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[心理肿瘤学干预措施——批判性综述]

[Psycho-oncologic interventions--critical review].

作者信息

Larbig W

机构信息

Institut fü Medizinische Psychologie und Verhaltensneurobiologie der Universität Tübingen.

出版信息

Psychother Psychosom Med Psychol. 1998 Sep-Oct;48(9-10):381-9.

PMID:9785968
Abstract

Following information on diagnosis, therapy and prognosis, supportive psycho-oncological interventions may be performed. General targets of psychological intervention are to help coping with disease problems and family-related problems and to reduce symptoms related to disease and therapy such as pain, anticipatory nausea and vomiting, stress, anxiety, depression and feeling of helplessness. A number of different kinds of controlled interventions may contribute significantly to both psychological and physical health outcomes in cancer patients. This review confirms the efficacy of education, individual psychotherapy, group interventions and behavioural training in reducing disease- related and therapy-related symptoms, depression and anxiety, thus improving psychological functioning and the quality of life. The multidimensional evaluation of psychooncological interventions including immunological parameters, the question of differential indication of psychological interventions in cancer patients' and the influence of psychological predictors on the course of different cancer diseases and survival rates are significant aspects that merit further research.

摘要

在提供有关诊断、治疗和预后的信息之后,可以实施支持性心理肿瘤干预措施。心理干预的总体目标是帮助应对疾病问题和家庭相关问题,并减轻与疾病和治疗相关的症状,如疼痛、预期性恶心和呕吐、压力、焦虑、抑郁和无助感。一些不同类型的对照干预措施可能对癌症患者的心理和身体健康结果有显著贡献。本综述证实了教育、个体心理治疗、团体干预和行为训练在减轻与疾病和治疗相关的症状、抑郁和焦虑方面的有效性,从而改善心理功能和生活质量。心理肿瘤干预措施的多维评估,包括免疫参数、癌症患者心理干预的差异适应症问题以及心理预测因素对不同癌症病程和生存率的影响,是值得进一步研究的重要方面。

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