Anderson Daniel, Jones Victoria
The Christie NHS Foundation Trust, Manchester, UK.
Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
BJPsych Bull. 2024 Apr;48(2):100-109. doi: 10.1192/bjb.2023.42.
This narrative review updates the evidence base for cancer-related post-traumatic stress disorder (PTSD). Databases were searched in December 2021, and included EMBASE, Medline, PsycINFO and PubMed. Adults diagnosed with cancer who had symptoms of PTSD were included.
The initial search identified 182 records, and 11 studies were included in the final review. Psychological interventions were varied, and cognitive-behavioural therapy and eye movement desensitisation and reprocessing were perceived to be most efficacious. The studies were also independently rated for methodological quality, which was found to be hugely variable.
There remains a lack of high-quality intervention studies for PTSD in cancer, and there is a wide range of approaches to managing these conditions, with a large heterogeneity in the cancer populations examined and methodologies used. Specific studies designed with patient and public engagement and that tailor the PTSD intervention to particular cancer populations under investigation are required.
本叙述性综述更新了癌症相关创伤后应激障碍(PTSD)的证据基础。于2021年12月检索了多个数据库,包括EMBASE、Medline、PsycINFO和PubMed。纳入了被诊断患有癌症且有PTSD症状的成年人。
初步检索识别出182条记录,最终综述纳入了11项研究。心理干预方法多样,认知行为疗法和眼动脱敏再处理疗法被认为最有效。这些研究还独立进行了方法学质量评分,发现差异很大。
癌症患者PTSD的高质量干预研究仍然缺乏,管理这些病症的方法多种多样,所研究的癌症人群和使用的方法存在很大异质性。需要开展专门针对患者和公众参与设计的研究,并针对特定的癌症人群调整PTSD干预措施。