Hernández-Marín Jazmín, Galindo-Vázquez Oscar, Calderillo-Ruíz Germán, Montero-Pardo Xolyanetzin, Costas-Muñiz Rosario, Ortega-Andeane Patricia
Jazmín Hernández-Marín. Facultad de Psicología. Universidad Nacional Autónoma de México. Ciudad de México, México.
Oscar Galindo-Vázquez. Servicio de Psicooncología, Unidad para la Investigación y Desarrollo de la Psicooncología, Instituto Nacional de Cancerología. INCan. Ciudad de México.
Psicooncologia (Pozuelo de Alarcon). 2022 Oct 21;19(2):299-318. doi: 10.5209/psic.84042.
To describe the effects of psychological interventions on anxiety, depression, emotional distress and/or quality of life (QoL) of patients with colorectal cancer.
Narrative literature review in MEDLINE, PsycINFO, CINAHL and Cochrane Library, 2011-2021.
A total of 553 articles were obtained, of which twelve were included. Most were brief, individual, face-to-face interventions. Cognitive Behavioral Therapy was the most reported intervention, showing positive effects on QoL, specifically in stoma patients; Acceptance and Commitment Therapy and solution-focused therapy also identified improvements in QoL. Reminiscence therapy and a self-efficacy intervention reported significant improvements in anxiety and depression. Relaxation and writing training were not proven effective; psychoeducation showed inconsistent effects.
There is a paucity of studies conducted during the last years, which do not evidence a consensus of the therapeutic model that produces consistent improvements in psychological well-being.
描述心理干预对结直肠癌患者焦虑、抑郁、情绪困扰和/或生活质量(QoL)的影响。
2011年至2021年在医学期刊数据库(MEDLINE)、心理学文摘数据库(PsycINFO)、护理学与健康领域数据库(CINAHL)和考克兰图书馆进行叙述性文献综述。
共获得553篇文章,其中纳入12篇。大多数是简短的、个体化的面对面干预。认知行为疗法是报道最多的干预措施,对生活质量有积极影响,特别是对造口患者;接纳与承诺疗法和聚焦解决疗法也发现生活质量有所改善。回忆疗法和自我效能干预报告称焦虑和抑郁有显著改善。放松训练和写作训练未被证明有效;心理教育的效果不一致。
过去几年进行的研究较少,没有证据表明哪种治疗模式能在心理健康方面持续产生一致的改善效果并达成共识。