bekhterevОбозрение психиатрии и медицинской психологии имени В.М.БехтереваV.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY2313-70532713-055XV. M. BEKHTEREV NATIONAL RESEARCH MEDICAL CENTER FOR PSYCHIATRY AND NEUROLOGY OF THE RUSSIAN FEDERATION MINISTRY OF HEALTH10.31363/2313-7053-2024-875bekhterev-968Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWПосттравматический рост и связанные с ним факторы у родственников, опекающих больных онкологическими заболеваниями. Систематический обзор (Сообщение 2)Posttraumatic growth and related factors among relatives, caring for cancer patients. Systematic review (Part 2)https://orcid.org/0000-0001-9707-138XШишковаА. М.ShishkovaA. M.

Шишкова Александра Михайловна - кандидат психологических наук, старший научный сотрудник лаборатории клинической психологии и психодиагностики

192019, Санкт-Петербург, ул. Бехтерева, д. 3

Alexandra M. Shishkova

Saint-Petersburg

shishaspb@mail.ruhttps://orcid.org/0000-0002-7141-162XБочаровВ. В.BocharovV. V.

Бочаров Виктор Викторович - кандидат психологических наук, доцент, руководитель лаборатории клинической психологии и психодиагностики; заведующий кафедрой клинической психологии факультета клинической психологии

192019, Санкт-Петербург, ул. Бехтерева, д. 3;

194100, Санкт-Петербург, ул. Литовская, 2

Victor V. Bocharov

Saint-Petersburg

bochvik@gmail.ruhttps://orcid.org/0009-0001-5821-3127ЦыганковаЕ. С.TsygankovaE. S.

Цыганкова Елизавета Сергеевна – младший научный сотрудник лаборатории клинической психологии и психодиагностики; медицинский психолог отделения медицинской реабилитации пациентов с соматическими заболеваниями

192019, Санкт-Петербург, ул. Бехтерева, д. 3;

197758, Санкт-Петербург, посёлок Песочный, Ленинградская ул., д. 68А, лит. А

Elizaveta S. Tsygankova

Saint-Petersburg

lisa94_94@mail.ruhttps://orcid.org/0000-0001-6294-681XГрановскаяЕ. А.GranovskayaE. A.

Грановская Елизавета Александровна - медицинский психолог отделения клинической психологии; аспирант кафедры клинической психологии

192019, Санкт-Петербург, ул. Бехтерева, д. 3;

194100, Санкт-Петербург, ул. Литовская, 2

Elizaveta A. Granovskaya

Saint-Petersburg

elizavetagranovskaya@gmail.ruНациональный медицинский исследовательский центр психиатрии и неврологии им. В. М. БехтереваРоссияV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyRussian FederationНациональный медицинский исследовательский центр психиатрии и неврологии им. В. М. Бехтерева; Санкт-Петербургский государственный педиатрический медицинский университетРоссияV.M. Bekhterev National Medical Research Center for Psychiatry and Neurology; Saint-Petersburg State Pediatric Medical UniversityRussian FederationНациональный медицинский исследовательский центр психиатрии и неврологии им. В. М. Бехтерева; Санкт-Петербургский клинический научно-практический центр специализированных видов медицинской помощи (онкологический) имени Н.П. НапалковаРоссияV.M. Bekhterev National Medical Research Center for Psychiatry and Neurology; Napalkov State Budgetary Healthcare Institution «Saint-Petersburg clinical scientific and practical center for specialised types of medical care (oncological)»Russian Federation2024250420245822944Copyright © Шишкова А.М., Бочаров В.В., Цыганкова Е.С., Грановская Е.А., 20242024Шишкова А.М., Бочаров В.В., Цыганкова Е.С., Грановская Е.А.Shishkova A.M., Bocharov V.V., Tsygankova E.S., Granovskaya E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.bekhterevreview.com/jour/article/view/968

Уход за больным онкологией может иметь не только негативные последствия, но и являться источником конструктивных трансформаций личности родственника в ситуации болезни близкого.

Цель

Цель: выявление и обобщение информации о проявлениях ПТР и тех социально-демографических, клинических и психологических факторах, которые ассоциированы с ПТР у родственников, опекающих больных онкологическими заболеваниями.

Методы

Методы: обзор проводился в соответствии с критериями и требованиями руководства по написанию систематических обзоров PRISMA. В обзоре были использованы 2 поисковые стратегии: систематический электронный поиск в базах данных (Pubmed, Google Scholar, Cochrane, EBSCO, SAGE journals и eLIBRARY), ручной поиск статей по релевантным ссылкам в списках литературы анализируемых источников.

Результаты

Результаты: Психологические факторы имеют решающее значение в формировании ПТР. Среди факторов способствующих ПТР выделяют социальную поддержку (особенно в кругу семьи), использование конструктивных проблемно- и эмоционально-ориентированных копинг-стратегий (в частности, позитивного переосмысления). В анализируемых исследованиях преобладают данные о положительной взаимосвязи ПТР с выраженностью психоэмоционального напряжения и стрессовых переживаний родственников в процессе опеки больного онкологическими заболеваниями. В то же время, отмечается отсутствие консенсуса относительно значения психологического дистресса и напряжения в формировании ПТР.

Заключение

Заключение: При разработке и проведении психологических интервенций, направленных на фасилитацию ПТР у родственников, опекающих онкологических больных, в качестве основных направлений следует рассматривать формирование поддерживающей социальной среды, обучение конструктивным стратегиям совладания, повышение внутрисемейной удовлетворенности путем гармонизации отношений членов семьи, работу с экзистенциальными и духовными ценностями, формирование психологической готовности опекающих родственников к утрате в случае летальности прогноза заболевания.

Caring for cancer patients can have not only negative impact on the informal caregivers, but can also be a source of positive personality transformations in the challenging situation associated with cancer.

Aim

Aim: identification and synthesis of data on posttraumatic growth (PTG) and socio-demographic, clinical and psychological factors associated with PTG in relatives, caring for patients with cancer.

Methods

Methods: The review was conducted according to the statement of the PRISMA guidelines. The review used 2 search strategies: systematic electronic search in databases (Pubmed, Google Scholar, Cochrane, EBSCO, SAGE journals и eLIBRARY), manual search of articles in references lists of eligible articles.

Results

Results: Psychological factors are crucial in development of PTG. Perceived social support (especially within the family) and constructive emotion- and problem-focused coping (such as positive reframing coping) are among the factors contributing to the PTG. The data on the positive relationship of with the severity of stressful experiences and emotional distress among caregivers predominate in the analyzed studies. At the same time, there is a lack of agreement on the contribution of psychological distress to the development of PTG.

Conclusion

Conclusion: Development of supportive social environment, constructive coping strategies training, increase of family satisfaction, work with existential and spiritual values, and creation of psychological readiness of caring relatives for loss in case of negative prognosis for patients’ survival should be considered as the main directions of psychological interventions aimed at facilitating PTG in relatives caring for cancer patients.

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The authors declare that there are no conflicts of interest present.