Psychosocial interventions for advanced cancer patients: a systematic review
Open accessAbstract
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.
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In advanced cancer, a 2019 systematic review identified 68 RCTs of psychosocial interventions, of which six had some online component.
“In the advanced cancer context, a 2019 systematic review of psychosocial interventions between 2007 and 2016 for adults with advanced cancer (Teo et al., 2019) identified 68 RCTs of which six had some form of an online component.”
From A mixed methods pilot and feasibility open trial of internet-delivered cognitive behaviour therapy (iCanADAPT Advanced) for people with advanced cancer with depression and/or anxiety (2021) · cites this paper as Teo et al., 2019
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- Authors
- Teo, I., Krishnan, A., & Lee, G. L.
- Affiliations
- Duke-NUS Medical School (SG)
- National University of Singapore (SG)
- Corresponding author
- Teo, Irene
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2019-05-23
- Volume
- 28
- Issue
- 7
- Pages
- 1394-1407
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W2944639783
- Cited by
- 205
- References
- 81
- Citations by year
- 2026: 30 · 2025: 33 · 2024: 32 · 2023: 28 · 2022: 35 · 2021: 29 · 2020: 15 · 2019: 3
- FWCI
- 3.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- psychosocial interventions, advanced cancer, end-of-life care, cognitive behavioral therapy, life review, narrative therapy, communication skills training, quality of life, symptom management, patient-provider communication, music therapy, writing intervention
- MeSH terms
- Adaptation, Psychological, Counseling, Depression, Humans, Neoplasms, Patient Education as Topic, Psychotherapy, Quality of Life, Self Concept, Cognitive Behavioral Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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