Psychosocial interventions in breast cancer survivorship care
Abstract
Cancer distress screening and subsequent referral for psychosocial intervention has been mandated for continued cancer center accreditation. Increasing emphasis is being placed on the referral component of this mandate, ensuring that patient distress is not only identified but also effectively treated. Many evidence-based interventions exist for cancer distress. Specific interventions can effectively target biopsychosocial impacts of stress and promote adaptive coping, focusing on problem-solving, social support utilization, assertive communication, sexual health and intimacy, adherence to medical and supportive care recommendations, health behavior change, and emotional processing and expression. In randomized clinical trials, specific interventions have also been associated with biological improvements, including neuroendocrine and immune functioning, decreased rates of breast cancer recurrence, and improved survival rates. As cancer treatments advance and patients live longer, it is pertinent to treat the impacts of breast cancer with evidence-based interventions.
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Studies looking at the efficacy of CBT with breast cancer patients have shown good efficacy with African American and Latina women.
“Studies looking at the efficacy of CBT with breast cancer patients have shown good efficacy with African American and Latina women [14].”
From Psychological Intervention and Breast Cancer (2024) · cites this paper as [14]
Randomized clinical trials of CBSM and Cancer Recovery have shown impressive impact of psychological treatment on depression and anxiety symptoms in breast cancer survivors.
“Randomized clinical trials of Cognitive Behavioral Stress Management (CBSM; Antoni) and Cancer Recovery (Anderson) have showed impressive impact of psychological treatment on depression and anxiety symptoms and quality of life in breast cancer survivors.”
From Psychological Intervention and Breast Cancer (2024) · cites this paper as [14]
Randomized clinical trials of CBSM and Cancer Recovery have shown impressive impact of psychological treatment on quality of life in breast cancer survivors.
“Randomized clinical trials of Cognitive Behavioral Stress Management (CBSM; Antoni) and Cancer Recovery (Anderson) have showed impressive impact of psychological treatment on depression and anxiety symptoms and quality of life in breast cancer survivors.”
From Psychological Intervention and Breast Cancer (2024) · cites this paper as [14]
Acceptance and commitment therapy (ACT) is particularly useful in addressing the high levels of psychological and medical comorbidities that manifest in cancer populations.
“ACT, owing to its model of healthy adaptation to difficult circumstances and transdiagnostic approach, has been appointed as particularly useful in addressing the high levels of psychological and medical comorbidities that manifest in cancer populations [17,18].”
From Development and Evaluation of the Usefulness, Usability, and Feasibility of iNNOV Breast Cancer: Mixed Methods Study (2022) · cites this paper as [18]
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References 67 · Cited by 67
- Authors
- Gudenkauf, L. M., & Ehlers, S. L.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Ehlers, Shawna L.
- Venue
- The Breast
- Publisher
- Elsevier BV
- Published
- 2018-04
- Volume
- 38
- Pages
- 1-6
- ISSN
- 0960-9776 (ISSN-L)
- OpenAlex
- W2769171623
- Cited by
- 67
- References
- 67
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 13 · 2023: 14 · 2022: 12 · 2021: 7 · 2020: 6 · 2019: 4 · 2018: 1
- FWCI
- 0.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Breast (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- breast cancer survivorship, psychosocial interventions, coping, social support, health behavior change, emotional processing, survival, neuroendocrine function, immune function
- MeSH terms
- Cancer Survivors, Survivorship, Breast Neoplasms, Female, Humans, Psychotherapy, Social Support, Stress, Psychological
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