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疫情期间的癌症:针对青年群体的心理社会远程医疗干预

Cancer during a pandemic: A psychosocial telehealth intervention for young adults.

机构信息

Atrium Health Wake Forest Baptist, NC.

Atrium Health Wake Forest Baptist, NC.

出版信息

Curr Probl Cancer. 2022 Aug;46(4):100865. doi: 10.1016/j.currproblcancer.2022.100865. Epub 2022 May 14.

DOI:10.1016/j.currproblcancer.2022.100865
PMID:35687967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9106397/
Abstract

The SARS-II COVID-19 pandemic has posed pronounced global health threats and prompted assorted transformations in societal engagement and clinical service delivery. For cancer survivors, many of whom are immune-compromised, these pandemic-related health threats pose greater challenges, warranting extra precautions within everyday living. Young adult (YA) cancer survivors already confront many unique physical and emotional challenges specific to their demographic. Already comfortable with assorted technologies, the pandemic presented an opportunity to provide telehealth intervention that targeted social isolation and distress in an effort to facilitate healthy coping. Within this context, we created an 8-week telehealth intervention for YAs (age 18-39) comprised of 60-minute sessions with interventions derived from Acceptance and Commitment Therapy and Meaning-Centered Psychotherapy. Participants reported a reduction in anxious preoccupation, helplessness/hopelessness, and psychological inflexibility and provided rich qualitative feedback on their experiences. Findings contribute new insight for an underinvestigated population navigating the dual health threats of cancer and COVID-19, provide practice recommendations with attention to the value of qualitative data capturing in group settings, and underscore participants' preference for flexible group structure and age-related connections.

摘要

SARS-II COVID-19 大流行对全球健康构成了明显的威胁,并促使社会参与和临床服务提供发生了各种转变。对于许多免疫功能低下的癌症幸存者来说,这些与大流行相关的健康威胁带来了更大的挑战,需要在日常生活中采取额外的预防措施。年轻的成年癌症幸存者已经面临着许多与他们的人口统计学相关的独特的身体和情感挑战。他们已经习惯了各种技术,大流行提供了一个提供远程医疗干预的机会,旨在针对社交孤立和困扰,以促进健康应对。在这种情况下,我们为年龄在 18-39 岁之间的年轻人(YA)创建了一个为期 8 周的远程医疗干预措施,其中包括 60 分钟的干预措施,这些干预措施来自接受和承诺疗法和以意义为中心的心理疗法。参与者报告说,他们的焦虑困扰、无助/绝望和心理不灵活性有所减少,并对他们的经历提供了丰富的定性反馈。研究结果为正在应对癌症和 COVID-19 双重健康威胁的研究不足的人群提供了新的见解,提供了关注群体设置中定性数据捕捉价值的实践建议,并强调了参与者对灵活的小组结构和与年龄相关的联系的偏好。

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本文引用的文献

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