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A systematic review of psychosocial interventions for colorectal cancer patients

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Abstract

Purpose

A significant minority of colorectal cancer (CRC) patients experience clinically meaningful distress that may warrant intervention. The goal of this systematic review was to assess the impact of psychosocial interventions on quality-of-life and psychosocial outcomes for CRC patients.

Methods

A systematic search of CINAHL, MEDLINE, PsycINFO, and PsycARTICLES was undertaken to obtain relevant randomized controlled trials (RCTs) published through October 2016.

Results

Fourteen RCTs of psychosocial interventions for CRC patients were identified. Only three of these RCTs showed significant intervention effects on multiple mental health outcomes. These interventions included written and verbal emotional expression, progressive muscle relaxation training, and a self-efficacy enhancing intervention. Eight of the 14 trials, testing a range of psychoeducational and supportive care interventions, produced little to no effects on study outcomes. An evaluation of RCT quality highlighted the need for greater rigor in study methods and reporting.

Conclusion

A limited evidence base supports the efficacy of psychosocial interventions for CRC patients. Large-scale trials are needed before drawing definitive conclusions regarding intervention impact.

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Acknowledgements

Catherine Mosher’s work was supported by the National Cancer Institute [grant numbers: K07CA168883 and K05CA175048]. Its content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute.

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Authors and Affiliations

  1. Department of Psychology, Indiana University-Purdue University Indianapolis, 402 North Blackford Street, LD 124, Indianapolis, IN, 46202, USA

    Catherine E. Mosher & Joseph G. Winger

  2. College of Nursing, Michigan State University, 355 Bogue St., Room #C383, East Lansing, MI, 48824, USA

    Barbara A. Given

  3. Department of Medicine, Indiana University School of Medicine, Indiana Cancer Pavilion, 535 Barnhill Drive, Indianapolis, IN, 46202, USA

    Safi Shahda & Paul R. Helft

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  1. Catherine E. Mosher
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  2. Joseph G. Winger
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Correspondence to Catherine E. Mosher.

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Mosher, C.E., Winger, J.G., Given, B.A. et al. A systematic review of psychosocial interventions for colorectal cancer patients. Support Care Cancer 25, 2349–2362 (2017). https://doi.org/10.1007/s00520-017-3693-9

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