在姑息治疗中，更高的接受度是否与患者较少的预期性悲伤相关？
Is Higher Acceptance Associated With Less Anticipatory Grief Among Patients in Palliative Care?
作者信息
Davis Esther L, Deane Frank P, Lyons Geoffrey C B, Barclay Gregory D
机构信息
School of Psychology and Illawarra Institute for Mental Health, University of Wollongong, Wollongong NSW, Australia.
School of Psychology and Illawarra Institute for Mental Health, University of Wollongong, Wollongong NSW, Australia.
出版信息
J Pain Symptom Manage. 2017 Jul;54(1):120-125. doi: 10.1016/j.jpainsymman.2017.03.012. Epub 2017 May 4.
CONTEXT
Patients in palliative care can experience substantial psychological suffering. Acceptance-based interventions from approaches such as Acceptance and Commitment Therapy have demonstrated effectiveness in helping people cope with a range of life challenges. However, there is a dearth of research examining mechanisms of therapeutic change for patients in palliative care.
OBJECTIVES
To assess the relationships between acceptance, anticipatory grief, anxiety, and depression among patients in palliative care.
METHODS
A cross-sectional survey was verbally administered to inpatients (N = 73) receiving palliative care.
RESULTS
Correlations revealed that acceptance had a strong relationship with anticipatory grief, anxiety, and depression. A hierarchical regression analysis on anticipatory grief showed that acceptance was the largest predictor and accounted for an additional 13% of variance in anticipatory grief over and above anxiety and depression.
CONCLUSION
The present study provides preliminary data suggesting that interventions that target acceptance may be indicated in patients in palliative care.
背景
姑息治疗中的患者可能会经历巨大的心理痛苦。基于接纳的干预措施，如接纳与承诺疗法，已证明在帮助人们应对一系列生活挑战方面是有效的。然而，针对姑息治疗患者治疗改变机制的研究却很匮乏。
目的
评估姑息治疗患者的接纳、预期性悲伤、焦虑和抑郁之间的关系。
方法
对73名接受姑息治疗的住院患者进行了口头横断面调查。
结果
相关性分析显示，接纳与预期性悲伤、焦虑和抑郁密切相关。对预期性悲伤的分层回归分析表明，接纳是最大的预测因素，在焦虑和抑郁之外，还能额外解释预期性悲伤中13%的变异。
结论
本研究提供了初步数据，表明针对接纳的干预措施可能适用于姑息治疗患者。
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