Psychological Interventions Prior to Cancer Surgery: a Review of Reviews
Open accessAbstract
Purpose of Review: Patients with cancer who have high levels of psychological distress have poor treatment compliance and worse outcomes. This “review of reviews” provides a narrative synthesis of the impact of psychological prehabilitation interventions on individuals awaiting cancer surgery. Recent Findings: Twenty reviews of prehabilitation with psychological interventions were identified. There is a trend towards improved psychological outcomes following intervention, particularly when psychologist-led. However, there was considerable heterogeneity within interventions, outcome measures, and timing of assessment precluding numeric synthesis. Methodological limitations including non-blinding, absence of stratification, and underpowered studies were also pervasive. Summary: Providing psychological support early in the cancer pathway and prior to surgery has the potential to improve psychological health and outcomes. The application of existing knowledge in psycho-oncology, including distress screening, is needed in the prehabilitation setting. Consistent outcome assessments, accurate reporting of intervention components and delivery methods, and a consideration of effective systems and economical implementation strategies would facilitate advancements in this field.
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Providing psychological support before surgery helps patients cope with surgery and has positive outcomes.
“Providing psychological support before surgery helps the patients to cope with the surgery and has positive outcomes.”
From Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review. (2023) · cites this paper as [35]
The Results (Unimodal Psychological Prehabilitation Interventions) report improvements in some psychological outcomes from preoperative interventions that include coping strategies, but say the interventions did not affect surgical outcomes and caution that the evidence has methodological limitations. The Conclusions describe improved psychological health and treatment outcomes as a potential benefit, so the claim states the benefit more definitively than the review does. (LLM, conf=0.86)
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Optimisation of the patient having oncological surgical through prehabilitation: a narrative review
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“Theories of behaviour change can help identify appropriate determinants of behaviour and strategies to in fl uence those behaviours [9].”
InfluentialKalroozi, F., Moradi, M., Ghaedi‐Heidari, F., Marzban, A., & Raeisi‐Ardali, S. R. (2022) · Perspectives In Psychiatric Care · doi:10.1111/ppc.13150 · Cited by 10 · see citing works
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“…intervention effectiveness concluded that early provision of psychological support before surgery has the potential to improve psychological health and mitigate outcomes such as anxiety and depression [11 A meta-analysis was performed to ascertain the cumulative effect of interventions on outcomes.”
Włodarczyk, J. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26157242 · Cited by 12 · see citing works
Heneka, N., Chambers, S. K., Schaefer, I., Carmont, K., Parcell, M., Wallis, S., Walker, S., Tuffaha, H., Steele, M. C., & Dunn, J. C. (2024) · Australian Journal of Rural Health · doi:10.1111/ajr.13149 · Cited by 6 · see citing works
Self-citationTesio, V., Benfante, A., Franco, P., Romeo, A., Arcadipane, F., Iorio, G. C., Bartoncini, S., & Castelli, L. (2024) · Clinical and Translational Radiation Oncology · doi:10.1016/j.ctro.2024.100824 · Cited by 6 · see citing works
“…treatment phase, in particular by implementing multidisciplinary and multimodal preventive and pre-habilitation interventions not only before surgery [39,40], but even better immediately after diagnosis to improve both cancer-related reactions and HRQoL and psychological health in the medium term.”
BackgroundBhaliya, K., Anwer, M., & Wei, M. Q. (2025) · Vaccines · doi:10.3390/vaccines13090957 · Cited by 6 · see citing works
“However, these vaccines often failed to trigger effective new T cell responses because of immune tolerance mechanisms [47].”
Yaceczko, S. D., & Baltz, J. (2023) · Nutrition in Clinical Practice · doi:10.1002/ncp.11079 · Cited by 6 · see citing works
Myers, A., Humphreys, L. J., Thelwell, M., Pickering, K., Frith, G., Phillips, G., Keen, C., Copeland, R. J., & _, _. (2024) · Journal of Physical Activity and Health · doi:10.1123/jpah.2023-0622 · Cited by 5 · see citing works
Stiger, R. J., Williams, M. A., & Collett, J. (2025) · Supportive Care in Cancer · doi:10.1007/s00520-025-09844-5 · Cited by 5 · see citing works
The validity of the distress thermometer in patients with musculoskeletal tumors
Uhlenbruch, F. M., Schopow, N., Roschke, E., Lycke, C., Heyde, C., Mehnert, A., & Osterhoff, G. (2023) · Journal of bone oncology · doi:10.1016/j.jbo.2023.100479 · Cited by 5 · see citing works
“Psychological comorbidities have been shown to be associated with negative effects on treatment, compliance and the clinical outcome [1 – 4].”
