晚期癌症患者的谈话控制治疗：对治疗会话的定性分析
Talking control sessions in people with advanced cancer: a qualitative analysis of sessions.
机构信息
Division of Psychiatry, University College London, 149 Tottenham Court RD, London, W1T 7NF, UK.
Primary Care and Population Health, University College London, Royal Free Campus, Rowland Hill St, London, NW3 2PF, UK.
出版信息
BMC Psychol. 2022 May 20;10(1):126. doi: 10.1186/s40359-022-00837-1.
BACKGROUND
Talking control (TC) was developed to control for the common factors in therapy so that the specific effects of therapy can be tested. A TC was recently used in a pilot study of Acceptance and Commitment therapy for dysfunction in people with advanced cancer. This work explores the audio recording of the sessions in a TC to explore how they were utilised by people with advanced cancer.
METHODS
This is a qualitative study nested in larger feasibility randomised control trial. The trial participants were recruited from three London hospices. The study examined data for 5 participants who received weekly sessions of a TC. Fifteen sessions, three per participant, were transcribed and analysed using a thematic approach.
RESULTS
Individuals with advanced cancer used TC sessions as a safe place in which they could express their feelings-from smaller daily concerns to deeper-rooted difficulties. Many participants also engaged in emotional and cognitive avoidance regarding some topics, particularly those pertaining to their cancer. The TC sessions were also used as an opportunity to focus on the more positive aspects of their lives. Lastly, they served to reflect on ways to overcome difficulties.
CONCLUSIONS
This study suggests the TC can have beneficial, albeit varying uses for people with advanced cancer, that may even be considered therapeutic.
背景
谈话控制（TC）是为了控制治疗中的共同因素而开发的，以便能够测试治疗的特定效果。最近，在一项接受与承诺疗法治疗晚期癌症患者功能障碍的试点研究中使用了 TC。这项工作探讨了 TC 会议的音频记录，以探索晚期癌症患者如何利用它们。
方法
这是一项嵌套在更大的可行性随机对照试验中的定性研究。试验参与者从伦敦的三个临终关怀医院招募。该研究检查了接受每周 TC 治疗的 5 名参与者的数据。对每个参与者的 15 次会话，每次 3 次，进行了转录和主题分析。
结果
晚期癌症患者将 TC 会议用作表达情感的安全场所，这些情感包括从较小的日常问题到更深层次的困难。许多参与者也在一些话题上回避情绪和认知，特别是与他们的癌症有关的话题。TC 会议也是关注生活中更积极方面的机会。最后，它们有助于思考克服困难的方法。
结论
这项研究表明，TC 对晚期癌症患者可能有有益的、不同的用途，甚至可以被认为是一种治疗方法。
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