Skip to main content
Log in

Psychologische interventies bij kanker – zoeken naar de juiste maat

  • Serie: Psychologische interventies bij somatische aandoeningen
  • Published:
Psychologie en Gezondheid

Summary

Psychological interventions in cancer

Currently cancer is the first cause of death in Western society, but also: many patients survive, due to improved treatments. During the past 30 years psycho-oncology has grown from a non-issue to an important aspect of cancer-rehabilitation. Psychological adaptation to cancer is a complex process, where daily hassles go along with existential concerns. Depending on the phase of disease-treatment-outcome, the patient struggles with loss of health, loss of control and with anxiety. Ego documents may show impressive qualitative narratives or artistic work. However outcomes of scientific psychological research concerning distress, depression or anxiety are ambiguous (ranges vary from 0-50%). Currently, experiences of ‘growth’ are investigated and appear to be present in at least half of the patients. Psychological screening during treatment is also an actual topic; it seems that only a small part of patients that report high levels of distress have a need for professional help. Scientifically, the measurement of the efficacy of psycho-oncological interventions is an important topic; there is a large variety of research-outcomes and this has led to a critical stance concerning research designs and review-strategies. In clinical practice however, a quite broad spectrum of psycho-oncological intervention options has been developed during the past two decades in The Netherlands.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Notes

  1. Distress’ is een term die is geïntroduceerd door de NCCN (National Comprehensive Cancer Network, US), en wordt gedefinieerd als ‘an unpleasant experience of an emotional, psychological, social or spiritual nature that interferes with the ability to cope with cancer treatment. It extends along a continuum, from common normal feelings of vulnerability, sadness and fears, to problems that are disabling, such as true depression, anxiety, panic, and feeling isolated or in a spiritual crisis’ (NCCN practical guidelines for the management of psychosocial distress. National Comprehensive Cancer Network. Oncology, 13 (5A): 113-47, 1999)

  2. Bij het IPSO zijn de volgende psycho-oncologische instellingen aangesloten: Het Behouden Huys, Glimmen (Gn); Helen Dowling Instituut, Utrecht; Taborhuis, Nijmegen; De Vruchtenburg, Rotterdam; Dr. Le Shanstichting, Oegstgeest, Leiden; Stichting Les Vaux, Abcoude; Ingeborg Douwescentrum, Amsterdam;Stichting Amarant, Utrecht; voor adressen zie www.IPSO.nl

Literatuur

  • Ahlberg, K., Ekman, T., Gaston-Johansson, F., & Mock, V. (2003). Assessment and management of cancer-related fatigue in adults. The Lancet, 362, 640-650.

    Google Scholar 

  • Andrykowski, M.A., & Manne, S.L. (2006). Are psychological interventions effective and accepted by cancer patients? I. Standards and levels of evidence. Annals of Behavorial Medicine, 32, 93-97.

    Google Scholar 

  • Blijenberg, G., Gielissen, M.F.M., Berends, T., Voskamp, H., Bazelmans, E., & Verhagen, S., (2004). Cognitieve gedragstherapie voor vermoeidheid na kanker: een behandelprotocol. Tijdschrift voor Gezondheidswetenschappen, 6, 364-370.

    Google Scholar 

  • Carlson, L.E., & Bultz, B.D. (2003). Benefits of psychosocial oncology care: improved quality of life and medical cost offset. Health Quality of Life Outcomes; 1, 8.

    Google Scholar 

  • Cordova, M.J., & Andrykowski, M.A. (2003). Responses to cancer diagnosis and treatment: posttraumatic stress and posttraumatic growth. Seminars in Clinical Neuropsychiatry, 8, 286-296.

    Google Scholar 

  • Coyne, J.C, Lepore, S.J., & Palmer, S.C. (2006). Efficacy of psychosocial interventions in Cancer Care: Evidence is weaker than it first looks. Annals of Behavioral Medicine, 32, 104-110.

    Google Scholar 

  • Cunningham, A.J., Lockwood, G.A., & Edmonds, C.V. (1993). Which cancer patients benefit most from a brief, group, coping skills program. International Journal of Psychiatry in Medicine, 23, 383-398.

    Google Scholar 

  • Demmer, T., & Boschloo, I. (2004). Tasten, voelen, kijken: creatieve therapie. In G. Pool, F. Heuvel, A.V. Ranchor, & R. Sanderman (eds.). Handboek psychologische interventies bij chronisch-somatische aandoeningen (pp. 395-408). Assen: Van Gorcum.

  • Dijk, M. van, & Janssen, W. (2009). Psychosociale ondersteuning voor patiënten met kanker, literatuurstudie. Psychologie & Gezondheid, 37, 5-14.