BackgroundJack, S., Andritsch, E., Joaquim, A. V., Kreissl, M. C., Locati, L. D., Netea-Maier, R. T., Reverter, J. L., & Elisei, R. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e30723 · Cited by 5 · see citing works
“• Utilize existing screening and risk assessment tools to evaluate patients ’ physical and psychological conditions, barriers that patients may encounter when asked to participate in the program, and solutions to these barriers [10,42,90,91].”
BackgroundGhizzardi, G., Maiandi, S., Vasaturo, D., Collemi, C., Laurano, A., Magon, A., Belloni, S., Sidoli, D., Cascone, C., Bassani, L. S., et al. (2025) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2025.102796 · Cited by 5 · see citing works
Современные технологии реабилитации онкологических больных: обзор международного опыта
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Prehabilitation Prior to Chemotherapy in Humans: A Review of Current Evidence and Future Directions
Pietrakiewicz, K., Stec, R., & Sobocki, J. (2025) · Cancers · doi:10.3390/cancers17162670 · Cited by 4 · see citing works
“In 2022, a comprehensive review by Grimmett [79] summarized the existing literature on psychological support for patients following a cancer diagnosis.”
Renouf, T., Barlow, R., & Patel, T. (2024) · Supportive Care in Cancer · doi:10.1007/s00520-023-08273-6 · Cited by 4 · see citing works
Hinnen, C., & Mols, F. (2022) · Psychology and Health · doi:10.1080/08870446.2022.2155670 · Cited by 4 · see citing works
“This does not mean that interventions during the diagnostic phase may not be helpful for patients to endure their worries and anxieties and promote recovery (grimmett et al., 2022).”
Hirst, N., Solomon, M. J., McBride, K., Dhillon, H., Bai, Z.-R., Alexander, K., Jeon, S., & Steffens, D. (2025) · Supportive Care in Cancer · doi:10.1007/s00520-025-10118-3 · Cited by 10 · see citing works
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Giribone, S., Franscini, M., Manfredi, V., Pepoli, A., Valorio, P., Sterpone, R., Canepa, M. C., Vincenti, M., Rossi, M., & Maconi, A. (2024) · Working Paper of Public Health · doi:10.4081/wpph.2024.10050 · Cited by 3 · see citing works
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Hou, C., Yang, Y., Chen, W., Yang, L., Zeng, Y., Li, Q., & Song, H. (2025) · Depression and Anxiety · doi:10.1155/da/3990416 · Cited by 2 · see citing works
“…psychological interventions before surgery has shown little impact on core surgical outcomes (e.g., length of hospital stays, complications, and mortality) [17, 18], underscoring the importance of implementing effective psychological screening to enhance the post-operative prehabilitation strategy.”
Prehabilitation for people with cancer
van Waart, H., & Seretny, M. (2025) · BJA Education · doi:10.1016/j.bjae.2025.01.004 · Cited by 2 · see citing works
Melnikova, E. A., Starkova, E. Y., Semenkov, A. V., Litau, V. Y., & Tulskih, D. A. (2024) · Problems of Balneology Physiotherapy and Exercise Therapy · doi:10.17116/kurort202410102146 · Cited by 1 · see citing works
Alles, P. S., Alagiyawanna, D., Seneviwickrama, M., Nanayakkara, S., Kariyawasam, M., & Pathirana, A. (2024) · Sri Lanka Journal of Psychiatry · doi:10.4038/sljpsyc.v14i2.8492 · Cited by 1 · see citing works
“…Brief psychological intervention to reduce psychological distress among pre-operative cancer patients Evidence points towards the potential of improving both psychological and treatment outcomes via provision of psychological support early in the cancer pathway (8).”
BackgroundThe Role of Prehabilitation in Oncology Patients Undergoing Complex Systemic Anticancer Therapy
Renouf, T. (2025) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2025.151812 · Cited by 1 · see citing works
Optimizing chemotherapy outcomes: The role of mindfulness in Epirubicin treatment for urinary tumors
Abolfazli, P., Nchama, C. N. A., & Lucke-Wold, B. P. (2025) · World Journal of Psychiatry · doi:10.5498/wjp.v15.i4.102852 · Cited by 1 · see citing works
Aregui, A., Estrada, J., Lefèvre, M., Carteaux-Taieb, A., Béraud-Chaulet, G., Hammel, P. R., Fossey-Diaz, V., & Aparicio, T. (2025) · Cancers · doi:10.3390/cancers17091589 · Cited by 1 · see citing works
“More recently, a 2022 literature review showed a trend towards improved psychological outcomes following psychological prehabilitation, particularly when psychologist-led [65].”
Li, L., Zhao, Y., Chen, H., Zhao, J., Dai, M., Wang, Q., Lv, J., & Wang, W. (2025) · Frontiers in Pain Research · doi:10.3389/fpain.2025.1601220 · Cited by 1 · see citing works
“Psychological interventions, such as cognitive-behavioral therapy (CBT) and relaxation training, can effectively reduce anxiety levels, thereby alleviating postoperative pain (61).”
