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首页> 外文期刊>Journal of clinical psychology in medical settings >Reflections on a Health Psychology Service for Patients with Uveal Melanoma: The Challenge of Psychological Screening and Intervention When Distress is 'Normal'
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Reflections on a Health Psychology Service for Patients with Uveal Melanoma: The Challenge of Psychological Screening and Intervention When Distress is 'Normal'

机译：对无过敏黑色素瘤患者健康心理服务的思考：遇险“正常”时心理筛选和干预的挑战

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摘要

We appraise the role of screening for distress as part of health psychology assessment of patients newly diagnosed with cancer. We reviewed records of consecutive patients who accepted a health psychologist's assessment over 4 years, examining convergence and divergence of the result of screening (whether patients reached threshold as 'cases') with the psychologist's clinical judgment of need for intervention. Of 261 patients, 88 (33.7%) were 'cases'. Of these, need for psychological intervention was identified in 70 (79.5%). Of the 173 (66.3%) 'non-cases', need was identified in 59 (34.1%). Examination of cases where the psychologist's judgment diverged from screening showed that 'caseness' can arise from distress that patients can manage themselves and, conversely, that psychological needs arise in the absence of overt distress. Formal screening may not identify need for psychological intervention. The psychologist's role is to make expert judgments of patients' current and future needs. Dialogue with patients should be the vehicle for assessment.
机译：我们评估筛选痛苦的作用作为患者新诊断癌症的患者的健康心理学评估。我们审查了在4年内接受健康心理学家评估的连续患者的记录，检查筛选结果的收敛性和分歧（是否患者是否达到“案件”），心理学家对干预需求的临床判断判断。 261例患者，88例（33.7％）是“案件”。其中，在70（79.5％）中确定了对心理干预的需求。在173（66.3％）的“非案件”中，需要在59中确定（34.1％）。检查心理学家判断从筛查的判断表明，患者可以造成的“肠衣”可能会因患者提供自己，而且相反，在没有公开的痛苦的情况下出现了心理需求。正式筛查可能无法确定需要心理干预。心理学家的作用是让患者当前和未来需求的专家判断。与患者的对话应该是评估的车辆。

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