    Google Scholar 

  • Dunkel-Schetter, C., Feinstein, L.G., Taylor, S.E., & Falke, R.L. (1992). Patterns of coping with cancer. Health Psychology, 11, 79-87.

    Google Scholar 

  • Fawzy, F.I., & Fawzy, N.W. (1995). Critical review of psychological interventions in cancer care. Archives of General Psychiatry, 52, 100-113

    Google Scholar 

  • Garssen, B. (2009). Psychologische factoren bij het ontstaan en beloop van kanker. In H. de Haes, L. Gualthérie van Weezel, & R.Sanderman (red.) Psychologische patiëntenzorg in de oncologie (pp. 29-40). Assen: Van Gorcum.

  • Gielissen, M.F.M., Verhagen, S., & Blijenberg, G. (2007). Cognitive behaviour therapy for fatigued cancer survivors: long-term follow-up. British Journal of Cancer, 97, 612-618.

    Google Scholar 

  • Gijsen, B., Koppejan-Rensenbrink, R., & Berg, J.P. van den (2009). Oncologische revalidatie, multidisciplinaire nazorg bij kanker. In: H. de Haes, L.Gualthérie van Weezel, & R. Sanderman (red.). Psychologische patiëntenzorg in de oncologie (pp. 287-297). Assen: Van Gorcum.

  • Graaf, W.T.A. van der (2009). Algemene aspecten. In: J. de Vries., W.T.A. van der Graaf, H. Hollema, B.G. Szabó, W. Bender, & E.M.L.Haagedoorn, E.M.L. Oncologie voor de algemene praktijk (pp. 5-9). Assen: Van Gorcum.

  • Graeff, A. de (2009). Medische aspecten. In H. de Haes, L. Gualthérie van Weezel, R. Sanderman (red.). Psychologische patiëntenzorg in de oncologie (pp. 43-52). Assen: Van Gorcum.

  • Gualthérie van Weezel, L., Jong, C. de, & Heuvel, F. (2004). Kanker-casuïstiek. In G. Pool, F. Heuvel, A.V. Ranchor & R. Sanderman (red.). Handboek psychologische interventies bij chronisch-somatische aandoeningen (pp. 592-602). Assen:Van Gorcum.

  • Haes, H. de, Gualthérie van Weezel, L., Sanderman, R. (red.) (2009). Psychologische patiëntenzorg in de oncologie. Assen: Van Gorcum.

  • Harten, W.H. van, Noort, O. van, Warmerdam, R., Hendricks, H., & Seidel, E. (1998). Assessment of rehabilitation needs in cancer patients. International Journal of Rehabilitation Research, 21, 247-257.

    Google Scholar 

  • Heijink, J., Tempelaar, L., Heuvel, F., Grol, B.M.F., & Sanderman, R. (1997). Kortdurende interventies bij kankerpatiënten – Werking en effecten van het KIK-project. Groningen: NCG.

  • Holland, J.C., & Rowland, J.H. (Eds.) (1989).Handbook of psychooncology: psychological care of the patient with cancer. New York: Oxford University Press.

  • Holzenspies, C., & Taal, J. (2003). Kanker in beeld, verwerking door creatieve expressie, deel II. Amsterdam/Wormer: Stichting Kanker in Beeld.

  • Jaarsma, T.A., Pool, G., Sanderman, R., & Ranchor, A.V. (2006). Psychometric properties of the Dutch version of the posttraumatic growth inventory among cancer patients. Psycho-Oncology, 15, 911-920.

    Google Scholar 

  • Jacobsen, P.B. (2006). Lost in translation: the need for clinically relevant research on psychological interventions for distress in cancer patients. Annals of Behavorial Medicine, 32, 119-120.

    Google Scholar 

  • Lepore, S.J., & Coyne, J.C. (2006). Psychological interventions and distress in cancer patients: A review of reviews. Annals of Behavorial Medicine, 32, 85-92.

    Google Scholar 

  • Leventhal, H., & Nerenz, D.R. (1985). The assessment of illness cognition. In P. Karoly (Ed). Measurement strategies in health psychology (pp. 517-554). New York:John Wiley & Sons.

  • Madden, J. (2006). The problem of distress in patients with cancer: more effective assessment. Clinical Journal of Oncology Nursing, 10, 615-619.

    Google Scholar 

  • Maguire, P. (1985). Psychological morbidity associated with cancer and cancer treatment. Clinics in Oncology, 4, 559–575.

    Google Scholar 

  • Meyer, T.J., & Mark, M.M. (1995). Effects of psychosocial interventions with adult cancer patients: A meta-analysis of randomized experiments. Health Psychology, 14, 101-108.

