Abstract
A person who faces the diagnosis of cancer is subjected to changes within his body, but also with regard to his view of himself and his social relationships. Cancer-related psychological distress occurs frequently and has been reported to have different prevalence according to cancer type and stage of disease. Psychological disorders are known to be underdiagnosed and thus undertreated in the oncology setting, since clinicians might miss the symptoms of psychological distress, misinterpret them, or lack the time and resources to respond adequately. The main psychiatric disturbances observed in patients with cancer are adjustment disorders and affective disorders (anxiety and depression), which in the majority of patients are due to stressors related to the disease and pre-existing psychological vulnerabilities; however, they might also be a direct consequence of biological causes either resulting from treatment side effects or from modifications induced by the cancer. This chapter aims to provide theoretical and practical information concerning psycho-oncological approaches, complemented by some reflexions on their clinical and scientific evidence, focussing essentially on verbal psychological interventions and especially on psychotherapy in patients with cancer.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Andersen BL, Farrar WB, Golden-Kreutz D et al (2007) Distress reduction from a psychological intervention contributes to improved health for cancer patients. Brain Behav Immun 21(7):953–961
Ando M, Tsuda A, Morita T (2007) Life review interview on the spiritual well-being of terminally ill cancer patients. Support Care Cancer 15:225–231
Arkowitz H (1992) A common factors therapy for depression. In: Norcorss JC, Goldfried MR (eds) Handbook of psychotherapy integration. Basic Books, New York, pp 402–432
Beutler LE, Consoli AJ (1992) Integration through fundamental similarities and useful differences among schools. In: Norcross JC, Goldfried MR (eds) Handbook of psychotherapy integration. Basic Books, New York, pp 202–231
Bressoud A, Real del Sarte O, Stiefel F et al (2007) Impact of family structure on long-term survivors of osteosarcoma. Support Care Cancer 15:525–531
Chow E, Tsao MN, Harth T (2004) Does psychosocial intervention improve survival in cancer? A meta-analysis. Palliat Med 18:25–31
Daniels J, Kissane DW (2008) Psychosocial interventions for cancer patients. Curr Opin Oncol 20:367–371
Devine EC, Westlake SK (1995) The effects of psychoeducational care provided to adults with cancer: meta-analysis of 116 studies. Oncol Nurs Forum 22:1369–1381
Doherty WJ, McDaniel SH, Hepworth J (1994) Medical family therapy: an emerging arena for family therapy. J Fam Ther 16:31–46
Edwards AGK, Hubert-Williams N, Neal RD (2008) Psychological interventions for women with metastatic breast cancer (Review). Cochrane database of systematic reviews 3
Faulkner A, Maguire P (1994) Talking to cancer patients and their relatives. Oxford University Press, New York
Franck JD, Frank JB (1991) Persuasion and healing: a comparative study of psychotherapy. John Hopkins Universtiy Press, Baltimore
Frank J (1988) What is Psychotherapy? In: Bloch S (ed) An Introduction to the Psychotherapies. Oxford University Press, Oxford [1979]
Freud S (1910/1975) The future prospects of psycho-analytic therapy. In: Strachey J (ed and trans) The standard edition of the complete psychological works of Sigmund Freud, vol 11. Oxford University Press, Oxford, pp 139–151
Greer S, Moorey S, Baruch JD et al (1992) Adjuvant psychological therapy for patients with cancer: a prospective randomised trial. Br Med J 304:675–680
Grencavage LM, Norcross JC (1990) Where are the communalities among therapeutic common factors? Prof Psychol Res Pract 21:278–372
Guex P, Stiefel F, Rousselle I (2000) Psychotherapy for the patient with cancer. Psychother rev 2:269–273
Haley J (1976) Problem-solving therapy: new strategies for effective family therapy. Josey Bass, San Francisco
Hayes SC, Strosahl KD, Wilson KG (1999) Acceptance and commitment therapy: an experiential approach to behavior change. The Guilford Press, NewYork
