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[认知行为疗法在肿瘤护理中的应用可能性]

[Possibilities of cognitive behavioral therapy in the oncological care].

作者信息

Vizin Gabriella, Farkas Kinga

机构信息

Klinikai Pszichológia és Addiktológia Tanszék, Eötvös Loránd Tudományegyetem PPK, Budapest, Hungary.

Pszichiátriai és Pszichoterápiás Klinika, Semmelweis Egyetem ÁOK, Budapest, Hungary.

出版信息

Magy Onkol. 2020 Mar 17;64(1):62-69. Epub 2019 Mar 10.

Abstract

Cancer is a huge psychological difficulty both for the patient and the caregivers. Patients often suffer from hopelessness, helplessness, depression, anxiety or other psychological disturbances. Although the cognitive behavioral interventions (cognitive behavioral therapy, mindfulness) are evidence based, short, time-limited, focused treatments for patients with cancer, in Hungary there are only little evidence and experiences about application of cognitive behavioral methods in the oncological care. The main goal of this review to provide a survey about the cognitive behavioral theories and the international practical experiences in the field of oncological care, furthermore, to propose to apply these structured, directive, problem-focused interventions among patients with cancer to professionals which are able to decrease distress of patients or caregivers and these methods are able to treat the mental disorders, such as anxiety, depression, PTSD, which usually relate with cancer.

摘要

癌症对患者及其护理人员来说都是巨大的心理难题。患者常常感到绝望、无助、抑郁、焦虑或出现其他心理障碍。尽管认知行为干预(认知行为疗法、正念减压法)是基于证据的、针对癌症患者的短期、有时限且有针对性的治疗方法,但在匈牙利,关于认知行为方法在肿瘤护理中的应用,仅有很少的证据和经验。本综述的主要目的是提供关于认知行为理论以及肿瘤护理领域国际实践经验的概述,此外,向能够减少患者或护理人员痛苦且能治疗通常与癌症相关的精神障碍(如焦虑、抑郁、创伤后应激障碍)的专业人员提议,在癌症患者中应用这些结构化、指导性、以问题为导向的干预措施。

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