Research & Development Unit, Tavistock Centre, Tavistock & Portman NHS Foundation Trust, London, United Kingdom.
Department of Clinical, Educational & Health Psychology, University College London, London, United Kingdom.
PLoS One. 2020 Jul 6;15(7):e0234624. doi: 10.1371/journal.pone.0234624. eCollection 2020.
The impact of living with Primary Sclerosing Cholangitis (PSC) on psychological wellbeing is not well-known. A recent scoping review by the authors found that both depression and anxiety frequently featured in the accounts of those living with the illness. However, less clear were the factors that led to such psychological distress, the impact that the illness had on families and how to best support those living or supporting someone living with the illness. In light of this, the aim of this study was to explore how the illness impacted the lives of both those diagnosed with the illness and those supporting them.
This study adopted a phenomenological approach to understand the subjective experiences of individual participants. A total of 30 individuals took part in Asynchronous Virtual Focus Groups hosted on a Virtual Learning Environment for a four-week period. Chronological narratives of individuals' lived experiences from diagnosis to post-transplant are presented below. These narratives centred upon individuals' and families' experiences of receiving a diagnosis, and adjusting to life post-diagnosis, particularly in regard to their relationships with health professionals and other family members, and in preparing for the possibility of transplant.
The present article provides an in-depth look at how PSC can impact psychological wellbeing, how psychological distress arises and includes advice tailored to individuals, families and health professionals on how to best support each other.
原发性硬化性胆管炎(PSC)患者的心理健康状况的影响尚不清楚。作者最近进行的一项范围综述发现,抑郁和焦虑在患有这种疾病的人的描述中经常出现。然而,导致这种心理困扰的因素、疾病对家庭的影响以及如何最好地支持那些患有这种疾病或支持患有这种疾病的人,这些方面还不太清楚。有鉴于此,本研究旨在探讨疾病如何影响诊断出患有这种疾病的人和支持他们的人的生活。
本研究采用现象学方法来理解个体参与者的主观体验。共有 30 人参加了在虚拟学习环境上进行的为期四周的异步虚拟焦点小组。下面呈现了从诊断到移植后个体生活经历的时间顺序叙述。这些叙述集中在个人和家庭接受诊断后的经历,以及适应诊断后的生活,特别是在与卫生专业人员和其他家庭成员的关系方面,以及为移植的可能性做准备。
本文深入探讨了 PSC 如何影响心理健康,心理困扰是如何产生的,并为个人、家庭和卫生专业人员提供了如何相互支持的建议。