Simionescu, A. A., Costan, V. V., Panaite, T., Grădinariu, A. I., Jehac, A., Armencia, A. O., Balcoș, C. A. M., & Zetu, I. N. (2025) · Medicina · doi:10.3390/medicina61091598 · Cited by 1 · see citing works
“Addressing psychological factors enables personalized care, with evidence showing that managing distress preoperatively can enhance satisfaction and outcomes [48,51,52].”
Personalising prehabilitation: are super surgery schools the future?
Levett, D. Z. H., & Fecher‐Jones, I. (2025) · British Journal of Anaesthesia · doi:10.1016/j.bja.2025.10.022 · Cited by 1 · see citing works
Consensus Guidelines on Perioperative Care in Primary Retroperitoneal Sarcoma Surgery
Lozano, P., Díaz‐Cambronero, Ó., Muñoz, P., Fernández-Candela, A., Hernández-Sánchez, P., Javaloyes, N., Olivares-Ripoll, V., Rodrigues, C. C., Prieto-Nieto, I., Gómez, D. D., et al. (2026) · Annals of Surgical Oncology · doi:10.1245/s10434-026-19520-5 · Cited by 1 · see citing works
Prehabilitation before pancreatoduodenectomy: results of a retrospective single-center study
Scherber, P. R., Bauer, J., Holländer, S., Gäbelein, G., Marth, E., Brusokas, L., Gafarli, S., Jacob, P., & Glanemann, M. (2026) · Perioperative Medicine · doi:10.1186/s13741-026-00685-2 · Cited by 1 · see citing works
Coping Skills for Oncology Patients: A Practical Guide
Edgar, L. (2022) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2022.151335 · Cited by 1 · see citing works
If the peri‐operative patient pathway was right, what would it look like?
Watters, D. A., Scott, D. A., Sammour, T., Harris, B., & Ludbrook, G. (2024) · ANZ Journal of Surgery · doi:10.1111/ans.19179 · Cited by 1 · see citing works
“42 Prehabilitation may vary from individualized programs, virtual surgery schools, home-based prehabilitation (possibly supported by an app) and in-person group or individual supervised sessions.”
Kim, Y. M., Oh, S.-S., & Geun-hee, A. (2025) · Korean Journal of Leisure, Recreation & Park · doi:10.26446/kjlrp.2025.3.49.1.65 · Cited by 1 · see citing works
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Robinson, A., Slight, R. D., Husband, A., & Slight, S. P. (2023) · doi:10.2196/preprints.48510
Efficacy of Prehabilitation in Abdominal Cancer Surgery
Edbrooke, L., Abo, S., & Denehy, L. (2024) · Springer eBooks · doi:10.1007/978-3-031-56270-9_6
Nutritional Prehabilitation: Trends in Supplementation Based on Sustainable Dairy Protein Sources
Muchut, L. C., Bustos, L. F., Hidalgo, M. E., & Vasile, F. E. (2025) · Current Nutrition Reports · doi:10.1007/s13668-025-00623-6
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Raso, K.-L., David, M., Melton, A., Tan, S. Y., & Vardy, J. L. (2025) · Supportive Care in Cancer · doi:10.1007/s00520-025-10032-8
“This may reflect the nature of the intervention, stigma, emotional distress, and lack of structured monitoring [68].”
Özkan, E., & Aktaş, Y. Y. (2025) · Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi · doi:10.48071/sbuhemsirelik.1655263
Prähabilitation beim Ösophaguskarzinom: Evidenz, Strategien und klinischer Stellenwert
Hejleh, A. P. A., Bruns, C. J., & Schmidt, T. (2025) · Die Onkologie · doi:10.1007/s00761-025-01882-2
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“Eine starre „One-size-fits-all“-Lösung wird der Heterogenität onkologischer Patient:innen nicht gerecht [9].”
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- Authors
- Grimmett, C., Heneka, N., & Chambers, S.
- Affiliations
- University of Southampton (GB)
- University of Technology Sydney (AU)
- Australian Catholic University (AU)
- Corresponding author
- Grimmett, Chloe
- Venue
- Current Anesthesiology Reports
- Published
- 2022-01-31
- Volume
- 12
- Issue
- 1
- Pages
- 78-87
- ISSN
- 1523-3855 (ISSN-L)
- 2167-6275
- PMC
- PMC8801554
- OpenAlex
- W4210467347
- Cited by
- 78
- References
- 70
- Citations by year
- 2026: 18 · 2025: 27 · 2024: 16 · 2023: 10 · 2022: 7
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Current anesthesiology reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (acceptedVersion)
- Griffith Research Online (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Medicine › Psychiatry and Mental health › Cancer, Stress, Anesthesia, and Immune Response
- Keywords
- cancer surgery, psychological distress, psycho-oncology, distress screening, medication adherence, psychological outcomes, cancer patients
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