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Psycho-Oncological Interventions and Psychotherapy in the Oncology Setting

Chapter
Part of the Recent Results in Cancer Research book series (RECENTCANCER, volume 197)

Abstract

A person who faces the diagnosis of cancer is subjected to changes within his body, but also with regard to his view of himself and his social relationships. Cancer-related psychological distress occurs frequently and has been reported to have different prevalence according to cancer type and stage of disease. Psychological disorders are known to be underdiagnosed and thus undertreated in the oncology setting, since clinicians might miss the symptoms of psychological distress, misinterpret them, or lack the time and resources to respond adequately. The main psychiatric disturbances observed in patients with cancer are adjustment disorders and affective disorders (anxiety and depression), which in the majority of patients are due to stressors related to the disease and pre-existing psychological vulnerabilities; however, they might also be a direct consequence of biological causes either resulting from treatment side effects or from modifications induced by the cancer. This chapter aims to provide theoretical and practical information concerning psycho-oncological approaches, complemented by some reflexions on their clinical and scientific evidence, focussing essentially on verbal psychological interventions and especially on psychotherapy in patients with cancer.

Keywords

Psychological Distress Cognitive Behavioral Therapy Childhood Cancer Survivor Psychodynamic Psychotherapy Oncology Setting 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Andersen BL, Farrar WB, Golden-Kreutz D et al (2007) Distress reduction from a psychological intervention contributes to improved health for cancer patients. Brain Behav Immun 21(7):953–961PubMedCrossRefGoogle Scholar
  2. Ando M, Tsuda A, Morita T (2007) Life review interview on the spiritual well-being of terminally ill cancer patients. Support Care Cancer 15:225–231PubMedCrossRefGoogle Scholar
  3. Arkowitz H (1992) A common factors therapy for depression. In: Norcorss JC, Goldfried MR (eds) Handbook of psychotherapy integration. Basic Books, New York, pp 402–432Google Scholar
  4. Beutler LE, Consoli AJ (1992) Integration through fundamental similarities and useful differences among schools. In: Norcross JC, Goldfried MR (eds) Handbook of psychotherapy integration. Basic Books, New York, pp 202–231Google Scholar
  5. Bressoud A, Real del Sarte O, Stiefel F et al (2007) Impact of family structure on long-term survivors of osteosarcoma. Support Care Cancer 15:525–531Google Scholar
  6. Chow E, Tsao MN, Harth T (2004) Does psychosocial intervention improve survival in cancer? A meta-analysis. Palliat Med 18:25–31PubMedCrossRefGoogle Scholar
  7. Daniels J, Kissane DW (2008) Psychosocial interventions for cancer patients. Curr Opin Oncol 20:367–371PubMedCrossRefGoogle Scholar
  8. Devine EC, Westlake SK (1995) The effects of psychoeducational care provided to adults with cancer: meta-analysis of 116 studies. Oncol Nurs Forum 22:1369–1381PubMedGoogle Scholar
  9. Doherty WJ, McDaniel SH, Hepworth J (1994) Medical family therapy: an emerging arena for family therapy. J Fam Ther 16:31–46CrossRefGoogle Scholar
  10. Edwards AGK, Hubert-Williams N, Neal RD (2008) Psychological interventions for women with metastatic breast cancer (Review). Cochrane database of systematic reviews 3Google Scholar
  11. Faulkner A, Maguire P (1994) Talking to cancer patients and their relatives. Oxford University Press, New YorkGoogle Scholar
  12. Franck JD, Frank JB (1991) Persuasion and healing: a comparative study of psychotherapy. John Hopkins Universtiy Press, BaltimoreGoogle Scholar
