Alleviating Emotional Distress in a Young Adult Survivor of Adolescent Cancer: A Case Study Illustrating a New Application of Metacognitive Therapy

作者：McNicol Kirsten; Salmon Peter; Young Bridget; Fisher Peter^*

来源：Clinical Case Studies, 2013, 12(1): 22-38.

DOI：10.1177/1534650112461298

• metacognitive therapy
• cancer survivors
• young adults
• emotional distress

A substantial proportion of adolescent and young adult cancer survivors experience persistent emotional distress, but little research has evaluated psychological interventions in this population. Metacognitive therapy (MCT), a transdiagnostic intervention, is an effective treatment for depression and a range of anxiety disorders in mental health settings, but its efficacy in cancer populations is unknown. This study used an AB design with 6-month follow-up to evaluate the potential efficacy of MCT for reducing symptoms of depression, anxiety, and posttraumatic stress in a young adult female survivor of adolescent leukemia. Clinician-rated and self-report measures demonstrated large, clinically meaningful, improvements on all outcome measures over seven treatment sessions, and these gains were maintained at 6-month follow-up. The case study demonstrates the potential applicability of MCT to treating emotional distress in young adult survivors of childhood cancer.

• 出版日期2013-2