癌症成人临床相关苦恼轨迹的系统回顾:病程和预测因素。

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Leah Curran, Alison Mahoney, Bradley Hastings
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引用次数: 0

摘要

为了改善对经历临床相关痛苦的癌症患者的干预,了解痛苦如何随时间演变及其原因非常重要。本文综述了有关成年癌症患者痛苦轨迹的文献。我们在数据库中搜索了使用验证过的临床工具对患者进行痛苦轨迹分组的纵向研究。结果发现有 12 项研究报告了抑郁、焦虑、适应障碍或创伤后应激障碍的轨迹。研究之间的异质性很高,包括基线评估的时间和随访间隔。多达五分之一的人经历过持续的抑郁或焦虑。八项研究对轨迹的预测因素进行了研究;最一致的预测因素是身体症状或功能。由于研究方法和异质性,对于某些患者的痛苦为何会持续或出现,只能得出有限的结论。未来的研究应使用有效的临床测量方法,并评估理论上可用于干预的预测因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A Systematic Review of Trajectories of Clinically Relevant Distress Amongst Adults with Cancer: Course and Predictors.

A Systematic Review of Trajectories of Clinically Relevant Distress Amongst Adults with Cancer: Course and Predictors.

To improve interventions for people with cancer who experience clinically relevant distress, it is important to understand how distress evolves over time and why. This review synthesizes the literature on trajectories of distress in adult patients with cancer. Databases were searched for longitudinal studies using a validated clinical tool to group patients into distress trajectories. Twelve studies were identified reporting trajectories of depression, anxiety, adjustment disorder or post-traumatic stress disorder. Heterogeneity between studies was high, including the timing of baseline assessments and follow-up intervals. Up to 1 in 5 people experienced persistent depression or anxiety. Eight studies examined predictors of trajectories; the most consistent predictor was physical symptoms or functioning. Due to study methodology and heterogeneity, limited conclusions could be drawn about why distress is maintained or emerges for some patients. Future research should use valid clinical measures and assess theoretically driven predictors amendable to interventions.

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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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