    Google Scholar 

  • Mitchell, A.J. (2007). Accuracy of Distress Thermometer and other ultra-short methods of detecting cancer-related mood disorders: pooled results from 38 analyses. Journal of Clinical Oncology 25, 4670-4681.

    Google Scholar 

  • Newell, S.A., Sanson-Fisher, R.W., & Savolainen, N.J. (2002) Systematic review of psychological therapies for cancer patients: overview and recommendations for future research. Journal of the National Cancer Institute, 94, 558-584.

    Google Scholar 

  • Pool, G. (2004). Tijd om op weg te gaan: cliënten met een korte levensverwachting. In G. Pool, F. Heuvel, A.V. Ranchor & R. Sanderman (red.). Handboek psychologische interventies bij chronisch-somatische aandoeningen (pp. 329-249). Assen: Van Gorcum.

  • Pool, G., Nijdam, M.J., & Oosting, M.E. (in press). Posttraumatic growth in the Netherlands. In T.Weiss, & R. Berger (Eds.). Posttraumatic growth and culturally competent practice: lessons learned from around the globe. Hoboken, J.J.: John Wiley & Sons.

  • Ranchor, A.V., Schroevers, M, & Henselmans, I. (2009). Omgaan met kanker, de rol van coping en controle. In H.de Haes, L. Gualthérie van Weezel, & R. Sanderman (red.) Psychologische patiëntenzorg in de oncologie. Assen: Van Gorcum.

  • Rehse, B., & Pukrop, R. (2003). Effects of psychosocial interventions on quality of life in adult cancer patients: meta analysis of 37 published controlled outcome studies. Patient Education and Counseling 50, 179-86.

    Google Scholar 

  • Servaes, P., Verhagen, C., & Blijenberg, G. (2002). Fatigue in cancer patients during and after treatment: prevalence, correlates and interventions. European Journal of Cancer, 38, 27-43.

    Google Scholar 

  • Spiegel, D., Bloom, J.R., & Yalom, I. (1981). Group support for patients with metastasic cancer. Archives of General Psychiatry, 38, 527-533.

    Google Scholar 

  • Spijker, A. van ‘t, Trijsburg, R.W., Duivenvoorden, H.J. (1997). Psychological sequelae of cancer diagnosis: a meta-analytical review of 58 studies after 1980. Psychosomatic Medicine, 59, 280-293.

  • Tedeschi, R.G., & Calhoun, L.G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1-18.

    Google Scholar 

  • Thompson, S.C., & Collins, M.A. (1995). Applications of perceived control to cancer: An overview of theory and measurement. Journal of Psychosocial Oncology, 13, 11-26

    Google Scholar 

  • Trijsburg, R.W., Knippenberg, F.C.E., & Rijpma, S.E. (1995). Effects of psychological treatment on cancer patients: a critical review. Psychosomatic Medicine, 54, 489-517.

    Google Scholar 

  • Tuinman, M.A., Gazendam-Donofrio, S.M., & Hoekstra-Weebers, J.E. (2008). Screening and referral for psychosocial distress in oncologic practice: use of the Distress Thermometer. Cancer, 113, 870-878.

    Google Scholar 

  • Vos, P. (2009). Kanker in Beeld. Amsterdam: Stichting Kanker in Beeld.

  • Wagener, D.J.Th. (2008). De geschiedenis van de oncologie. Houten: Bohn Stafleu van Loghum.

  • Warnars-Kleverlaan, N., & Zwart, K. (1998). Kanker in Beeld. Amsterdam: Stichting Kanker in Beeld.

  • Yalom, I. (1981). Existential Psychotherapy. New York: Basic Books.

  • Yalom, I. (2008). Staring at the sun: overcoming the terror of death. San Francisco, CA, Jossey-Bays.

  • Zoellner, T., & Maercker, A. (2006). Posttraumatic growth in clinical psychology – A critical review and introduction of a two component model. Clinical Psychology Review, 26, 626-653.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Grieteke Pool.

Additional information

Dr. Grieteke Pool is werkzaam als psychotherapeut/wetenschappelijk onderzoeker bij het Ambulatorium Medische Psychologie, Gezondheidswetenschappen/ Health Psychology, Universitair Medisch Centrum Groningen/RijksUniversiteit Groningen.

Correspondentieadres: G.Pool, Gezondheidswetenschappen, afd. Health Psychology, De Brug-5, UMCG, Postbus 30.001, 9700 RB Groningen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pool, G. Psychologische interventies bij kanker – zoeken naar de juiste maat. PSEG 37, 276–287 (2009). https://doi.org/10.1007/BF03080416

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03080416

Navigation