A Review of Psychosocial Interventions in Patients with Advanced Cancer in Latin America and the Value of CALM Therapy in This Setting

P. Troncoso, A. Rydall, S. Hales, G. Rodin
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引用次数: 1

Abstract

Background: Advanced cancer is associated with multiple profound and practical challenges, including physical suffering and support needs. Depressive symptoms and other manifestations of distress are common in this population. At present, little professional support is available to help to alleviate the psychological distress of patients and families living with the burden of advanced cancer. Effective interventions and their integration into local health systems are needed to meet this challenge. Managing Cancer and Living Meaningfully (CALM), a brief psychotherapy intervention for patients with advanced cancer. Research conducted in Canada has demonstrated its feasibility, acceptability and effectiveness in reducing and preventing depressive symptoms, in managing distress related to death and dying, and in preparing for the end of life. Research is needed to demonstrate the feasibility and acceptability of CALM in Latin America, a developing region comprised of 35 different low- and middle-income countries in South and Central America, where more than one million people are presently in need of end-of-life care. Aim: Review evidence for psychosocial oncology interventions in Latin America and the potential applicability and implementation of CALM therapy in patients with advanced Cancer in this setting. Methods: We used an iterative search process to locate information about psychological interventions for patients with advanced cancer in South/Central/Latin America. Multiple searches were performed in Medline, Google Scholar, National Guidelines Clearinghouse, Trip Database, Redalyc, Scielo, and Latindex for terminology describing cancer, end-of-life, psychology, and psychological interventions. In the larger resources, we added either limits or search terms for Latin America. Results: The literature identified describes psychological interventions for patients with cancer, including psychoeducation, support therapies, group therapies, cognitive behavior therapy, spirituality and hypnosis. However, very few of these interventions were specifically designed for patients with advanced cancer. The majority of articles describe psychological/ psychotherapeutic interventions being implemented in Europe, North America, and Australian settings and we could identify only two papers describing psychological interventions being applied in an advanced cancer setting in Latin America. Conclusion: The availability and practice of psychological interventions in advanced cancer in Latin America are scarce. However, interest in applying such interventions appears to be growing. The application of the CALM intervention in multiple cultures and international settings suggests that it may be feasible and acceptable and effective in Latin America. Research is needed to demonstrate this and to support advocacy for its implementation in this region.
拉丁美洲晚期癌症患者的社会心理干预及CALM治疗的价值综述
背景:晚期癌症与多种深刻和实际的挑战相关,包括身体痛苦和支持需求。抑郁症状和其他痛苦的表现在这一人群中很常见。目前,几乎没有专业的支持来帮助减轻晚期癌症患者和家庭的心理困扰。应对这一挑战需要有效的干预措施并将其纳入地方卫生系统。管理癌症和有意义的生活(CALM)是一项针对晚期癌症患者的简短心理治疗干预。在加拿大进行的研究表明,它在减少和预防抑郁症状、处理与死亡和临终有关的痛苦以及为生命的结束做准备方面具有可行性、可接受性和有效性。需要进行研究以证明CALM在拉丁美洲的可行性和可接受性。拉丁美洲是一个发展中地区,由南美洲和中美洲35个不同的低收入和中等收入国家组成,目前有100多万人需要临终关怀。目的:回顾拉丁美洲社会心理肿瘤干预措施的证据,以及在这种情况下,CALM治疗在晚期癌症患者中的潜在适用性和实施情况。方法:我们使用迭代搜索过程来定位南美/中美洲/拉丁美洲晚期癌症患者的心理干预信息。在Medline、谷歌Scholar、National Guidelines Clearinghouse、Trip Database、Redalyc、Scielo和Latindex中进行了多次搜索,以获取描述癌症、临终关怀、心理学和心理干预的术语。在较大的资源中,我们添加了拉丁美洲的限制或搜索条件。结果:文献描述了癌症患者的心理干预措施,包括心理教育、支持治疗、团体治疗、认知行为治疗、精神治疗和催眠。然而,这些干预措施中很少是专门为晚期癌症患者设计的。大多数文章描述了在欧洲、北美和澳大利亚实施的心理/心理治疗干预措施,我们只能确定两篇论文描述了在拉丁美洲晚期癌症环境中应用的心理干预措施。结论:心理干预在拉丁美洲晚期癌症的可得性和实践是稀缺的。然而,对应用这种干预措施的兴趣似乎越来越大。CALM干预在多种文化和国际环境中的应用表明,它在拉丁美洲可能是可行的、可接受的和有效的。需要进行研究来证明这一点,并支持在该区域实施这一计划的宣传。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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