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Psycho-Oncological Interventions and Psychotherapy in the Oncology Setting

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Psycho-Oncology

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 197))

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.

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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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • Chow E, Tsao MN, Harth T (2004) Does psychosocial intervention improve survival in cancer? A meta-analysis. Palliat Med 18:25–31

    Article  PubMed  Google Scholar 

  • Daniels J, Kissane DW (2008) Psychosocial interventions for cancer patients. Curr Opin Oncol 20:367–371

    Article  PubMed  Google Scholar 

  • 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

    PubMed  CAS  Google Scholar 

  • Doherty WJ, McDaniel SH, Hepworth J (1994) Medical family therapy: an emerging arena for family therapy. J Fam Ther 16:31–46

    Article  Google Scholar 

  • Edwards AGK, Hubert-Williams N, Neal RD (2008) Psychological interventions for women with metastatic breast cancer (Review). Cochrane database of systematic reviews 3

    Google Scholar 

  • Faulkner A, Maguire P (1994) Talking to cancer patients and their relatives. Oxford University Press, New York

    Google Scholar 

  • Franck JD, Frank JB (1991) Persuasion and healing: a comparative study of psychotherapy. John Hopkins Universtiy Press, Baltimore

    Google Scholar 

  • Frank J (1988) What is Psychotherapy? In: Bloch S (ed) An Introduction to the Psychotherapies. Oxford University Press, Oxford [1979]

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • Grencavage LM, Norcross JC (1990) Where are the communalities among therapeutic common factors? Prof Psychol Res Pract 21:278–372

    Article  Google Scholar 

  • Guex P, Stiefel F, Rousselle I (2000) Psychotherapy for the patient with cancer. Psychother rev 2:269–273

    Google Scholar 

  • Haley J (1976) Problem-solving therapy: new strategies for effective family therapy. Josey Bass, San Francisco

    Google Scholar 

  • Hayes SC, Strosahl KD, Wilson KG (1999) Acceptance and commitment therapy: an experiential approach to behavior change. The Guilford Press, NewYork

    Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  Google Scholar 

  • Jackson DD (1968a) Human communication, T.1: communication, family and marriage. Science and Behavior Books, Palo Alto

    Google Scholar 

  • Jackson DD (1968b) Human communciation,T.2: communcation, family and marriage. Science and Behavior Books, Palo Alto

    Google Scholar 

  • Kaplan HI, Sadock BJ (1998) Kaplan and Sadock’s synopsis of psychiatry: behavioral sciense/clinical psychitary, 8th edn. Williams and Wilkins, Baltimore

    Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • Kerrihard T, Breitbart W, Dent R et al (1999) Anxiety in patients with cancer and human inmmunodeficiency virus. Semin Clin Neuropsychiatry 4:114–132

    PubMed  CAS  Google Scholar 

  • 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

    PubMed  CAS  Google Scholar 

  • 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

    PubMed  CAS  Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    PubMed  Google Scholar 

  • Klerman G, Weissman M, Rousevill B et al (1984) Interpersonal psychotherapy of depression. Basic Books, New York

    Google Scholar 

  • Krenz S, Sodel C, Stagno A et al. (2013) Psychodynamic interventions in cancer care II: a qualitative analysis of the therapists’ reports (submitted)

    Google Scholar 

  • Lacroix JM, Martin B, Avendano M et al (1991) Symptom schemata in chronic respiratory patients. Health Psychol 10:268–273

    Article  PubMed  CAS  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • Lazarus AA (1989) The practice of multimodal therapy. Systematic, comprehensive, and effective psychotherapy. Johns Hopkins University Press, Baltimore

    Google Scholar 

  • Lazarus AA (2005) Multimodal therapy. In: Norcross JC, Goldfried MR (eds) Handbook of psychotherapy integration, 2nd edn. New York, Oxford, pp 105–120

    Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  Google Scholar 

  • Ludwig S, Krenz S, Zdrojewski C et al (2013) Psychodynamic interventions in cancer care I: psychometric results of a randomized controlled trial (submitted)

