[减少乳腺癌女性抑郁症状的非药物干预措施]
[Non-pharmacological interventions to reduce depressive symptoms in women with breast cancer].
作者信息
Coutiño-Escamilla Liliana, Piña-Pozas Maricela, Guimaraes-Borges Guilherme, Tobías-Garcés Aurelio, López-Carrillo Lizbeth
机构信息
Instituto Nacional de Salud Pública. Ciudad de México, México.
Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz. Ciudad de México, México.
出版信息
Salud Publica Mex. 2019 Jul-Ago;61(4):532-541. doi: 10.21149/9980. Epub 2019 Jul 17.
OBJECTIVE
To describe and discuss the results of non-pharmacological interventions (NPI) adjuvants in the treatment of depressive symptoms among women with breast cancer (BC).
MATERIALS AND METHODS
A systematic review on NPI was performed, which was applied to patients with cancer and depressive symptoms in seven databases. The review was limited from January 1, 2006 to December 31, 2017 and to English, Spanish and Portuguese languages. The medical descriptors used were "breast neoplasm" and "depression".
RESULTS
There are several NPI that are able stimulate the physical or psychosocial dimensions. In this article we propose a classification based on nine identified therapeutic strategies, among which exercise, psychotherapy and yoga with meditation stand out.
CONCLUSIONS
Based on the available evidence, we concluded that psychotherapy and yoga with meditation reduce depressive symptoms in patients with CaMa. More research is needed to determine the magnitude of the reduction of depressive symptoms, according to their severity, presence of comorbidities and diversity of INF.
目的
描述并讨论非药物干预（NPI）辅助手段在治疗乳腺癌（BC）女性抑郁症状中的效果。
材料与方法
对NPI进行了系统评价，该评价应用于七个数据库中患有癌症和抑郁症状的患者。该评价的时间范围为2006年1月1日至2017年12月31日，语言限制为英语、西班牙语和葡萄牙语。使用的医学描述词为“乳腺肿瘤”和“抑郁症”。
结果
有几种NPI能够刺激身体或心理社会层面。在本文中，我们基于九种已确定的治疗策略提出了一种分类方法，其中运动、心理治疗以及带冥想的瑜伽尤为突出。
结论
基于现有证据，我们得出结论，心理治疗和带冥想的瑜伽可减轻癌症患者的抑郁症状。需要更多研究来根据抑郁症状的严重程度、合并症的存在情况以及干预措施的多样性确定抑郁症状减轻的程度。
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