  13. Frank J (1988) What is Psychotherapy? In: Bloch S (ed) An Introduction to the Psychotherapies. Oxford University Press, Oxford [1979]Google Scholar
  14. Freud S (1910/1975) The future prospects of psycho-analytic therapy. In: Strachey J (ed and trans) The standard edition of the complete psychological works of Sigmund Freud, vol 11. Oxford University Press, Oxford, pp 139–151Google Scholar
  15. Greer S, Moorey S, Baruch JD et al (1992) Adjuvant psychological therapy for patients with cancer: a prospective randomised trial. Br Med J 304:675–680CrossRefGoogle Scholar
  16. Grencavage LM, Norcross JC (1990) Where are the communalities among therapeutic common factors? Prof Psychol Res Pract 21:278–372CrossRefGoogle Scholar
  17. Guex P, Stiefel F, Rousselle I (2000) Psychotherapy for the patient with cancer. Psychother rev 2:269–273Google Scholar
  18. Haley J (1976) Problem-solving therapy: new strategies for effective family therapy. Josey Bass, San FranciscoGoogle Scholar
  19. Hayes SC, Strosahl KD, Wilson KG (1999) Acceptance and commitment therapy: an experiential approach to behavior change. The Guilford Press, NewYorkGoogle Scholar
  20. Hellbom M, Brandberg Y, Glimelius B et al (1998) Individual psychological support for cancer patients: utilisation and patient satisfaction. Patient Educ Couns 34:247–256PubMedCrossRefGoogle Scholar
  21. Hollon SD, Beck AT (2004) Cognitive and cognitive behavioral therapies. In: Lambert MJ (ed) Bergin and Garfied’s handbook of psychotherapy and behavior change, 5th edn. Wiley, New YorkGoogle Scholar
  22. Hopko DR, Bell JL, Armento MEA et al (2005) Behavior therapy for depressed cancer patients in primary care. Psychother Theory Res Pract Train 42:236–243CrossRefGoogle Scholar
  23. Jackson DD (1968a) Human communication, T.1: communication, family and marriage. Science and Behavior Books, Palo AltoGoogle Scholar
  24. Jackson DD (1968b) Human communciation,T.2: communcation, family and marriage. Science and Behavior Books, Palo AltoGoogle Scholar
  25. Kaplan HI, Sadock BJ (1998) Kaplan and Sadock’s synopsis of psychiatry: behavioral sciense/clinical psychitary, 8th edn. Williams and Wilkins, BaltimoreGoogle Scholar
  26. Kazak AE (1989) Families of chronically ill children: a systems and social-ecological model of adaptation and challenge. J Consultation Clin Psychol 57:25–30CrossRefGoogle Scholar
  27. Kerrihard T, Breitbart W, Dent R et al (1999) Anxiety in patients with cancer and human inmmunodeficiency virus. Semin Clin Neuropsychiatry 4:114–132PubMedGoogle Scholar
  28. Kissane DW, Bloch S, Dowe DL et al (1996a) The Melbourne family grief study, I: perceptions of family functioning in bereavement. Am J Psychiatry 153:650–658PubMedGoogle Scholar
  29. Kissane DW, Bloch S, Dowe DL et al (1996b) The Melbourne family grief study, II: psychosocial morbidity and grief in bereaved families. Am J Psychiatry 153:659–666PubMedGoogle Scholar
  30. Kissane DW, Bloch S, Miach P et al (1997) Cognitive-existential group therapy for patients with primary breast cancer–techniques and themes. Psychooncology 6:25–33PubMedCrossRefGoogle Scholar
  31. Kissane DW, Grabsch B, Love A et al (2004a) Psychiatric disorder in women with early stage and advanced breast cancer: a comparative analysis. Aust N Z J Psychiatry 38:320–326PubMedCrossRefGoogle Scholar
  32. Kissane DW, McKenzie M, Bloch S et al (2006) Family focused grief therapy: a randomized, controlled trial in palliative care and bereavement. Am J Psychiatry 163:1208–1218PubMedCrossRefGoogle Scholar
  33. Kissane DW, Wein S, Love A et al (2004b) The demoralization scale. A report of its development and preliminary validation. J Palliat Care 20:269–276PubMedGoogle Scholar
  34. Klerman G, Weissman M, Rousevill B et al (1984) Interpersonal psychotherapy of depression. Basic Books, New YorkGoogle Scholar