    Google Scholar 

  • Lyons RF, Sullivan MJL, Ritvo PG (1995) Relationships in chronic illness and disability. Sage Publications, Thousand Oaks

    Google Scholar 

  • Madanes C (1981) Strategic family therapy. Josey Bass, San Francisco

    Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Massie MJ (2004) Prevalence of depression in patients with cancer. J Natl Cancer Inst Monogr 32:57–71. doi:10.1093/jncimonographs/lgh014

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  Google Scholar 

  • Meyer TJ, Mark MM (1995) Effects of psychosocial interventions with adult cancer patients: a meta-analysis of randomized experiments. Health Psychol 14:101–108

    Article  PubMed  CAS  Google Scholar 

  • 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

    Google Scholar 

  • Minuchin S (1974) Families and famliy therapy. Harvard university, Cambridge

    Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

  • Norcross JC, Goldfried MR (eds) (2005) Handbook of psychotherapy integration, 2nd edn. Oxford, New York

    Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Prohaska TR, Keller ML, Leventhal EA et al (1987) Impact of symptoms and aging attribution on emotions and coping. Health Psychol 6:495–514

    Article  PubMed  CAS  Google Scholar 

  • Razavi D, Stiefel F (1994) Common psychiatric disorders in cancer patients. I. Adjustment disorders and depressive disorders. J Support Care Cancer 2:223–232

    Article  CAS  Google Scholar 

  • Redding KK (2005) When death becomes the end of an analytic treatment. Clin Work Soc J 33:69–79

    Article  Google Scholar 

  • 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

    Google Scholar 

  • Ryle A, Kerr I (2002) Introducing cognitive analytic therapy: principles and practice. Wiley, Chichester

    Book  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Segal Z, Teasdale J, Williams M (2002) Mindfulness-based cognitive therapy for depression. Guilford Press, New York

    Google Scholar 

  • Selvini Palazzoli M (1978) Self starvation: from the individual to family therapy. Aronson, New York

    Google Scholar 

  • Selvini Palazzoli M (1991) Team consultation: an indispensable tool for the process of knowledge. J Fam Ther 13:31–53

    Article  Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

  • 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

    Google Scholar 

  • Stratton P (2005) Report on the evidence base of systemic family therapy. Association for family therapy

    Google Scholar 

  • Strupp HH, Hadley SW (1979) Specific vs. Nonspecific factors in psychotherapy. Arch Gen Psychiatry 36:1125–1136

    Article  PubMed  CAS  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Tattersall RL (2002) The expert patient: a new approach to chronic disease management for the twenty-first century. Clin Med 2:227–229

    Article  PubMed  Google Scholar 

  • Tepper MC, Dodes LM, Wool CA et al (2006) A psychotherapy dominated by separation, termination, and death. Harv Rev Psychiatry 14:257–267

    Article  PubMed  Google Scholar 

  • Trijsburg RW, Colijn S, Holmes J (2005) Psychotherapy integration. In: Gabbard GO, Beck JS, Holmes J (ed) Oxford textbook of psychotherapy. Oxford, New York

    Google Scholar 

  • Trijsburg RW, Lietaer G, Colijn S et al (2004) Construct validity of the comprehensive psychotherapeutic interventions rating scale. Psychother Res 14:346–366

    Article  Google Scholar 

  • Viederman M (1983) The psychodynamic life narrative: a psychotherapeutic intervention useful in crisis situations. Psychiatry 46:236–246

    PubMed  CAS  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

  • Wampold BE (2001) The great psychotherapy debate: models, methods and findings. Mahwah NJ, Lawrence erlbaum associates

    Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

  • White M, Epston D (1990) Narrative means to therapeutic ends. WW Norton, New York

    Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Zabora J, Brintzenhogeszoc K, Love A et al (2001) The prevalence of psychosocial distress by cancer site. Psychooncology 10:19–28

    Article  PubMed  CAS  Google Scholar 

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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

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