Hellbom M, Brandberg Y, Glimelius B et al (1998) Individual psychological support for cancer patients: utilisation and patient satisfaction. Patient Educ Couns 34:247–256
Hollon SD, Beck AT (2004) Cognitive and cognitive behavioral therapies. In: Lambert MJ (ed) Bergin and Garfied’s handbook of psychotherapy and behavior change, 5th edn. Wiley, New York
Hopko DR, Bell JL, Armento MEA et al (2005) Behavior therapy for depressed cancer patients in primary care. Psychother Theory Res Pract Train 42:236–243
Jackson DD (1968a) Human communication, T.1: communication, family and marriage. Science and Behavior Books, Palo Alto
Jackson DD (1968b) Human communciation,T.2: communcation, family and marriage. Science and Behavior Books, Palo Alto
Kaplan HI, Sadock BJ (1998) Kaplan and Sadock’s synopsis of psychiatry: behavioral sciense/clinical psychitary, 8th edn. Williams and Wilkins, Baltimore
Kazak AE (1989) Families of chronically ill children: a systems and social-ecological model of adaptation and challenge. J Consultation Clin Psychol 57:25–30
Kerrihard T, Breitbart W, Dent R et al (1999) Anxiety in patients with cancer and human inmmunodeficiency virus. Semin Clin Neuropsychiatry 4:114–132
Kissane DW, Bloch S, Dowe DL et al (1996a) The Melbourne family grief study, I: perceptions of family functioning in bereavement. Am J Psychiatry 153:650–658
Kissane DW, Bloch S, Dowe DL et al (1996b) The Melbourne family grief study, II: psychosocial morbidity and grief in bereaved families. Am J Psychiatry 153:659–666
Kissane DW, Bloch S, Miach P et al (1997) Cognitive-existential group therapy for patients with primary breast cancer–techniques and themes. Psychooncology 6:25–33
Kissane DW, Grabsch B, Love A et al (2004a) Psychiatric disorder in women with early stage and advanced breast cancer: a comparative analysis. Aust N Z J Psychiatry 38:320–326
Kissane DW, McKenzie M, Bloch S et al (2006) Family focused grief therapy: a randomized, controlled trial in palliative care and bereavement. Am J Psychiatry 163:1208–1218
Kissane DW, Wein S, Love A et al (2004b) The demoralization scale. A report of its development and preliminary validation. J Palliat Care 20:269–276
Klerman G, Weissman M, Rousevill B et al (1984) Interpersonal psychotherapy of depression. Basic Books, New York
Krenz S, Sodel C, Stagno A et al. (2013) Psychodynamic interventions in cancer care II: a qualitative analysis of the therapists’ reports (submitted)
Lacroix JM, Martin B, Avendano M et al (1991) Symptom schemata in chronic respiratory patients. Health Psychol 10:268–273
Lacy TJ, Higgins MJ (2005) Integrated medical-psychiatric care of a dying patient: a case of dynamically informed ‘practical psychotherapy’. J Am Acad Psychoanal Dyn Psychiatry 33:619–636
Lambert MJ, Bergin AE (1994) The effectiveness of psychotherpy. In: Bergin AE, Garfield SL (eds) Handbook of psychotherapy and behavoir change, 4th edn. New York, Wiley, pp 143–189
Lambert MJ, Ogles BM (2004) The efficacy and effectiveness of psychotherapy. In: Lambert MJ (ed) Bergin and Garfield’s handbook of psychotherapy and behavior change, 5th edn. Wiley, New York
Lambert MJ, Bergin AE, Garfield SL (2004) Introduction and historical overview. In: Lambert MJ (ed) Bergin and Garfield’s handbook of psychotherapy and behavior change, 5th edn. New York, Wiley, pp 3–15
Lazarus AA (1989) The practice of multimodal therapy. Systematic, comprehensive, and effective psychotherapy. Johns Hopkins University Press, Baltimore
Lazarus AA (2005) Multimodal therapy. In: Norcross JC, Goldfried MR (eds) Handbook of psychotherapy integration, 2nd edn. New York, Oxford, pp 105–120
Lee V, Cohen SR, Edgar L et al (2006) Meaning—making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Soc Sci Med 62:3133–3145
Lewin K (2005) The theoretical basis of dynamic psychiatry. In: Gabbard GO (ed) Psychodynamic psychiatry in clinical practice: the DSM-IV edition. American Psychiatric Press, Washington
Liossi C, White P (2001) Efficacy of clinical hypnosis in the enhancement of quality of life of terminally ill cancer patients. Contemp Hypn 18:145–160
