癌症确诊患者的功能性和功能性应对策略--从初步评估到治疗干预

IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Romanian Journal of Military Medicine Pub Date : 2024-01-05 DOI:10.55453/rjmm.2024.127.3.6
Octavian Vasiliu, A. Mangalagiu, B. Petrescu, C. Cândea, Cristina F. Pleșa, Roxana E. Bratu-Bizic, A. F. Făinărea, Mihaela C. Pătrașcu, Cristian Năstase, C. A. Sirbu
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引用次数: 0

摘要

对于心理健康专家来说,评估肿瘤患者的应对机制至关重要,因为他们必须针对这一弱势群体中可能出现的合并情绪障碍、焦虑障碍、适应障碍和其他精神疾病设计最合适的病例管理策略。对这些疾病进行适当的治疗,对于保持确诊癌症患者的心理健康状况、生活质量和整体功能非常重要。应对机制可调节对精神障碍的易感性,但也会对治疗的依从性产生影响,而依从性是与预后相关的一个重要因素。以评价为中心、以问题为中心、以情绪为中心和以职业为中心的应对方式代表了患者在面对生活压力(如可能造成重大后果的诊断)时所使用的最明确的策略。在这些患者身上还可以发现适应不良的应对策略,例如,退出现实,包括完全或部分否认疾病、药物滥用、行为成瘾、拒绝建议的治疗等。针对肿瘤患者的心理治疗方法应包括:对患者目前或过去在压力条件下使用的应对策略进行初步评估;评估患者拥有的所有社会心理资源(如支持小组、职业安置、业余爱好);筛查癌症诊断可能引发的情绪和焦虑障碍。因此,在心理治疗框架内,训练有素的专家可以加强适应性应对策略的作用,并强调功能失调应对策略的缺点。这一过程可能会对癌症患者的治疗依从性、心理健康状况和生活质量产生有利影响。
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Functional and Dysfunctional Coping Strategies in Patients Diagnosed with Cancer – From Initial Assessment to Therapeutic Interventions
The assessment of coping mechanisms in patients diagnosed with oncological diseases is essential for mental health specialists, who have to design the most appropriate case management strategy for comorbid mood disorders, anxiety disorders, adjustment disorders, and other psychiatric conditions that may be detected in this vulnerable population. The adequate treatment of these disorders is important for the preservation of mental health status, quality of life, and overall functionality in patients diagnosed with cancer. Coping mechanisms modulate the vulnerability toward psychiatric disorders, but they also have an impact on treatment adherence, which is an important factor correlating with prognosis. Appraisal-focused, problem-focused, emotion-focused, and occupation-focused coping represent the most well-defined strategies patients use when confronted with a stressful life situation, like a diagnosis with potentially vital consequences. Maladaptive coping strategies may also be identified in these patients, e.g., withdrawal from reality, including complete or partial denial of the disease, substance abuse, behavioral addictions, refusal of the recommended treatment, etc. The psychotherapeutic approach in patients with oncological diseases should include an initial evaluation of the coping strategies used either currently or in the past stressful conditions, an assessment of all the psychosocial resources the patients have (e.,g., support group, professional insertion, hobbies), and screening for mood and anxiety disorders that may have been triggered by the cancer diagnosis. Consequently, within the psychotherapeutic framework, a trained specialist can enhance the role of adaptive coping strategies and highlight the disadvantages of dysfunctional ones. This process may possess a favorable impact on treatment adherence, mental health status, and quality of life in patients with cancer.
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来源期刊
Romanian Journal of Military Medicine
Romanian Journal of Military Medicine MEDICINE, GENERAL & INTERNAL-
自引率
33.30%
发文量
2
审稿时长
12 weeks
期刊最新文献
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