Characteristics and Effectiveness of Individual Psychotherapy for Palliative and End-of-Life Care: A Literature Review for Randomized Controlled Trials

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-05-25 DOI:10.30773/pi.2023.0357

Kyungmin Kim, Jungmin Woo

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Abstract

Objective The introduction of psychotherapy in palliative and end-of-life care settings has become increasingly common and is effective in decreasing many psychological problems. This review reports the characteristics and effectiveness of individual psychotherapeutic interventions for patients receiving palliative and end-of-life care. In addition, the review reports the effectiveness of psychotherapies considering the expected life expectancy.Methods The PubMed, Google Scholar, and Cochrane Library databases were searched for English-language articles published between January 2000 to May 2023.Results Twenty-six studies were included and classified into a total of nine types of psychotherapies, namely, dignity therapy (DT), life review therapy, narrative therapy, managing cancer and living meaningfully (CALM), individual meaning-centered psychotherapy, meaning and purpose therapy, meaning-making therapy, meaning-of-life therapy, and cognitive therapy.Conclusion Most of the psychotherapies provided to patients receiving palliative and end-of-life care showed effectiveness in the reduction of negative emotions and positive factors related to end-of-life issues. Most studies targeted patients with advanced cancer; however, studies on DT did not limit the target group to patients with cancer. Considering the expected life expectancy, CALM was found to be suitable for patients receiving early palliative care.

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姑息治疗和临终关怀中个体心理治疗的特点和有效性：随机对照试验文献综述

目的在姑息关怀和临终关怀中引入心理疗法已变得越来越普遍，并能有效减少许多心理问题。本综述报告了针对接受姑息治疗和临终关怀患者的个别心理治疗干预措施的特点和有效性。方法在 PubMed、Google Scholar 和 Cochrane Library 数据库中检索 2000 年 1 月至 2023 年 5 月间发表的英文文章。结果共纳入26项研究，并将其分为9种心理疗法，即尊严疗法（DT）、生命回顾疗法、叙事疗法、管理癌症和有意义地生活（CALM）、以个人意义为中心的心理疗法、意义和目的疗法、意义塑造疗法、生命意义疗法和认知疗法。大多数研究以晚期癌症患者为目标群体；然而，有关 DT 的研究并未将目标群体局限于癌症患者。考虑到预期寿命，研究发现CALM适用于接受早期姑息治疗的患者。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.