Psychosocial interventions for advanced cancer patients: A systematic review.
Identifieur interne : 000485 ( Main/Exploration ); précédent : 000484; suivant : 000486Psychosocial interventions for advanced cancer patients: A systematic review.
Auteurs : Irene Teo [Singapour] ; Anirudh Krishnan [Singapour] ; Geok Ling Lee [Singapour]Source :
- Psycho-oncology [ 1099-1611 ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Assistance, Psychothérapie, Thérapie cognitive, Éducation du patient comme sujet.
- psychologie : Qualité de vie, Tumeurs.
- thérapie : Dépression, Tumeurs.
- Adaptation psychologique, Concept du soi, Humains.
English descriptors
- KwdEn :
- MESH :
- methods : Cognitive Behavioral Therapy, Counseling, Patient Education as Topic, Psychotherapy.
- psychology : Neoplasms, Quality of Life.
- therapy : Depression, Neoplasms.
- Adaptation, Psychological, Humans, Self Concept.
Abstract
OBJECTIVE
Psychosocial care for advanced cancer encompasses a wide range of interventions that help patients make life-changing decisions, manage debilitating symptoms, confront impending mortality, and improve other patient outcomes. Psychosocial care is becoming increasingly available to advanced cancer patients; however, an overview of the various types of interventions is lacking.
METHODS
The current review systematically examined randomised-controlled trials of psychosocial interventions for advanced cancer patients from January 2007 to June 2018. MEDLINE, CINAHL Plus, PsycINFO, and Scopus databases were searched, and a total of 68 studies were included in the review.
RESULTS
We found a range of psychosocial interventions studies and grouped them based on six theoretical/clinical approaches: cognitive behavioural therapy based; meaning enhancing; dignity, life review, and narrative; other counselling; education only; and music, writing, and others. The different psychosocial interventions had significantly varied characteristics (eg, format, duration, and resources used) to address issues faced by advanced cancer patients. There is compelling evidence for the use of meaning-centred psychotherapy to improve meaning and quality of life and use of question prompt lists and communication skills training to improve communication with health care providers.
CONCLUSIONS
Some psychosocial interventions are further along in establishing evidence for effectiveness. Our findings demonstrate a growing capacity within the field to meet the psychosocial needs of advanced cancer patients. Lessons and direction in clinical practice and future research endeavours are discussed.
DOI: 10.1002/pon.5103
PubMed: 31077475
Affiliations:
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type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological (MeSH)</term><term>Cognitive Behavioral Therapy (methods)</term><term>Counseling (methods)</term><term>Depression (therapy)</term><term>Humans (MeSH)</term><term>Neoplasms (psychology)</term><term>Neoplasms (therapy)</term><term>Patient Education as Topic (methods)</term><term>Psychotherapy (methods)</term><term>Quality of Life (psychology)</term><term>Self Concept (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation psychologique (MeSH)</term><term>Assistance (méthodes)</term><term>Concept du soi (MeSH)</term><term>Dépression (thérapie)</term><term>Humains (MeSH)</term><term>Psychothérapie (méthodes)</term><term>Qualité de vie (psychologie)</term><term>Thérapie cognitive (méthodes)</term><term>Tumeurs (psychologie)</term><term>Tumeurs (thérapie)</term><term>Éducation du patient comme sujet (méthodes)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cognitive Behavioral Therapy</term><term>Counseling</term><term>Patient Education as Topic</term><term>Psychotherapy</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Assistance</term><term>Psychothérapie</term><term>Thérapie cognitive</term><term>Éducation du patient comme sujet</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Qualité de vie</term><term>Tumeurs</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Neoplasms</term><term>Quality of Life</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Depression</term><term>Neoplasms</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Dépression</term><term>Tumeurs</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term><term>Humans</term><term>Self Concept</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adaptation psychologique</term><term>Concept du soi</term><term>Humains</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Psychosocial care for advanced cancer encompasses a wide range of interventions that help patients make life-changing decisions, manage debilitating symptoms, confront impending mortality, and improve other patient outcomes. Psychosocial care is becoming increasingly available to advanced cancer patients; however, an overview of the various types of interventions is lacking.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The current review systematically examined randomised-controlled trials of psychosocial interventions for advanced cancer patients from January 2007 to June 2018. MEDLINE, CINAHL Plus, PsycINFO, and Scopus databases were searched, and a total of 68 studies were included in the review.