Asunto(s)
Infecciones por Coronavirus/epidemiología , Neoplasias/diagnóstico , Neumonía Viral/epidemiología , Atención Primaria de Salud , Betacoronavirus , COVID-19 , Detección Precoz del Cáncer/estadística & datos numéricos , Humanos , Programas Nacionales de Salud/normas , Neoplasias/psicología , Neoplasias/terapia , Pandemias , Rol del Médico , Atención Primaria de Salud/normas , Atención Primaria de Salud/tendencias , Consulta Remota/tendencias , SARS-CoV-2 , Reino Unido/epidemiologíaRESUMEN
OBJECTIVES: Intrusive memories have been identified in cancer patients and associated with psychological distress and maladaptive adjustment. Imagery rescripting is a psychological therapy that has proved successful for reducing the impact and distress associated with intrusive memories in various populations (e.g. depression). This paper describes the first application of this technique for a cancer patient reporting intrusive memories. DESIGN: A single-case design was used to assess the stand-alone therapy. RESULTS: Imagery rescripting was associated with significant reductions in the adverse impact of intrusive memories and psychological distress and these effects remained at 3- and 6-month follow-up. CONCLUSIONS: Imagery rescripting shows promise for utility in medical patients experiencing intrusive memories.
Asunto(s)
Imágenes en Psicoterapia/métodos , Trastornos Mentales/psicología , Trastornos Mentales/terapia , Mieloma Múltiple/psicología , Adaptación Psicológica , Agresión/psicología , Trastornos de Ansiedad/etiología , Trastornos de Ansiedad/psicología , Trastornos de Ansiedad/terapia , Trastorno Depresivo/etiología , Trastorno Depresivo/psicología , Trastorno Depresivo/terapia , Estudios de Seguimiento , Humanos , Masculino , Memoria , Trastornos Mentales/etiología , Persona de Mediana Edad , Mieloma Múltiple/complicaciones , Escalas de Valoración Psiquiátrica , Estrés Psicológico/etiología , Estrés Psicológico/psicología , Estrés Psicológico/terapia , Resultado del TratamientoRESUMEN
OBJECTIVE: The study aimed to provide information on intrusive cognitions reported by cancer patients and to investigate for the first time whether intrusive imagery is a factor in psychological morbidity. METHODS: Matched samples of anxious (n=65) and nonanxious (n=65) patients were assessed for evidence of intrusive cognitions, including memories, images, and thoughts. Patients also completed the Mini-Mental Adjustment to Cancer Scale. RESULTS: Twenty-three percent of patients reported intrusive cognitions. Cognitions were frequent, uncontrollable, and associated with significant distress. Anxious patients reported significantly more of each intrusion type than nonanxious patients, and the presence of intrusive cognitions was significantly associated with maladaptive adjustment, including anxious preoccupation and helplessness-hopelessness. CONCLUSION: Intrusive cognitions play a significant role in anxiety and adaptation to the experience of cancer. Advancing knowledge in relation to the phenomenology of intrusions and to the manner in which intrusions can be targeted with psychological treatments is an important next stage of research.