Blundell Jones Joanna, Walsh Sue, Isaac Claire
Clinical Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, S10 2TN, UK.
Russell Cairns Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, OX3 9DU, UK.
J Clin Psychol Med Settings. 2017 Dec;24(3-4):316-340. doi: 10.1007/s10880-017-9506-y.
This integrative literature review uses cognitive analytic therapy (CAT) theory to examine the impact of a chronic illness, multiple sclerosis (MS), on relationships and mental health. Electronic searches were conducted in six medical and social science databases. Thirty-eight articles met inclusion criteria, and also satisfied quality criteria. Articles revealed that MS-related demands change care needs and alter relationships. Using a CAT framework, the MS literature was analysed, and five key patterns of relating to oneself and to others were identified. A diagrammatic formulation is proposed that interconnects these patterns with wellbeing and suggests potential "exits" to improve mental health, for example, assisting families to minimise overprotection. Application of CAT analysis to the literature clarifies relational processes that may affect mental health among individuals with MS, which hopefully will inform how services assist in reducing unhelpful patterns and improve coping. Further investigation of the identified patterns is needed.
这篇综合性文献综述运用认知分析疗法（CAT）理论，探讨慢性病——多发性硬化症（MS）对人际关系和心理健康的影响。我们在六个医学和社会科学数据库中进行了电子检索。38篇文章符合纳入标准，且满足质量标准。文章表明，与MS相关的需求会改变护理需求并改变人际关系。运用CAT框架，对MS相关文献进行了分析，确定了与自己及他人建立关系的五种关键模式。提出了一个示意性公式，将这些模式与幸福感联系起来，并提出改善心理健康的潜在“出路”，例如，帮助家庭尽量减少过度保护。将CAT分析应用于文献，阐明了可能影响MS患者心理健康的关系过程，有望为服务机构如何帮助减少无益模式和改善应对方式提供信息。需要对已确定的模式进行进一步研究。
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