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We found a range of psychosocial interventions studies and grouped them based on six theoretical/clinical approaches: cognitive behavioural therapy based; meaning enhancing; dignity, life review, and narrative; other counselling; education only; and music, writing, and others. The different psychosocial interventions had significantly varied characteristics (eg, format, duration, and resources used) to address issues faced by advanced cancer patients. There is compelling evidence for the use of meaning-centred psychotherapy to improve meaning and quality of life and use of question prompt lists and communication skills training to improve communication with health care providers.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Some psychosocial interventions are further along in establishing evidence for effectiveness. Our findings demonstrate a growing capacity within the field to meet the psychosocial needs of advanced cancer patients. Lessons and direction in clinical practice and future research endeavours are discussed.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31077475</PMID><DateCompleted><Year>2020</Year><Month>03</Month><Day>26</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1099-1611</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>7</Issue><PubDate><Year>2019</Year><Month>07</Month></PubDate></JournalIssue><Title>Psycho-oncology</Title><ISOAbbreviation>Psychooncology</ISOAbbreviation></Journal><ArticleTitle>Psychosocial interventions for advanced cancer patients: A systematic review.</ArticleTitle><Pagination><MedlinePgn>1394-1407</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/pon.5103</ELocationID><Abstract><AbstractText Label="OBJECTIVE">Psychosocial care for advanced cancer encompasses a wide range of interventions that help patients make life-changing decisions, manage debilitating symptoms, confront impending mortality, and improve other patient outcomes. Psychosocial care is becoming increasingly available to advanced cancer patients; however, an overview of the various types of interventions is lacking.</AbstractText><AbstractText Label="METHODS">The current review systematically examined randomised-controlled trials of psychosocial interventions for advanced cancer patients from January 2007 to June 2018. MEDLINE, CINAHL Plus, PsycINFO, and Scopus databases were searched, and a total of 68 studies were included in the review.</AbstractText><AbstractText Label="RESULTS">We found a range of psychosocial interventions studies and grouped them based on six theoretical/clinical approaches: cognitive behavioural therapy based; meaning enhancing; dignity, life review, and narrative; other counselling; education only; and music, writing, and others. The different psychosocial interventions had significantly varied characteristics (eg, format, duration, and resources used) to address issues faced by advanced cancer patients. There is compelling evidence for the use of meaning-centred psychotherapy to improve meaning and quality of life and use of question prompt lists and communication skills training to improve communication with health care providers.</AbstractText><AbstractText Label="CONCLUSIONS">Some psychosocial interventions are further along in establishing evidence for effectiveness. Our findings demonstrate a growing capacity within the field to meet the psychosocial needs of advanced cancer patients. Lessons and direction in clinical practice and future research endeavours are discussed.</AbstractText><CopyrightInformation>© 2019 John Wiley & Sons, Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Teo</LastName><ForeName>Irene</ForeName><Initials>I</Initials><Identifier Source="ORCID">0000-0002-1720-4718</Identifier><AffiliationInfo><Affiliation>Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Krishnan</LastName><ForeName>Anirudh</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0002-1958-0047</Identifier><AffiliationInfo><Affiliation>Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Geok Ling</ForeName><Initials>GL</Initials><Identifier Source="ORCID">0000-0003-1490-9269</Identifier><AffiliationInfo><Affiliation>Department of Social Work, Faculty of Arts and Social Sciences, National University of Singapore, Singapore.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>05</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Psychooncology</MedlineTA><NlmUniqueID>9214524</NlmUniqueID><ISSNLinking>1057-9249</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000223" MajorTopicYN="N">Adaptation, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015928" MajorTopicYN="N">Cognitive Behavioral Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003376" MajorTopicYN="N">Counseling</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010353" MajorTopicYN="N">Patient Education as 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MajorTopicYN="Y">review</Keyword><Keyword MajorTopicYN="Y">systematic</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>11</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>04</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>05</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>5</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>3</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>5</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31077475</ArticleId><ArticleId 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