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辅助心理疗法治疗癌症的效果:综述。

Effectiveness of adjunct psychotherapy for cancer treatment: a review.

机构信息

Health Psychology Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abd Aziz, 50300 Kuala Lumpur, Singapore.

出版信息

Future Oncol. 2018 Jun;14(15):1487-1496. doi: 10.2217/fon-2017-0671. Epub 2018 May 16.

Abstract

Psychotherapies were offered to alleviate psychological and physical symptoms; however, most psychological interventions were only delivered after cancer treatment. Newly diagnosed cancer patients experienced psychological distress while waiting for treatments. This review paper focused on randomized control trial studies, aimed to investigate the effectiveness of psychological intervention among newly diagnosed cancer patients. Eight randomized control trial papers were found in recent 10 year period through electronic database. A moderate to large effect size was detected on the outcomes, ranging from 0.43 to 0.89. This indicated that psychological-based prehabilitation with standard care yielded better outcomes than standard care alone. Psychological-based prehabilitation provides evidence in its effectiveness to reduce psychological distress, functional impairment, recurrence of cancer, numbers of immune reactivity and sleeping quality; however, inconsistent with longer survival result among cancer patients. In conclusion, psychological-based prehabilitation before cancer treatment is necessary for better treatment outcome, and future research is needed to investigate more directly the outcome.

摘要

心理治疗被用于缓解心理和生理症状;然而,大多数心理干预措施仅在癌症治疗后提供。新诊断的癌症患者在等待治疗时会经历心理困扰。这篇综述文章侧重于随机对照试验研究,旨在调查心理干预对新诊断癌症患者的有效性。通过电子数据库,在最近 10 年内发现了 8 篇随机对照试验论文。研究结果显示,干预措施的效果从中等到较大,范围从 0.43 到 0.89。这表明,基于心理的康复治疗与标准护理相结合比单独进行标准护理产生更好的效果。基于心理的康复治疗在减轻心理困扰、功能障碍、癌症复发、免疫反应数量和睡眠质量方面提供了有效性证据;然而,与癌症患者的生存时间延长结果不一致。总之,在癌症治疗前进行基于心理的康复治疗对于更好的治疗结果是必要的,需要进一步的研究来更直接地调查结果。

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