  35. Krenz S, Sodel C, Stagno A et al. (2013) Psychodynamic interventions in cancer care II: a qualitative analysis of the therapists’ reports (submitted)Google Scholar
  36. Lacroix JM, Martin B, Avendano M et al (1991) Symptom schemata in chronic respiratory patients. Health Psychol 10:268–273PubMedCrossRefGoogle Scholar
  37. Lacy TJ, Higgins MJ (2005) Integrated medical-psychiatric care of a dying patient: a case of dynamically informed ‘practical psychotherapy’. J Am Acad Psychoanal Dyn Psychiatry 33:619–636PubMedCrossRefGoogle Scholar
  38. Lambert MJ, Bergin AE (1994) The effectiveness of psychotherpy. In: Bergin AE, Garfield SL (eds) Handbook of psychotherapy and behavoir change, 4th edn. New York, Wiley, pp 143–189Google Scholar
  39. Lambert MJ, Ogles BM (2004) The efficacy and effectiveness of psychotherapy. In: Lambert MJ (ed) Bergin and Garfield’s handbook of psychotherapy and behavior change, 5th edn. Wiley, New YorkGoogle Scholar
  40. Lambert MJ, Bergin AE, Garfield SL (2004) Introduction and historical overview. In: Lambert MJ (ed) Bergin and Garfield’s handbook of psychotherapy and behavior change, 5th edn. New York, Wiley, pp 3–15Google Scholar
  41. Lazarus AA (1989) The practice of multimodal therapy. Systematic, comprehensive, and effective psychotherapy. Johns Hopkins University Press, BaltimoreGoogle Scholar
  42. Lazarus AA (2005) Multimodal therapy. In: Norcross JC, Goldfried MR (eds) Handbook of psychotherapy integration, 2nd edn. New York, Oxford, pp 105–120Google Scholar
  43. Lee V, Cohen SR, Edgar L et al (2006) Meaning—making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Soc Sci Med 62:3133–3145PubMedCrossRefGoogle Scholar
  44. Lewin K (2005) The theoretical basis of dynamic psychiatry. In: Gabbard GO (ed) Psychodynamic psychiatry in clinical practice: the DSM-IV edition. American Psychiatric Press, WashingtonGoogle Scholar
  45. Liossi C, White P (2001) Efficacy of clinical hypnosis in the enhancement of quality of life of terminally ill cancer patients. Contemp Hypn 18:145–160CrossRefGoogle Scholar
  46. Ludwig S, Krenz S, Zdrojewski C et al (2013) Psychodynamic interventions in cancer care I: psychometric results of a randomized controlled trial (submitted)Google Scholar
  47. Lyons RF, Sullivan MJL, Ritvo PG (1995) Relationships in chronic illness and disability. Sage Publications, Thousand OaksGoogle Scholar
  48. Madanes C (1981) Strategic family therapy. Josey Bass, San FranciscoGoogle Scholar
  49. Manne SL, Rubin S, Edelson M et al (2007) Coping and communication-enhancing intervention versus supportive counseling for women diagnosed with gynecologic cancers. J Consult Clin Psychol 75:615–628PubMedCrossRefGoogle Scholar
  50. Martire L, Lustig A, Schultz R et al (2004) Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychol 23:599–611PubMedCrossRefGoogle Scholar
  51. Massie MJ (2004) Prevalence of depression in patients with cancer. J Natl Cancer Inst Monogr 32:57–71. doi: 10.1093/jncimonographs/lgh014 PubMedCrossRefGoogle Scholar
  52. McLean LM, Walton T, Rodin G et al (2013) A couple-based intervention for patients and caregivers facing end-stage cancer: outcomes of a randomized controlled trial. Psychooncology 22:28–38PubMedCrossRefGoogle Scholar
  53. Mefford K, Nichols JF, Pakiz B et al (2007) A cognitive behavioral therapy intervention to promote weight loss improves body composition and blood lipid profiles among overweight breast cancer survivors. Breast Cancer Res Treat 104:145–152CrossRefGoogle Scholar
  54. Meyer TJ, Mark MM (1995) Effects of psychosocial interventions with adult cancer patients: a meta-analysis of randomized experiments. Health Psychol 14:101–108PubMedCrossRefGoogle Scholar
  55. Minuchin P (1988) Relationships within the family: a systems perspective on development. In: Hinde RA, Stevenson-Hinde J (eds) Relationships within families: mutual influences. Wiley, New YorkGoogle Scholar
