Psychosocial interventions for anxiety and depression in adult cancer patients: achievements and challenges
Open accessAbstract
Psychosocial care is increasingly recognized as an essential component of the comprehensive care of the individual with cancer. Improving patients' access to psychosocial care is important; however, ensuring that the care made available has been shown to be effective is just as important. Accordingly, the goal of this review is to describe an evidence-based approach to the psychosocial care of adults with cancer. The focus is on anxiety and depression because a considerable body of research has examined the impact of psychosocial interventions on these outcomes. After describing the sources, assessment, and prevalence of anxiety and depression in adults with cancer and presenting existing clinical practice guidelines for their management, previous publications that systematically reviewed evidence of the efficacy of psychosocial interventions are summarized. The use of these publications to derive specific recommendations for the use of psychosocial interventions in the management of anxiety and depression is then illustrated. In addition, examples are provided of interventions that are effective against anxiety and depression and have good potential for dissemination in routine clinical practice. The review concludes with a discussion of future directions for the continued development of an evidence-based approach to the psychosocial care of people with cancer.
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Problem-solving, psychoeducation, and relaxation training are associated with reduced anxiety in cancer patients.
“In addition to traditional CBT principles, problem-solving, psychoeducation and relaxation training have been associated with reductions in anxiety in cancer patients (Jacobsen & Jim, 2008).”
From Utilizing a Manualized Therapy to Provide Parallel Treatment to Older Adults With Cancer and Their Caregivers: A Case Study (2022) · cites this paper as Jacobsen & Jim, 2008
Psychosocial interventions reduce anxiety in adults with cancer and have positive long-term effects on quality of life.
“Psychosocial interventions have been found to be efficacious in reducing anxiety in adults with cancer, as well as having positive long-term effects on quality of life (Osborn et al., 2006; Greer et al, 2012; Jacobsen & Jim, 2008).”
From Utilizing a Manualized Therapy to Provide Parallel Treatment to Older Adults With Cancer and Their Caregivers: A Case Study (2022) · cites this paper as Jacobsen & Jim, 2008
Our results showed favourable effects of psychological interventions on some psychological outcomes, particularly anxiety, depression, mood disturbance, and quality of life, consistent with previous reviews.
“Consistent with previous reviews on cancer patients (Jacobsen 2008;Meyer 1995;Osborn 2006;Raingruber 2011;Reshe 2003) and reviews on women with breast cancer (Guarino 2020; Naaman 2009), our results showed favourable effects of psychological interventions on some psychological outcomes, particularly anxiety, depression, mood disturbance, and quality of life.”
From Psychological interventions for women with non-metastatic breast cancer (2023) · cites this paper as Jacobsen 2008
Online interventions addressing anxiety and depression in the general population have demonstrated similar levels of efficacy to face-to-face interventions in both the general population and cancer patients.
“Online interventions addressing anxiety and depression in the general population have demonstrated similar levels of efficacy to face-to-face interventions in both the general population and cancer patients (Griffiths, Farrer, & Christensen, 2010;Jacobsen & Jim, 2008).”
From e-TC: Development and pilot testing of a web-based intervention to reduce anxiety and depression in survivors of testicular cancer (2017) · cites this paper as Jacobsen & Jim, 2008
Many people living with cancer who could benefit from psychological support remain untreated because of the under-recognition of the need for psychosocial care by their primary oncology team and the lack of professionals to provide psychological support to cancer patients.
“many people living with cancer who could benefit from psychological support remain untreated because of the under-recognition of the need for psychosocial care by their primary oncology team”
Psychoeducation and Acceptance and Commitment Therapy elements have been shown to reduce anxiety, depression, and fatigue.
“These methods have been shown to reduce anxiety,21-26 depression,21,22,25-29 and fatigue.30-33”
From Effects of a Video Sequence Based Intervention on Anxiety, Fatigue and Depression in Cancer Patients: Results of a Randomized Controlled Trial. (2023) · cites this paper as [22]
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“In practice, first, some developed countries, such as United States and Australia, have developed several clinical practice guidelines for the psychotherapy and supportive care of cancer patients [199], but the corresponding management systems and processes are still not available in China.”
BackgroundWagner, L. I., Zhao, F., Hong, F., Williams, M. E., Gascoyne, R. D., Krauss, J. C., Advani, R. H., Go, R. S., Habermann, T. M., Leach, J. W., et al. (2015) · Journal of Clinical Oncology · doi:10.1200/jco.2014.57.6801 · Cited by 40 · see citing works
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- Authors
- Jacobsen, P. B., & Jim, H. S.
- Affiliations
- University of South Florida (US)
- Venue
- CA: A Cancer Journal for Clinicians
- Publisher
- Wiley
- Published
- 2008-03-19
- Volume
- 58
- Issue
- 4
- Pages
- 214-230
- ISSN
- 0007-9235 (ISSN-L)
- OpenAlex
- W2033658691
- Cited by
- 382
- References
- 73
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 17 · 2023: 16 · 2022: 17 · 2021: 15 · 2020: 18 · 2019: 20 · 2018: 11 · 2017: 23 · 2016: 23 · 2015: 20 · 2014: 34 · 2013: 47 · 2012: 37
- FWCI
- 11.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- CA A Cancer Journal for Clinicians (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- psychosocial interventions, anxiety, depression, cancer patients, psychosocial care, evidence-based practice, intervention efficacy, intervention dissemination, cancer-related anxiety, cancer-related depression
- MeSH terms
- Adult, Anxiety, Depression, Humans, Neoplasms, Psychotherapy, Treatment Outcome
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