Kovács Zsuzsanna, Szabó Csaba, Fülöp Emöke
Semmelweis Egyetem ETK, Budapest, Hungary, E-mail:
Psychiatr Hung. 2013;28(4):454-63.
The results of epidemiological researches are alarming. It is anticipated that in the next few decades the number of patients suffering from malignant tumours will double. Caring for patients with cancer sets a serious challenge to the health services - not only to the oncology specialists, but among the others also to the psychiatrists and the psychologists. The diagnosis of cancer commonly pushes the patient into a depressed, hopeless and anxious emotional state that can persist for years after the diagnosis causing serious damage - a decline in the health-related quality of life, it narrows life opportunities, it makes coping and cooperating more difficult, and it predicts the progression of the disease and mortality. Treating these is crucial. Results published in related literature prove the positive effects of psychosocial interventions (a wide range of psychological and psychosocial support of the patients) on emotional distress. The most commonly applied interventions are the supportive-expressive therapies and cognitive methods. Recently a new trend started unfolding where the patients, as their complementary care instead of having single interventions they are offered complex programmes - psychotherapy, exercise, diet, education, etc. are all applied together, amplifying the synergic effects of the components. Our research is aimed to assess the results of a complex programme in decreasing emotional distress in women diagnosed with primer breast cancer (n=173, experimental group n=86, of whom 34 participated the programme, control group n=87) short term (at the end of the 15 week long programme) and longitudinally (15 months after the end of programme). The results are very promising: there were significant improvements in patients, a decrease in depression (Beck), as well as in anxiety (STAI), and some aspects of positive effects showed long-lasting.
流行病学研究结果令人担忧。预计在未来几十年中,患有恶性肿瘤的患者数量将翻倍。照顾癌症患者给医疗服务带来了严峻挑战——不仅对肿瘤专科医生而言,对其他医生来说,精神科医生和心理学家也面临挑战。癌症诊断通常会使患者陷入抑郁、绝望和焦虑的情绪状态,这种状态在诊断后可能持续数年,造成严重损害——与健康相关的生活质量下降、生活机会受限、应对和合作变得更加困难,还预示着疾病的进展和死亡。治疗这些问题至关重要。相关文献发表的结果证明了心理社会干预(对患者广泛的心理和心理社会支持)对情绪困扰的积极影响。最常用的干预措施是支持性表达疗法和认知方法。最近出现了一种新趋势,即患者接受的补充护理不是单一干预,而是提供综合方案——心理治疗、运动、饮食、教育等一起应用,增强各组成部分的协同效应。我们的研究旨在评估一个综合方案在减轻原发性乳腺癌女性患者(n = 173,实验组n = 86,其中34人参与了该方案,对照组n = 87)短期(在为期15周的方案结束时)和纵向(方案结束后15个月)的情绪困扰方面的效果。结果非常有前景:患者有显著改善,抑郁(贝克量表)和焦虑(状态特质焦虑量表)减轻,一些积极影响的方面显示出持久性。