Taylor-Ford Megan
Department of Psychology, University of Southern California, SGM 501, 3620 South McClintock Ave., Los Angeles, CA, 90089-1061, USA,
J Clin Psychol Med Settings. 2014 Sep;21(3):201-13. doi: 10.1007/s10880-014-9398-z.
Advanced cancer is a life-limiting condition, but improvements in medical care are contributing to longer survival among some patients. As a result, it is likely that mental health professionals will be called upon to assist more patients with advanced cancer. The present paper reviews the psychological literature and from it draws clinical considerations for working with individuals affected by advanced cancer. It begins with a brief description of advanced cancer and the medical attributes of an advanced cancer diagnosis, and then catalogues salient medical, psychological, existential, and interpersonal challenges faced by this patient population. The review concludes with recommendations for treatment planning including an overview of some of the more recently tested and widely available interventions. It is hoped that this review will serve as a resource for professionals working with patients affected by advanced cancer.
晚期癌症是一种危及生命的疾病，但医疗护理的改善有助于延长部分患者的生存期。因此，心理健康专业人员很可能会被要求协助更多晚期癌症患者。本文回顾了心理学文献，并从中得出了针对晚期癌症患者的临床考量。文章首先简要描述了晚期癌症以及晚期癌症诊断的医学特征，然后列举了这一患者群体面临的显著医学、心理、生存及人际方面的挑战。综述最后给出了治疗规划建议，包括对一些最新测试且广泛应用的干预措施的概述。希望这一综述能为从事晚期癌症患者工作的专业人员提供参考。
