Farrington A
Eur J Cancer Care (Engl). 1994 Dec;3(4):175-80. doi: 10.1111/j.1365-2354.1994.tb00040.x.
Cancer and its treatment is known to have a substantial psychological morbidity and, while adjuvant psychological therapy (APT) is well established, relatively little work has been done to investigate the effectiveness of psychotherapy, particularly cognitive behaviour therapy (CBT), for patients with cancer. This article focuses initially on emotional responses to the diagnosis of cancer, individual vulnerability and the prevalence of psychological problems in patients with cancer. The use of cognitive behaviour therapy is then described, together with key issues in its application and specific problems. The work concludes by considering differences in applying CBT to patients with cancer compared to patients with other physical illnesses and the notion of 'relapse inoculation'.
众所周知,癌症及其治疗会导致严重的心理疾病,虽然辅助心理治疗(APT)已得到广泛认可,但针对癌症患者的心理治疗,尤其是认知行为疗法(CBT)的有效性研究相对较少。本文首先关注对癌症诊断的情绪反应、个体易感性以及癌症患者心理问题的普遍性。接着描述了认知行为疗法的使用,及其应用中的关键问题和具体问题。文章最后探讨了将CBT应用于癌症患者与其他躯体疾病患者的差异,以及“复发预防”的概念。