Ludwig S, Krenz S, Zdrojewski C et al (2013) Psychodynamic interventions in cancer care I: psychometric results of a randomized controlled trial (submitted)
Lyons RF, Sullivan MJL, Ritvo PG (1995) Relationships in chronic illness and disability. Sage Publications, Thousand Oaks
Madanes C (1981) Strategic family therapy. Josey Bass, San Francisco
Manne SL, Rubin S, Edelson M et al (2007) Coping and communication-enhancing intervention versus supportive counseling for women diagnosed with gynecologic cancers. J Consult Clin Psychol 75:615–628
Martire L, Lustig A, Schultz R et al (2004) Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychol 23:599–611
Massie MJ (2004) Prevalence of depression in patients with cancer. J Natl Cancer Inst Monogr 32:57–71. doi:10.1093/jncimonographs/lgh014
McLean LM, Walton T, Rodin G et al (2013) A couple-based intervention for patients and caregivers facing end-stage cancer: outcomes of a randomized controlled trial. Psychooncology 22:28–38
Mefford K, Nichols JF, Pakiz B et al (2007) A cognitive behavioral therapy intervention to promote weight loss improves body composition and blood lipid profiles among overweight breast cancer survivors. Breast Cancer Res Treat 104:145–152
Meyer TJ, Mark MM (1995) Effects of psychosocial interventions with adult cancer patients: a meta-analysis of randomized experiments. Health Psychol 14:101–108
Minuchin P (1988) Relationships within the family: a systems perspective on development. In: Hinde RA, Stevenson-Hinde J (eds) Relationships within families: mutual influences. Wiley, New York
Minuchin S (1974) Families and famliy therapy. Harvard university, Cambridge
Mitchell AJ, Chan M, Bhatti H et al (2011) Prevalence of depression, anxiety, and adjustment disorder in oncological, heamatological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol 12:160–174
Moorey S, Greer S, Bliss J et al (1998) A comparison of adjuvant psychological therapy and supportive sounselling in patients with cancer. Psychooncology 7:218–228
Norcross JC, Goldfried MR (eds) (2005) Handbook of psychotherapy integration, 2nd edn. Oxford, New York
Osborn RL, Demoncada AC, Feurerstein M (2006) Psychosocial interventions for depression, anxiety, and quality of life in cancer survivors: meta-analyses. Int J Psychiatry Med 36:13–34
Penedo FJ, Traeger L, Dahn J et al (2007) Cognitive behavioral stress management intervention improves quality of life in Spanish monolingual Hispanic men treated for localized prostate cancer: results of a randomized controlled trial. Int J Behav Med 12:164–172
Petrie KJ, Weinman J, Sharpe N et al (1996) Roles of patients’ view of their illness in predicting return to work and functioning after myocardial infarction: longitudinal study. Br Med J 312:1191–1194
Pirl WF (2004) Evidence report on the occurrence, assessement, and treatment of depression in cancer patients. J Natl Cancer Inst Monogr 32:32–39. doi:10.1093/jncimonographs/lgh026
Prohaska TR, Keller ML, Leventhal EA et al (1987) Impact of symptoms and aging attribution on emotions and coping. Health Psychol 6:495–514
Razavi D, Stiefel F (1994) Common psychiatric disorders in cancer patients. I. Adjustment disorders and depressive disorders. J Support Care Cancer 2:223–232
Redding KK (2005) When death becomes the end of an analytic treatment. Clin Work Soc J 33:69–79
Rodin G, Gillies LA (2000) Individual psychotherapy for the patient with advanced disease. In: Ghochinov HM, Breitbart WGO (eds) Handbook of psychiatry in palliative medicine. Oxford University Press, New York
Ryle A, Kerr I (2002) Introducing cognitive analytic therapy: principles and practice. Wiley, Chichester
Sameroff AJ (1983) Developmental systems: context and evolution. In: Mussen PH, Kessen W (ed) Handbook of child psychology: history, theory, and methods, 4th edn. Wiley, New York
Schnur JB, Montgomery GH (2010) A systematic review of therapeutic alliance, group cohesion, empathy, and goal consensus/collaboration in psychotherapeutic interventions in cancer: uncommon factors? Clin Psychol Rev 30:238–247
Segal Z, Teasdale J, Williams M (2002) Mindfulness-based cognitive therapy for depression. Guilford Press, New York
