关键词: Malignant mesothelioma cancer caregivers interventions psychotherapy

来  源:   DOI:10.1016/j.jpainsymman.2024.07.004

Abstract:
Malignant Mesothelioma (MM) has a striking impact on the somatopsychic balance of patients and their families, including physical, psychological, and interpersonal problems. The aim of this systematic literature review was to investigate what psychological interventions are offered to patients with MM and their caregivers worldwide.
METHODS: The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The literature search led to the identification of 12 articles. Results were categorized into five categories. 1. Individual psychological support, 2. Group psychological support, 3. Cognitive-behavioral group psychotherapy, 4. Brief psychoanalytic groups, 5. Multifamily group.
RESULTS: The interventions differed in terms of form, duration and resources used. Most of them were group-based and psychoanalytically oriented, although individual and cognitive-behavioral interventions were also described. Despite the differences, the interventions appeared to be fundamental in facilitating the processing of mental pain and anger related to the diagnosis.
CONCLUSIONS: Our study has shown that there are still few psychological interventions available for MM patients and their caregivers. The somatopsychic consequences of MM in patients and caregivers should encourage institutions and healthcare professionals to develop assessment and intervention models that address the different dimensions of their suffering and promote their residual vitality.
摘要:
目的:恶性间皮瘤(MM)对患者及其家庭的躯体心理平衡有显著影响,包括身体,心理,和人际关系问题。本系统文献综述的目的是调查在全球范围内为MM患者及其护理人员提供哪些心理干预措施。
方法:使用系统评价和荟萃分析的首选报告项目进行综述。通过文献检索,确定了12篇文章。结果分为五类。1.个人心理支持,2.团体心理支持,3.认知行为团体心理治疗,4.简短的精神分析小组,5.多家庭组。
结果:干预措施在形式上有所不同,使用的持续时间和资源。他们中的大多数是基于群体和精神分析的,虽然也描述了个体和认知行为干预。尽管存在差异,干预措施似乎是促进处理与诊断相关的精神痛苦和愤怒的基础。
结论:我们的研究表明,对MM患者及其照顾者的心理干预措施仍然很少。MM在患者和护理人员中的躯体化后果应鼓励机构和医疗保健专业人员开发评估和干预模型,以解决其痛苦的不同方面并促进其剩余活力。
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