是时候摒弃精神疾病诊断与统计手册（DSM）在心理肿瘤学中的应用了吗？
Is it time to discard the Diagnostic and Statistical Manual of Mental Disorders (DSM) in psycho-oncology?
机构信息
Human Performance Research Centre, INSIGHT Research Institute, Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia; Department of Mental Health, St. Vincent's Hospital Melbourne, Fitzroy, VIC, Australia; Department of Psychiatry, Melbourne Medical School, Dentistry and Health Sciences, University of Melbourne, Parkville, VIC, Australia; School of Population Health, Faculty of Health Sciences, Curtin University, Bentley, WA, Australia.
Department of Psychiatry & Behavioral Health, Stony Brook University, Stony Brook, NY, USA.
出版信息
Cancer Lett. 2024 May 1;589:216818. doi: 10.1016/j.canlet.2024.216818. Epub 2024 Mar 28.
The conceptual basis of psychopathology within cancer survivorship is critical, as the chosen conceptualisation informs assessment and explanatory models, as well as interventions and supportive care approaches. The validity of a chosen conceptualisation of psychopathology is therefore paramount for ensuring cancer survivors receive high-quality and efficacious care and support that can be iteratively improved via coordinated research efforts. In this paper, we discuss the traditional diagnostic approach to conceptualising psychopathology within cancer care, including the diagnostic system the 'Diagnostic and Statistical Manual of Mental Disorders' (DSM) [1], and the significant issues it presents within cancer survivorship. We detail and discuss how an alternate conceptualisation of psychopathology may enhance both research and practice within psycho-oncology. We ultimately pose, and provide our perspective, on the question "Is it Time to Discard the DSM in Psycho-Oncology?"
在癌症生存者的精神病理学中，概念基础至关重要，因为所选择的概念化会影响评估和解释模型，以及干预和支持性护理方法。因此，所选择的精神病理学概念化的有效性对于确保癌症幸存者获得高质量和有效的护理和支持至关重要，通过协调的研究努力，可以不断改进这些护理和支持。在本文中，我们讨论了癌症护理中概念化精神病理学的传统诊断方法，包括“精神障碍诊断与统计手册”（DSM）[1]的诊断系统，以及它在癌症生存者中存在的重大问题。我们详细讨论了如何通过另一种精神病理学概念化来增强心理肿瘤学的研究和实践。我们最终提出并提供了我们的观点，即“在心理肿瘤学中是否是时候摒弃 DSM 了？”这个问题。
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