  56. Minuchin S (1974) Families and famliy therapy. Harvard university, CambridgeGoogle Scholar
  57. Mitchell AJ, Chan M, Bhatti H et al (2011) Prevalence of depression, anxiety, and adjustment disorder in oncological, heamatological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol 12:160–174PubMedCrossRefGoogle Scholar
  58. Moorey S, Greer S, Bliss J et al (1998) A comparison of adjuvant psychological therapy and supportive sounselling in patients with cancer. Psychooncology 7:218–228PubMedCrossRefGoogle Scholar
  59. Norcross JC, Goldfried MR (eds) (2005) Handbook of psychotherapy integration, 2nd edn. Oxford, New YorkGoogle Scholar
  60. Osborn RL, Demoncada AC, Feurerstein M (2006) Psychosocial interventions for depression, anxiety, and quality of life in cancer survivors: meta-analyses. Int J Psychiatry Med 36:13–34PubMedCrossRefGoogle Scholar
  61. Penedo FJ, Traeger L, Dahn J et al (2007) Cognitive behavioral stress management intervention improves quality of life in Spanish monolingual Hispanic men treated for localized prostate cancer: results of a randomized controlled trial. Int J Behav Med 12:164–172CrossRefGoogle Scholar
  62. Petrie KJ, Weinman J, Sharpe N et al (1996) Roles of patients’ view of their illness in predicting return to work and functioning after myocardial infarction: longitudinal study. Br Med J 312:1191–1194CrossRefGoogle Scholar
  63. Pirl WF (2004) Evidence report on the occurrence, assessement, and treatment of depression in cancer patients. J Natl Cancer Inst Monogr 32:32–39. doi: 10.1093/jncimonographs/lgh026 PubMedCrossRefGoogle Scholar
  64. Prohaska TR, Keller ML, Leventhal EA et al (1987) Impact of symptoms and aging attribution on emotions and coping. Health Psychol 6:495–514PubMedCrossRefGoogle Scholar
  65. Razavi D, Stiefel F (1994) Common psychiatric disorders in cancer patients. I. Adjustment disorders and depressive disorders. J Support Care Cancer 2:223–232CrossRefGoogle Scholar
  66. Redding KK (2005) When death becomes the end of an analytic treatment. Clin Work Soc J 33:69–79CrossRefGoogle Scholar
  67. Rodin G, Gillies LA (2000) Individual psychotherapy for the patient with advanced disease. In: Ghochinov HM, Breitbart WGO (eds) Handbook of psychiatry in palliative medicine. Oxford University Press, New YorkGoogle Scholar
  68. Ryle A, Kerr I (2002) Introducing cognitive analytic therapy: principles and practice. Wiley, ChichesterCrossRefGoogle Scholar
  69. Sameroff AJ (1983) Developmental systems: context and evolution. In: Mussen PH, Kessen W (ed) Handbook of child psychology: history, theory, and methods, 4th edn. Wiley, New YorkGoogle Scholar
  70. Schnur JB, Montgomery GH (2010) A systematic review of therapeutic alliance, group cohesion, empathy, and goal consensus/collaboration in psychotherapeutic interventions in cancer: uncommon factors? Clin Psychol Rev 30:238–247PubMedCrossRefGoogle Scholar
  71. Segal Z, Teasdale J, Williams M (2002) Mindfulness-based cognitive therapy for depression. Guilford Press, New YorkGoogle Scholar
  72. Selvini Palazzoli M (1978) Self starvation: from the individual to family therapy. Aronson, New YorkGoogle Scholar
  73. Selvini Palazzoli M (1991) Team consultation: an indispensable tool for the process of knowledge. J Fam Ther 13:31–53CrossRefGoogle Scholar
  74. Sheard T, Maguire P (1999) The effect of psychological interventions on anxiety and depression in cancer patients: results of two meta-analyses. Br J Cancer 80:1770–1780PubMedCrossRefGoogle Scholar
  75. Smedslunc G, Ringdal GI (2004) Meta-analysis of the effects of psychosocial interventions on survival time in cancer patients. J Psychosom Res 57:123–131CrossRefGoogle Scholar
  76. Spiegel D, Bloom JR, Kraemer HC et al (1989) Effect of psychosocial treatment on survival of patients with metastatic breast cancer. Lancet 2:888–891PubMedCrossRefGoogle Scholar