Selvini Palazzoli M (1978) Self starvation: from the individual to family therapy. Aronson, New York
Selvini Palazzoli M (1991) Team consultation: an indispensable tool for the process of knowledge. J Fam Ther 13:31–53
Sheard T, Maguire P (1999) The effect of psychological interventions on anxiety and depression in cancer patients: results of two meta-analyses. Br J Cancer 80:1770–1780
Smedslunc G, Ringdal GI (2004) Meta-analysis of the effects of psychosocial interventions on survival time in cancer patients. J Psychosom Res 57:123–131
Spiegel D, Bloom JR, Kraemer HC et al (1989) Effect of psychosocial treatment on survival of patients with metastatic breast cancer. Lancet 2:888–891
Stiefel F, Guex P, Real O (1998) An introduction to psycho-oncology with special emphasis to its historical and cultural context. In: Bruera E, Portenoy R (eds) Topics in palliative care 3. Oxford University Press, New York
Stratton P (2005) Report on the evidence base of systemic family therapy. Association for family therapy
Strupp HH, Hadley SW (1979) Specific vs. Nonspecific factors in psychotherapy. Arch Gen Psychiatry 36:1125–1136
Tatrow K, Montgomery GH (2006) Cognitive behavioral therapy for distress and pain in breast cancer patients: a meta-analysis. J Behav Med 29:17–27
Tattersall RL (2002) The expert patient: a new approach to chronic disease management for the twenty-first century. Clin Med 2:227–229
Tepper MC, Dodes LM, Wool CA et al (2006) A psychotherapy dominated by separation, termination, and death. Harv Rev Psychiatry 14:257–267
Trijsburg RW, Colijn S, Holmes J (2005) Psychotherapy integration. In: Gabbard GO, Beck JS, Holmes J (ed) Oxford textbook of psychotherapy. Oxford, New York
Trijsburg RW, Lietaer G, Colijn S et al (2004) Construct validity of the comprehensive psychotherapeutic interventions rating scale. Psychother Res 14:346–366
Viederman M (1983) The psychodynamic life narrative: a psychotherapeutic intervention useful in crisis situations. Psychiatry 46:236–246
Viederman M (2000) The supportive relationship, the psychodynamic life narrative, and the dying patient. In: Chochinov HM, Breitbart WGO (eds) Handbook of psychiatry in palliative medicine. Oxford University Press, New York
Viederman M, Perry SW (1980) Use of a psychodynamic life narrative in the treatment of depression in the physically ill. Gen Hosp Psychiatry 2:177–185
Walker LG, Walker MB, Ogston K et al (1999) Psychological, clinical and pathological effects of relaxation training and guided imagery during primary chemotherapy. Br J Cancer 80:262–268
Wampold BE (2001) The great psychotherapy debate: models, methods and findings. Mahwah NJ, Lawrence erlbaum associates
Watson M, Haviland JS, Greer S et al (1999) Influence of psychological response on survival in breast cancer: a population-based cohort sutdy. Lancet 354:1331–1336
White M, Epston D (1990) Narrative means to therapeutic ends. WW Norton, New York
Witek-Janusek L, Albuquerque K, Chroniak KR et al (2008) Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer. Brain Behav Immun 22:969–981
Wojtyna E, Zycinska J, Stawiarska P (2007) The influence of cognitive-behaviour therapy on quality of life and self-esteem in women suffering from breast cancer. Rep Pract Oncol Radiother 12:109–117
Xiaolian J, Chaiwan S, Panuthai S et al (2002) Family support and self-care behaviour of Chinese chronic obstructive pulmonary disease patients. Nurs Health Sci 4:41–49
Zabora J, Brintzenhogeszoc K, Love A et al (2001) The prevalence of psychosocial distress by cancer site. Psychooncology 10:19–28
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
de Vries, M., Stiefel, F. (2014). Psycho-Oncological Interventions and Psychotherapy in the Oncology Setting. In: Goerling, U. (eds) Psycho-Oncology. Recent Results in Cancer Research, vol 197. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40187-9_9
Download citation
DOI: https://doi.org/10.1007/978-3-642-40187-9_9
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-40186-2
Online ISBN: 978-3-642-40187-9
eBook Packages: MedicineMedicine (R0)