Insalaco Milena E, Clark Viktor, Ramos-Santiago Jeffrey, Mohamed Zeinab A, Awad Hala, Mullins Megan A, Nagle Lelaina G, Kamen Charles
School of Medicine and Dentistry, Department of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, NY, USA.
Peter O'Donnell Jr. School of Public Health, Department of Health Economics, Systems, and Policy, UT Southwestern Medical Center, Dallas, TX, USA.
Curr Treat Options Oncol. 2025 Aug 12. doi: 10.1007/s11864-025-01344-2.
Dyadic interventions are uniquely positioned not only to improve psychosocial outcomes for those with cancer, but also to improve caregiver and relationship outcomes. Although dyadic interventions have demonstrated efficacy in reducing distress and improving quality of life among individuals with cancer and caregivers in the general population, their applicability to minoritized populations, such as LGBTQ + individuals, remains understudied. Adapting dyadic interventions may be particularly important for LGBTQ+ cancer survivors and their caregivers given that they face higher rates of psychological distress than their heterosexual and cisgender counterparts. In the absence of interventions created for LGBTQ+ dyads facing cancer, we rely on adjacent literature: studies focused on dyadic interventions for a broader population of those affected by cancer, as well as those addressing LGBTQ+ individuals outside the context of cancer. Together, this literature illustrates an opportunity to address the psychological distress faced by LGBTQ+ individuals through dyadic approaches. Given the identified gap in the literature, however, there is a need for new research to explore how dyadic interventions can improve psychological well-being among LGBTQ+ people facing cancer.
二元干预不仅在改善癌症患者的心理社会结局方面具有独特优势，而且在改善照料者及关系结局方面也具有独特优势。尽管二元干预已证明在减轻普通人群中癌症患者及其照料者的痛苦、改善其生活质量方面有效，但其对少数群体，如 LGBTQ+ 个体的适用性仍研究不足。鉴于 LGBTQ+ 癌症幸存者及其照料者面临的心理痛苦发生率高于异性恋和顺性别者，调整二元干预对他们可能尤为重要。在缺乏针对面临癌症的 LGBTQ+ 二元组的干预措施的情况下，我们依赖相关文献：针对受癌症影响的更广泛人群的二元干预研究，以及针对非癌症背景下的 LGBTQ+ 个体的研究。这些文献共同表明，有机会通过二元方法解决 LGBTQ+ 个体面临的心理痛苦。然而，鉴于文献中已发现的差距，需要开展新的研究来探索二元干预如何改善面临癌症的 LGBTQ+ 人群的心理健康。
