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首页> 外文期刊>Health and social work >Rethinking family caregiving: tailoring cognitive-behavioral therapies to the hospice experience.
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Rethinking family caregiving: tailoring cognitive-behavioral therapies to the hospice experience.

机译：重新考虑家庭护理：根据临终关怀的经验量身定制认知行为疗法。

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Hospice family caregivers experience significantly higher rates of psychological distress than demographically similar noncaregivers. Interventions based on cognitive-behavioral therapy have been shown to reduce psychological distress in the general population by providing tools to modify thinking patterns that directly affect emotions and behavior. Such interventions might reasonably be incorporated into hospice social work; however, numerous contextual factors must be taken into account to ensure that any interventions are appropriate to the unique needs of clients. The purpose of the study discussed in this article was to contex- tualize one aspect of the cognitive-behavioral model based on firsthand accounts of hospice family caregivers. Following a modified grounded theory approach, researchers engaged in a secondary analysis of data from a larger study provided in a subsample of 90 audio-recorded conversations between hospice family caregivers and interventionists. Findings indicated that distressed caregivers engaged in five dominant thinking patterns: (1) "should" statements, (2) catastrophizing or minimizing, (3) personalizing, (4) absolute thinking, and (5) making assumptions. Implementing cognitive-behavioral therapies based on identified caregiver thinking patterns will allow hospice social workers to empower caregivers to cope more effectively with the numerous stressors they encounter while caring for a dying loved one.
机译：临终关怀的家庭照料者比人口统计学上类似的非照料者经历的心理困扰率要高得多。研究表明，基于认知行为疗法的干预措施可通过提供修改直接影响情感和行为的思维方式的工具来减轻普通人群的心理困扰。这些干预措施可以合理地纳入临终关怀的社会工作中;但是，必须考虑许多上下文因素，以确保任何干预措施都适合客户的独特需求。本文讨论的研究的目的是根据临终关怀家庭照顾者的第一手资料来概括认知行为模型的一个方面。遵循经过修改的扎根理论方法，研究人员对来自较大规模研究的数据进行了二次分析，该研究来自临终关怀家庭护理人员和干预人员之间90个音频对话的子样本。调查结果表明，苦恼的照顾者采用了五种主要的思维方式：（1）“应该”陈述;（2）灾难性或最小化;（3）个性化;（4）绝对思考;以及（5）作出假设。根据已确定的照顾者的思维方式实施认知行为疗法，临终关怀的社工可以赋予照顾者更多的能力，以更有效地应对他们在照顾垂死的亲人时遇到的众多压力源。

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