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[以家庭为中心的悲伤疗法——癌症患者及其家属姑息治疗的合适模式?]

[Family Focused Grief Therapy - A Suitable Model for the Palliative Care of Cancer Patients and their Families?].

作者信息

Weißflog Gregor, Mehnert Anja

出版信息

Psychother Psychosom Med Psychol. 2015 Nov;65(11):434-8. doi: 10.1055/s-0035-1548834. Epub 2015 Jun 3.

DOI:10.1055/s-0035-1548834
PMID:26039366
Abstract

Loss is a universal human experience. Within the context of cancer and especially in the palliative care of oncological patients, anticipated and real losses and their management play a crucial role. A high proportion of patients and family members develop a treatment requiring psychiatric comorbidity (for both groups between 20 and 30%, mainly adjustment and anxiety disorders and depression). Approximately 15% of the bereaved persons suffer from complicated grief after the death of their relative. Within the early palliative care, the implementation of the Family Focused Grief Therapy (FFGT) has the potential to reduce psychological distress incl. mental comorbidities in patients and their relatives. Simultaneously, the incidence of the prolonged grief disorder in bereaved persons could be diminished (after the death of their relative). Thus, the FFGT can make a substantial contribution in order to improve the palliative care of cancer patients and their bereaved persons.

摘要

丧失是人类普遍的经历。在癌症背景下,尤其是在肿瘤患者的姑息治疗中,预期的和实际的丧失及其处理起着至关重要的作用。很大一部分患者和家庭成员会出现需要精神科合并症治疗的情况(两组的比例均在20%至30%之间,主要是适应障碍、焦虑症和抑郁症)。大约15%的 bereaved persons 在其亲属去世后会遭受复杂性悲伤。在早期姑息治疗中,实施以家庭为中心的悲伤疗法(FFGT)有可能减轻患者及其亲属的心理困扰,包括精神合并症。同时,bereaved persons 中延长悲伤障碍的发生率可能会降低(在其亲属去世后)。因此,FFGT 可以为改善癌症患者及其 bereaved persons 的姑息治疗做出重大贡献。

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