针对乳腺癌夫妇面临的性心理挑战:夫妻团体心理治疗有帮助吗?

Journal of Womens Health Care Pub Date : 2014-11-01 Epub Date: 2014-11-17 DOI:10.4172/2167-0420.1000205
Luciana Lagana, Patricia Fobair, David Spiegel
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引用次数: 6

摘要

乳腺癌幸存者及其亲密伴侣的性心理康复的必要性被这一患者群体所遇到的多重性心理困难的高患病率所强调。对健康、性行为和情绪困扰的担忧在乳腺癌女性中很常见,通常与癌症治疗的副作用有关。此外,亲密关系问题和伴侣痛苦都可能影响患者的性心理健康。为了实施有效的性心理康复干预,需要对这些复杂的临床问题有更清晰的认识。在这篇文章中,我们扩展了人工操作和经验验证的支持表达团体治疗(SEGT)模型的使用,以针对患有乳腺癌(以及其他类型)癌症的夫妇的特定性心理需求。鉴于该领域的相关文献,并基于我们对不同患者群体使用这种群体治疗模式的临床经验,我们讨论了参与肿瘤患者性心理治疗的临床医生如何在夫妻群体治疗形式中应用这种模式。
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Targeting the Psychosexual Challenges Faced by Couples with Breast Cancer: Can Couples Group Psychotherapy Help?

The need for the psychosexual rehabilitation of breast cancer survivors and their intimate partners is underscored by the high prevalence of multiple psychosexual difficulties encountered by this patient population. Concerns about health, sexuality, and emotional distress are common among women with breast cancer and are often related to the side effects of cancer treatment. Additionally, both intimate relationship problems and partners' distress are likely to influence patients' psychosexual health. A clearer understanding of these complex clinical issues is needed in order to implement effective psychosexual rehabilitation interventions. In this article, we extended the use of the manualized and empirically validated Supportive-Expressive Group Therapy (SEGT) model to target the specific psychosexual needs of couples with breast (as well as other types of) cancer. In view of the pertinent literature in this area and based on our clinical experience utilizing this group therapy model with different patient populations, we have discussed how clinicians involved in the psychosexual care of oncology patients could apply such a model within a couples group therapy format.

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