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同伴支持干预在治疗癌症患者抑郁症状中的潜在作用。

The Potential Role of Peer Support Interventions in Treating Depressive Symptoms in Cancer Patients.

机构信息

Department of Medical Psychology, Nippon Medical School.

Division of Patient Safety, Keio University School of Medicine.

出版信息

J Nippon Med Sch. 2022 Mar 11;89(1):16-23. doi: 10.1272/jnms.JNMS.2022_89-117. Epub 2021 Nov 26.

Abstract

Depressive symptoms are prevalent in cancer patients and are one of the most distressing symptoms in this population. Although mental health professionals such as psychiatrists and psychologists are now engaged in cancer care, the management of depressive symptoms in cancer patients needs further improvement. Peer support interventions (PSIs) in cancer care have attracted substantial attention and have several advantages over support by medical professionals, potentially improving depressive symptoms in cancer patients. However, there may be some potential risks. Several strategies using PSIs have been developed to improve depressive symptoms and have been evaluated in randomized controlled trials. The strategies include education on stress management skills, promoting emotional support, counseling on specific topics that are difficult to discuss with others, helping patients navigate the use of resources, and promoting health-related behaviors to decrease depressive symptoms. In this paper, we present recent findings on PSIs in cancer, focusing on randomized controlled trials.

摘要

抑郁症状在癌症患者中普遍存在,是这一人群中最令人痛苦的症状之一。尽管精神科医生和心理学家等心理健康专业人员现在已经参与到癌症护理中,但癌症患者抑郁症状的管理仍需要进一步改善。在癌症护理中,同伴支持干预(PSIs)引起了广泛关注,并且相对于专业医疗人员的支持具有多个优势,可能会改善癌症患者的抑郁症状。然而,可能存在一些潜在风险。已经开发了几种使用 PSIs 的策略来改善抑郁症状,并在随机对照试验中进行了评估。这些策略包括:压力管理技能教育、促进情感支持、针对难以与他人讨论的特定话题的咨询、帮助患者利用资源、以及促进健康相关行为以减少抑郁症状。在本文中,我们重点介绍了随机对照试验中关于癌症中 PSIs 的最新研究结果。

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