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[心理肿瘤学干预措施:何种类型的心理治疗创新?]

[Psycho-oncological interventions: What type of psychotherapeutic innovations?].

作者信息

Dolbeault Sylvie, Terrasson Johanna, Rault Aude, Malinowski David, Bisch Ambroise Meyer, Soulié Ophélie, Brédart Anne

机构信息

Institut Curie, PSL University, Supportive Care Department, Psycho-Oncology and Social Service, 26, rue d'Ulm, Paris, 75005 Paris cedex 05, France; University Paris-Sud, University Paris-Saclay, UVSQ, CESP, Inserm, 16, avenue Paul-Vaillant-Couturier, 94807 Villejuif cedex, France.

Institut Curie, PSL University, Supportive Care Department, Psycho-Oncology and Social Service, 26, rue d'Ulm, Paris, 75005 Paris cedex 05, France.

出版信息

Bull Cancer. 2022 May;109(5):548-556. doi: 10.1016/j.bulcan.2022.03.001. Epub 2022 May 5.

Abstract

Psycho-oncology is evolving in line with oncology progress and increasing complexity, but also with change in cancer care organization. Alongside the more traditional psycho-oncological interventions, such as the support or verbal psychotherapy of various inspirations (psychodynamic, integrative, systemic, existential) and body-mediated approaches, that allow the patient to be accompanied throughout his/her cancer care trajectory, psycho-oncology is now benefiting from the development of more structured interventions, often brief and targeted at a specific situation or symptom. This article reviews three of these new psychotherapeutic approaches, which are largely developed in the Anglo-Saxon world: the management of fear of recurrence by CBT third wave strategies, ACT therapy or, more recently, EMDR to answer to psychotraumatic situations. We describe here the principles, the main indications in oncology patients and the expected clinical benefits. It also presents tools such as Questionnaire Prompt Lists for optimizing the communication between patients and health professionals, which constitute a psychotherapeutic intervention by itself.

摘要

心理肿瘤学正随着肿瘤学的进展和复杂性的增加而不断发展,同时也随着癌症护理组织的变化而发展。除了更传统的心理肿瘤学干预措施,如各种不同理念(心理动力学、综合、系统、存在主义)的支持或言语心理治疗以及身体介导方法,这些方法能让患者在整个癌症护理过程中得到陪伴,心理肿瘤学现在正受益于更结构化干预措施的发展,这些措施通常简短且针对特定情况或症状。本文回顾了三种主要在盎格鲁 - 撒克逊世界发展起来的新型心理治疗方法:通过认知行为疗法(CBT)第三波策略、接纳与承诺疗法(ACT)或最近的眼动脱敏再处理疗法(EMDR)来管理对复发的恐惧,以应对心理创伤情况。我们在此描述这些方法的原理、在肿瘤患者中的主要适应症以及预期的临床益处。它还介绍了一些工具,如用于优化患者与医护人员之间沟通的问卷提示清单,这些清单本身就构成了一种心理治疗干预。

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