  77. Stiefel F, Guex P, Real O (1998) An introduction to psycho-oncology with special emphasis to its historical and cultural context. In: Bruera E, Portenoy R (eds) Topics in palliative care 3. Oxford University Press, New YorkGoogle Scholar
  78. Stratton P (2005) Report on the evidence base of systemic family therapy. Association for family therapyGoogle Scholar
  79. Strupp HH, Hadley SW (1979) Specific vs. Nonspecific factors in psychotherapy. Arch Gen Psychiatry 36:1125–1136PubMedCrossRefGoogle Scholar
  80. Tatrow K, Montgomery GH (2006) Cognitive behavioral therapy for distress and pain in breast cancer patients: a meta-analysis. J Behav Med 29:17–27PubMedCrossRefGoogle Scholar
  81. Tattersall RL (2002) The expert patient: a new approach to chronic disease management for the twenty-first century. Clin Med 2:227–229PubMedCrossRefGoogle Scholar
  82. Tepper MC, Dodes LM, Wool CA et al (2006) A psychotherapy dominated by separation, termination, and death. Harv Rev Psychiatry 14:257–267PubMedCrossRefGoogle Scholar
  83. Trijsburg RW, Colijn S, Holmes J (2005) Psychotherapy integration. In: Gabbard GO, Beck JS, Holmes J (ed) Oxford textbook of psychotherapy. Oxford, New YorkGoogle Scholar
  84. Trijsburg RW, Lietaer G, Colijn S et al (2004) Construct validity of the comprehensive psychotherapeutic interventions rating scale. Psychother Res 14:346–366CrossRefGoogle Scholar
  85. Viederman M (1983) The psychodynamic life narrative: a psychotherapeutic intervention useful in crisis situations. Psychiatry 46:236–246PubMedGoogle Scholar
  86. Viederman M (2000) The supportive relationship, the psychodynamic life narrative, and the dying patient. In: Chochinov HM, Breitbart WGO (eds) Handbook of psychiatry in palliative medicine. Oxford University Press, New YorkGoogle Scholar
  87. Viederman M, Perry SW (1980) Use of a psychodynamic life narrative in the treatment of depression in the physically ill. Gen Hosp Psychiatry 2:177–185PubMedCrossRefGoogle Scholar
  88. Walker LG, Walker MB, Ogston K et al (1999) Psychological, clinical and pathological effects of relaxation training and guided imagery during primary chemotherapy. Br J Cancer 80:262–268PubMedCrossRefGoogle Scholar
  89. Wampold BE (2001) The great psychotherapy debate: models, methods and findings. Mahwah NJ, Lawrence erlbaum associatesGoogle Scholar
  90. Watson M, Haviland JS, Greer S et al (1999) Influence of psychological response on survival in breast cancer: a population-based cohort sutdy. Lancet 354:1331–1336PubMedCrossRefGoogle Scholar
  91. White M, Epston D (1990) Narrative means to therapeutic ends. WW Norton, New YorkGoogle Scholar
  92. Witek-Janusek L, Albuquerque K, Chroniak KR et al (2008) Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer. Brain Behav Immun 22:969–981PubMedCrossRefGoogle Scholar
  93. Wojtyna E, Zycinska J, Stawiarska P (2007) The influence of cognitive-behaviour therapy on quality of life and self-esteem in women suffering from breast cancer. Rep Pract Oncol Radiother 12:109–117CrossRefGoogle Scholar
  94. Xiaolian J, Chaiwan S, Panuthai S et al (2002) Family support and self-care behaviour of Chinese chronic obstructive pulmonary disease patients. Nurs Health Sci 4:41–49PubMedCrossRefGoogle Scholar
  95. Zabora J, Brintzenhogeszoc K, Love A et al (2001) The prevalence of psychosocial distress by cancer site. Psychooncology 10:19–28PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Institut Universitaire de Psychothérapie, Département de PsychiatrieCentre hospitalier universitaire vaudoisLausanneSwitzerland
  2. 2.Service de Psychiatrie de Liaision, Département de PsychiatrieCentre hospitalier universitaire vaudoisLausanneSwitzerland

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