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[心理干预对结直肠癌患者心理社会变量的影响:文献综述]

[Effect of psychological interventions on psychosocial variables in patients with colorectal cancer: a narrative review of the literature].

作者信息

Hernández-Marín Jazmín, Galindo-Vázquez Oscar, Calderillo-Ruíz Germán, Montero-Pardo Xolyanetzin, Costas-Muñiz Rosario, Ortega-Andeane Patricia

机构信息

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.

出版信息

Psicooncologia (Pozuelo de Alarcon). 2022 Oct 21;19(2):299-318. doi: 10.5209/psic.84042.

DOI:10.5209/psic.84042
PMID:38756183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11097673/
Abstract

OBJECTIVE

To describe the effects of psychological interventions on anxiety, depression, emotional distress and/or quality of life (QoL) of patients with colorectal cancer.

METHODS

Narrative literature review in MEDLINE, PsycINFO, CINAHL and Cochrane Library, 2011-2021.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/11097673/f31980076ae3/nihms-1971029-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/11097673/f31980076ae3/nihms-1971029-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/11097673/f31980076ae3/nihms-1971029-f0001.jpg

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本文引用的文献

1
Interventions to Improve Self-Efficacy in Colorectal Cancer Patients and/or Caregivers: A Systematic Review and Meta-Analysis.提高结直肠癌患者和/或护理人员自我效能的干预措施:一项系统评价和荟萃分析。
J Oncol. 2021 Oct 18;2021:4553613. doi: 10.1155/2021/4553613. eCollection 2021.
2
Reminiscence therapy exhibits alleviation of anxiety and improvement of life quality in postoperative gastric cancer patients: A randomized, controlled study.回忆疗法可缓解胃癌术后患者的焦虑并提高其生活质量:一项随机对照研究。
Medicine (Baltimore). 2021 Sep 3;100(35):e26821. doi: 10.1097/MD.0000000000026821.
3
Effect of Solution-Focused Therapy on Cancer-Related Fatigue in Patients With Colorectal Cancer Undergoing Chemotherapy: A Randomized Controlled Trial.
聚焦解决疗法对化疗的结直肠癌患者癌因性疲乏的影响:一项随机对照试验。
Cancer Nurs. 2022;45(3):E663-E673. doi: 10.1097/NCC.0000000000000994. Epub 2021 Aug 12.
4
The Feasibility and Acceptability of a Cognitive Behavioral Therapy-Based Intervention for Patients With Advanced Colorectal Cancer.基于认知行为疗法的干预措施对晚期结直肠癌患者的可行性和可接受性。
J Pain Symptom Manage. 2020 Dec;60(6):1200-1207. doi: 10.1016/j.jpainsymman.2020.06.016. Epub 2020 Jun 20.
5
Effect of Psychological Intervention on Quality of Life and Psychological Outcomes of Colorectal Cancer Patients.心理干预对结直肠癌患者生活质量和心理结局的影响。
Psychiatry. 2020 Spring;83(1):58-69. doi: 10.1080/00332747.2019.1672440. Epub 2019 Oct 15.
6
Health-Related Quality of Life in Older Adults with Colorectal Cancer.老年人结直肠癌患者的健康相关生活质量。
Curr Oncol Rep. 2019 Jul 29;21(9):81. doi: 10.1007/s11912-019-0830-2.
7
Psychosocial interventions for advanced cancer patients: A systematic review.晚期癌症患者的心理社会干预:系统评价。
Psychooncology. 2019 Jul;28(7):1394-1407. doi: 10.1002/pon.5103. Epub 2019 May 23.
8
Cognitive Behavioral Stress Management intervention in Mexican colorectal cancer patients: Pilot study.认知行为压力管理干预在墨西哥结直肠癌患者中的应用:一项初步研究。
Psychooncology. 2019 Jul;28(7):1445-1452. doi: 10.1002/pon.5094. Epub 2019 May 3.
9
Mental Health Disorders are More Common in Colorectal Cancer Survivors and Associated With Decreased Overall Survival.精神健康障碍在结直肠癌幸存者中更为常见,且与总体生存率降低相关。
Am J Clin Oncol. 2019 Apr;42(4):355-362. doi: 10.1097/COC.0000000000000529.
10
Pilot trial of a STOMA psychosocial intervention programme for colorectal cancer patients with stomas.直肠癌造口患者的 STOMA 心理社会干预方案的初步试验。
J Adv Nurs. 2019 Jun;75(6):1338-1346. doi: 10.1111/jan.13973. Epub 2019 Mar 21.