>
网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
慢性疾病患者的心理压力与临床干预
作者:胡馨月 
单位:西南大学 心理学部, 重庆 400715
关键词:压力 慢性疾病 焦虑抑郁 压力管理 心身治疗 综述 
分类号:R749.4;R749.92;R73
出版年·卷·期(页码):2020·39·第五期(693-696)
摘要:

压力的产生与人体各个系统的疾病密切相关,疾病又给患者带来新的压力。压力引起的焦虑和抑郁在各类疾病患者中比较普遍,特别是慢性疾病患者和癌症患者,这些心理和精神障碍严重影响疾病的治疗和康复,降低患者的生活质量。而患者的压力管理和心身干预在我国仍处于萌芽阶段,尽管不少医院已经开展不同程度的心身治疗,但方法分散,缺乏临床研究证据支持,亟待规范化。本文作者综述了压力与心理及机体功能的相互关系,总结了临床上比较常用的压力管理和心身治疗方法,旨在为临床医务工作者开展各类疾病的心身干预和研究提供资料。

参考文献:

[1] BALI A,JAGGI A S.Clinical experimental stress studies:methods and assessment[J].Rev Neurosci,2015,26(5):555-579.
[2] ARAT S,DE COCK D,MOONS P,et al.Modifiable correlates of illness perceptions in adults with chronic somatic conditions:a systematic review[J].Res Nurs Health,2018,41(2):173-184.
[3] 苏彤,唐云翔,周荃,等.综合医院人群压力管理业务初探[J].解放军医院管理杂志,2018,25(6):546-549.
[4] 陈燕,余仙平.住院患者压力源分析及应对策略[J].卫生职业教育,2011,29(23):158.
[5] KIM-FUCHS C,LE C P,PIMENTEL M A,et al.Chronic stress accelerates pancreatic cancer growth and invasion:a critical role for beta-adrenergic signaling in the pancreatic microenvironment[J].Brain Behav Immun,2014,40:40-47.
[6] COHEN B E,EDMONDSON D,KRONISH I M.State of the art review:depression,stress,anxiety,and cardiovascular disease[J].Am J Hypertens,2015,28(11):1295-1302.
[7] REAVELL J,HOPKINSON M,CLARKESMITH D,et al.Effectiveness of cognitive behavioral therapy for depression and anxiety in patients with cardiovascular disease:a systematic review and meta-analysis[J].Psychosom Med,2018,80(8):742-753.
[8] DUNCAN M,MOSCHOPOULOU E,HERRINGTON E,et al.Review of systematic reviews of non-pharmacological interventions to improve quality of life in cancer survivors[J].BMJ Open,2017,7(11):1-21.
[9] REID L D,AVENS F E,WALF A A.Cognitive behavioral therapy (CBT) for preventing Alzheimer's disease[J].Behav Brain Res,2017,334:163-177.
[10] CHEN Y,ZENG Y.Correlation of depression and anxiety with social support and quality of life in patients with chronic wounds[J].Journal of Central South University (Medical Science Edition),2018,43(9):1032-1036.
[11] ARCHER J,BOWER P,GILBODY S,et al.Collaborative care for depression and anxiety problems[J].Cochrane Database Syst Rev,2012,10:1-8.
[12] SUTTON L,ERLEN J.Effects of mutual dyad support on quality of life in women with breast cancer[J].Cancer Nursing,2006,29(6):488-498.
[13] CARLSON L E,SPECA M,PATEL K D,et al.Mindfulness-based stress reduction in relation to quality of life,mood,symptoms of stress,and immune parameters in breast and prostate cancer outpatients[J].Psychosom Med,2003,65(4):571-581.
[14] SAEED S A,CUNNINGHAM K,BLOCH R M.Depression and anxiety disorders:benefits of exercise,yoga,and meditation[J].Am Fam Physician,2019,99(10):620-627.
[15] MANTZIOS M,GIANNOU K.A real-world application of short mindfulness-based practices:a review and reflection of the literature and a practical proposition for an effortless mindful lifestyle[J].Am J Lifestyle Med,2018,13(6):520-525.
[16] CHEN F T,HOPMAN R J,HUANG C J,et al.The Effect of exercise training on brain structure and function in older adults:a systematic review based on evidence from randomized control trials[J].J Clin Med,2020,9(4):1-23.
[17] World Health Organization.Global recommendations on physical activity for health,2010.http://apps.who.int/iris/bitstream/handle/10665/44399/9789241599979-eng.pdf
[18] MILLEN B E,ABRAMS S,ADAMS-CAMPBELL L,et al.The 2015 dietary guidelines advisory committee scientific report:development and major conclusions[J].Adv Nutr,2016,7(3):438-444.
[19] WAITE P J,RICHARDSON G E.Determining the efficacy of resiliency training in the work site[J].J Allied Health,2004, 33(3):178-183.
[20] BHASIN M K,DUSEK J A,CHANG B H,et al.Relaxation response induces temporal transcriptome changes in energy metabolism,insulin secretion and inflammatory pathways[J].PLoS One,2013,8(5):1-13.
[21] BRADSHAW B G,RICHARDSON G E,KUMPFER K,et al.Determining the efficacy of a resiliency training approach in adults with type 2 diabetes[J].Diabetes Educ,2007,33(4):650-659.
[22] SOOD A,PRASAD K,SCHROEDER D,et al.Stress management and resilience training among Department of Medicine faculty:a pilot randomized clinical trial[J].J Gen Intern Med,2011,26(8):858-861.
[23] SINGLETON O,HÖLZEL B K,VANGEL M,et al.Change in brainstem gray matter concentration following a mindfulness-based intervention is correlated with improvement in psychological well-being[J].Front Hum Neurosci,2014,8:1-7.
[24] CARMODY J,BAER R A.Relationships between mindfulness practice and levels of mindfulness,medical and psychological symptoms and well-being in a mindfulness-based stress reduction program[J].J Behav Med,2008,31(1):23-33.
[25] LORIG K R,SOBEL D S,RITTER P L,et al.Effect of a self-management program on patients with chronic disease[J].Eff Clin Pract,2001,4(6):256-262.
[26] LORIG K,SOBEL D S,STEWART A L,et al.Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization:a randomized trial[J].Med Care,1999,37(1):5-14.
[27] LORIG K R,RITTER P L,STEWART A L,et al.Chronic disease self-management program:2-year health status and health care utilization outcomes[J].Med Care,2001,39(11):1217-1223.
[28] 袁勇贵,黄河,张玲俐,等.平衡心理治疗与心身相关障碍[J].实用老年医学,2017(10):906-909.
[29] 张文瑄,袁勇贵.平衡心理治疗应用于1例青少年抑郁症患者的案例报告[J].医学与哲学,2018,39(10):67-69,81.
[30] PEÑATE W,FUMERO A.A meta-review of Internet computer-based psychological treatments for anxiety disorders[J].J Telemed Telecare,2016,22(1):3-11.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 418181 位访问者


copyright ©《东南大学学报(医学版)》编辑部
联系电话:025-83272481 83272483
电子邮件:
bjb@pub.seu.edu.cn

苏ICP备09058364