Cain E N, Kohorn E I, Quinlan D M, Latimer K, Schwartz P E
Cancer. 1986 Jan 1;57(1):183-9. doi: 10.1002/1097-0142(19860101)57:1<183::aid-cncr2820570135>3.0.co;2-3.
Many clinicians use group support to reduce the psychosocial difficulties of persons with cancer. This study compared the long-term benefits of a thematic counseling model used both as a structure for group support and for counseling patients individually. The thematic model included eight counseling sessions focused on information about cancer and positive health strategies such as progressive relaxation, diet, and exercise. The psychosocial status of women newly diagnosed with gynecologic cancer was assessed before the counseling, immediately after counseling, and again 6 months later. The women who participated in thematic counseling were significantly less depressed and less anxious and had more knowledge of their illness, better relationships with care givers, fewer sexual difficulties, and more participation in leisure activities. Data confirmed the model to be equally helpful whether it was used as a structure for individual counseling or more cost-effective group counseling. This model is easily adaptable to the needs of persons with other forms of cancer.
许多临床医生利用团体支持来减轻癌症患者的心理社会困扰。本研究比较了一种主题咨询模式的长期益处，该模式既作为团体支持的架构，也用于对患者进行个体咨询。主题模式包括八次咨询课程，重点是关于癌症的信息以及积极的健康策略，如渐进性放松、饮食和运动。对新诊断为妇科癌症的女性的心理社会状况在咨询前、咨询后立即以及6个月后再次进行评估。参与主题咨询的女性抑郁和焦虑程度明显较低，对自己的病情了解更多，与护理人员的关系更好，性方面的困难更少，参与休闲活动更多。数据证实，该模式无论是作为个体咨询的架构还是更具成本效益的团体咨询，都同样有帮助。这种模式很容易适应其他形式癌症患者的需求。
