Twillman R K, Manetto C
University of Kansas Cancer Center, Department of Psychiatry and Behavioral Sciences, University of Kansas School of Medicine, Kansas City, USA.
Psychooncology. 1998 Jul-Aug;7(4):285-90. doi: 10.1002/(SICI)1099-1611(199807/08)7:4<285::AID-PON362>3.0.CO;2-G.
Over the past 30 years, numerous studies have compared the relative effectiveness of psychotherapy, pharmacotherapy, and concurrent therapeutic approaches in treatment of common psychiatric disorders, such as depression and anxiety. Generally, these studies have demonstrated that the combined approach is somewhat more effective in treating the disorder in question, as well as in preventing relapse. A number of theories regarding the reasons for this finding have been proposed. The application of this therapeutic approach to the specific population of cancer patients has not been studied in systematic research. This paper briefly reviews the studies comparing the efficacies of various treatment approaches for depression, discusses reasons for the efficacy of such an approach, and outlines a series of reasons why this may be the preferred model for intervening with cancer patients.
在过去30年里,众多研究比较了心理治疗、药物治疗以及同时采用这两种治疗方法在治疗常见精神疾病(如抑郁症和焦虑症)方面的相对有效性。总体而言,这些研究表明,综合治疗方法在治疗相关疾病以及预防复发方面更为有效。针对这一研究结果的原因,人们提出了多种理论。然而,尚未有系统研究将这种治疗方法应用于癌症患者这一特定群体。本文简要回顾了比较各种抑郁症治疗方法疗效的研究,讨论了该方法有效的原因,并概述了一系列理由,说明为何这种方法可能是干预癌症患者的首选模式。