用于癌症患者。
在本综述中，我们描述了用于治疗癌症患者抑郁症的基于正念的叙事疗法（MBNT）。在之前的一项对照试验中，我们发现MBNT在减轻抑郁症状、提高抑郁的非转移性癌症患者的治疗依从性和生活质量方面有显著益处。叙事构建源于社会和神经生物学。MBNT利用语言干预，促进正念和情绪调节，并且可以专门适用于癌症患者。MBNT被认为是一种有趣且有前景的干预措施，尤其适用于患有躯体疾病的患者。
