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第三波认知行为疗法在癌症患者照顾者中的应用:范围综述。

Third-wave cognitive behavioral therapies for caregivers of cancer patients: a scoping review.

机构信息

College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, South Korea.

Graduate School, Yonsei University, Seoul, South Korea.

出版信息

BMC Complement Med Ther. 2023 Oct 11;23(1):360. doi: 10.1186/s12906-023-04186-3.


DOI:10.1186/s12906-023-04186-3
PMID:37821898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10566119/
Abstract

BACKGROUND: Cancer caregivers extend comprehensive support covering all aspects of patients' daily lives. It has been reported that a significant proportion of cancer caregivers experience emotional distress. As one way to solve this problem, third-wave cognitive behavioral therapies (CBT), which involves integrating acceptance and mindfulness into cognitive‒behavioral therapy, has been applied to improve caregiver outcomes. METHODS: A scoping review was conducted based on the scoping review guidelines proposed by the Jonna Briggs Institute (JBI). The population was caregivers of cancer patients, the concept was third-wave CBT, and the context remained open. English and Korean publications published from 2001 to June 2022 were identified from PubMed, Embase, CINAHL, PsycINFO, Cochrane, Korea Med, and RISS. RESULTS: A total of 12 studies were included in this scoping review. Mindfulness-Based Stress Reduction (MBSR) and Acceptance and Commitment Therapy (ACT) was the most frequently applied intervention (n = 3, each). Among the components of third-wave CBT, 'mindfulness' was identified in all the studies reviewed (n = 12). Dyadic interventions comprised the majority (n = 9). Interventions using digital technologies such as mobile application/web page (n = 3), telephone (n = 3), and FaceTime (n = 2) have increased since 2017. Depression was the most frequently evaluated outcome (n = 8), followed by anxiety and mindfulness (n = 6, each). CONCLUSIONS: The current review explored available third-wave CBT intervention studies for cancer caregivers and targeted outcomes. Most of the interventions were dyadic interventions and utilized mindfulness. Delivery methods were continuously updated with digital technologies. Further RCTs with robust research designs and a synthesis of the results of the trials would provide evidence about how to effectively apply third-wave CBTs for cancer caregivers.

摘要

背景:癌症护理人员提供全面的支持,涵盖患者日常生活的各个方面。据报道,相当一部分癌症护理人员存在情绪困扰。作为解决此问题的一种方法,将接纳和正念融入认知行为疗法的第三波认知行为疗法(CBT)已被应用于改善护理人员的结果。

方法:根据 Jonna Briggs 研究所(JBI)提出的范围综述指南进行了范围综述。研究人群为癌症患者的护理人员,概念为第三波 CBT,背景保持开放。从 PubMed、Embase、CINAHL、PsycINFO、Cochrane、Korea Med 和 RISS 中确定了 2001 年至 2022 年 6 月发表的英文和韩文出版物。

结果:这项范围综述共纳入了 12 项研究。正念减压(MBSR)和接纳与承诺疗法(ACT)是应用最广泛的干预措施(n=3,各)。在第三波 CBT 的组成部分中,所有综述研究(n=12)均确定了“正念”。双干预占大多数(n=9)。自 2017 年以来,使用移动应用程序/网页(n=3)、电话(n=3)和 FaceTime(n=2)等数字技术的干预措施有所增加。评估的结果中,抑郁最常见(n=8),其次是焦虑和正念(n=6,各)。

结论:本综述探讨了现有的针对癌症护理人员的第三波 CBT 干预研究及其目标结果。大多数干预措施是双干预,并且利用了正念。随着数字技术的不断更新,传递方法也在不断更新。进一步采用稳健的研究设计进行 RCT 并综合试验结果,将为如何有效应用第三波 CBT 提供证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1249/10566119/5cb60d800026/12906_2023_4186_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1249/10566119/43881951a10e/12906_2023_4186_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1249/10566119/5cb60d800026/12906_2023_4186_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1249/10566119/43881951a10e/12906_2023_4186_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1249/10566119/5cb60d800026/12906_2023_4186_Fig2_HTML.jpg

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[1]
Acceptance and commitment therapy for patient fatigue interference and caregiver burden in advanced gastrointestinal cancer: Results of a pilot randomized trial.

Palliat Med. 2022-7

[2]
Implementation of Cognitive Behavioral Therapy in e-Mental Health Apps: Literature Review.

J Med Internet Res. 2022-3-10

[3]
Managing Anxiety from Cancer (MAC): A pilot randomized controlled trial of an anxiety intervention for older adults with cancer and their caregivers.

Palliat Support Care. 2021-4

[4]
Web-based self-help intervention for partners of cancer patients based on acceptance and commitment therapy and self-compassion training: a randomized controlled trial with automated versus personal feedback.

Support Care Cancer. 2021-9

[5]
Pilot pragmatic randomized trial of mHealth mindfulness-based intervention for advanced cancer patients and their informal caregivers.

Psychooncology. 2024-2

[6]
Acceptance and commitment therapy for family caregivers: A systematic review and meta-analysis.

J Health Psychol. 2021-1

[7]
A Mindfulness-Based Intervention as a Supportive Care Strategy for Patients with Metastatic Non-Small Cell Lung Cancer and Their Spouses: Results of a Three-Arm Pilot Randomized Controlled Trial.

Oncologist. 2020-11

[8]
Online couples mindfulness-based intervention for young breast cancer survivors and their partners: A randomized-control trial.

J Psychosoc Oncol. 2020

[9]
Digital psychotherapy as an effective and timely treatment option for depression and anxiety disorders: Implications for rural and remote practice.

J Int Med Res. 2020-6

[10]
Mindfulness- and compassion-based interventions for family carers of older adults: A scoping review.

Int J Nurs Stud. 2021-4

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