The Effectiveness of Psychosocial Interventions for Psychological Outcomes in Pediatric Oncology: A Systematic Review
This review summarizes the current randomized controlled trials literature on psychological and physical outcomes of psychosocial interventions in pediatric oncology. The objective of this study was to evaluate the effectiveness and impact of psychosocial interventions in children with cancer. A sea...
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| Veröffentlicht in: | Journal of pain and symptom management 2018-03, Vol.55 (3), p.1004-1017 |
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| container_title | Journal of pain and symptom management |
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| creator | Coughtrey, Anna Millington, Amy Bennett, Sophie Christie, Deborah Hough, Rachael Su, Merina T. Constantinou, Matthew P. Shafran, Roz |
| description | This review summarizes the current randomized controlled trials literature on psychological and physical outcomes of psychosocial interventions in pediatric oncology.
The objective of this study was to evaluate the effectiveness and impact of psychosocial interventions in children with cancer.
A search of the literature resulted in a total of 12 randomized clinical trials and these have evaluated psychosocial interventions in children younger than 18 years with current and previous diagnoses of cancer. Outcome measures were both psychological (e.g., symptoms of anxiety, depression, quality of life, and self-esteem) and physical (e.g., cancer symptoms, treatment adherence, and pain). Interventions identified included cognitive behavioral therapy (CBT; n = 4), joint CBT and physical exercise therapy (n = 1), family therapy (n = 2), therapeutic music video (n = 2), self-coping strategies (n = 1), a wish fulfillment intervention (n = 1), and joint family therapy and CBT (n = 1).
Nine studies reported statistically significant improvements on psychological outcomes. These findings suggest that psychosocial interventions are effective at reducing anxiety and depressive symptoms as well as improving quality of life. Additionally, six studies found psychosocial interventions to have a positive impact on physical symptoms and well-being, including a reduction in procedural pain and symptom distress.
These findings suggest that mental health needs in pediatric oncology patients can and should be addressed, potentially which will lead to better mental and physical health outcomes. |
| doi_str_mv | 10.1016/j.jpainsymman.2017.09.022 |
| format | Article |
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The objective of this study was to evaluate the effectiveness and impact of psychosocial interventions in children with cancer.
A search of the literature resulted in a total of 12 randomized clinical trials and these have evaluated psychosocial interventions in children younger than 18 years with current and previous diagnoses of cancer. Outcome measures were both psychological (e.g., symptoms of anxiety, depression, quality of life, and self-esteem) and physical (e.g., cancer symptoms, treatment adherence, and pain). Interventions identified included cognitive behavioral therapy (CBT; n = 4), joint CBT and physical exercise therapy (n = 1), family therapy (n = 2), therapeutic music video (n = 2), self-coping strategies (n = 1), a wish fulfillment intervention (n = 1), and joint family therapy and CBT (n = 1).
Nine studies reported statistically significant improvements on psychological outcomes. These findings suggest that psychosocial interventions are effective at reducing anxiety and depressive symptoms as well as improving quality of life. Additionally, six studies found psychosocial interventions to have a positive impact on physical symptoms and well-being, including a reduction in procedural pain and symptom distress.
These findings suggest that mental health needs in pediatric oncology patients can and should be addressed, potentially which will lead to better mental and physical health outcomes.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/j.jpainsymman.2017.09.022</identifier><identifier>PMID: 28962919</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anxiety ; Cancer ; Children ; Clinical outcomes ; Clinical research ; Clinical trials ; Cognitive behavioral therapy ; Coping strategies ; Evidence-based medicine ; Exercise therapy ; Family therapy ; Health needs ; Health status ; Mental depression ; Mental health ; Music therapy ; Music videos ; Oncology ; Pain ; Pediatric oncology ; Pediatrics ; Physical symptoms ; Psychological distress ; Psychosocial factors ; Psychosocial intervention ; psychosocial interventions ; Quality of life ; randomized controlled trials ; Self esteem ; Symptoms ; Systematic review ; Well being</subject><ispartof>Journal of pain and symptom management, 2018-03, Vol.55 (3), p.1004-1017</ispartof><rights>2017 American Academy of Hospice and Palliative Medicine</rights><rights>Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Mar 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-ba64f3aefd205f21f064edd6640cc3e9326cef023a87f359fc32bd20ee242d1e3</citedby><cites>FETCH-LOGICAL-c405t-ba64f3aefd205f21f064edd6640cc3e9326cef023a87f359fc32bd20ee242d1e3</cites><orcidid>0000-0003-2729-4961</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0885392417305237$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30976,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28962919$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coughtrey, Anna</creatorcontrib><creatorcontrib>Millington, Amy</creatorcontrib><creatorcontrib>Bennett, Sophie</creatorcontrib><creatorcontrib>Christie, Deborah</creatorcontrib><creatorcontrib>Hough, Rachael</creatorcontrib><creatorcontrib>Su, Merina T.</creatorcontrib><creatorcontrib>Constantinou, Matthew P.</creatorcontrib><creatorcontrib>Shafran, Roz</creatorcontrib><title>The Effectiveness of Psychosocial Interventions for Psychological Outcomes in Pediatric Oncology: A Systematic Review</title><title>Journal of pain and symptom management</title><addtitle>J Pain Symptom Manage</addtitle><description>This review summarizes the current randomized controlled trials literature on psychological and physical outcomes of psychosocial interventions in pediatric oncology.
The objective of this study was to evaluate the effectiveness and impact of psychosocial interventions in children with cancer.
A search of the literature resulted in a total of 12 randomized clinical trials and these have evaluated psychosocial interventions in children younger than 18 years with current and previous diagnoses of cancer. Outcome measures were both psychological (e.g., symptoms of anxiety, depression, quality of life, and self-esteem) and physical (e.g., cancer symptoms, treatment adherence, and pain). Interventions identified included cognitive behavioral therapy (CBT; n = 4), joint CBT and physical exercise therapy (n = 1), family therapy (n = 2), therapeutic music video (n = 2), self-coping strategies (n = 1), a wish fulfillment intervention (n = 1), and joint family therapy and CBT (n = 1).
Nine studies reported statistically significant improvements on psychological outcomes. These findings suggest that psychosocial interventions are effective at reducing anxiety and depressive symptoms as well as improving quality of life. Additionally, six studies found psychosocial interventions to have a positive impact on physical symptoms and well-being, including a reduction in procedural pain and symptom distress.
These findings suggest that mental health needs in pediatric oncology patients can and should be addressed, potentially which will lead to better mental and physical health outcomes.</description><subject>Anxiety</subject><subject>Cancer</subject><subject>Children</subject><subject>Clinical outcomes</subject><subject>Clinical research</subject><subject>Clinical trials</subject><subject>Cognitive behavioral therapy</subject><subject>Coping strategies</subject><subject>Evidence-based medicine</subject><subject>Exercise therapy</subject><subject>Family therapy</subject><subject>Health needs</subject><subject>Health status</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Music therapy</subject><subject>Music videos</subject><subject>Oncology</subject><subject>Pain</subject><subject>Pediatric oncology</subject><subject>Pediatrics</subject><subject>Physical symptoms</subject><subject>Psychological distress</subject><subject>Psychosocial factors</subject><subject>Psychosocial intervention</subject><subject>psychosocial interventions</subject><subject>Quality of life</subject><subject>randomized controlled trials</subject><subject>Self esteem</subject><subject>Symptoms</subject><subject>Systematic review</subject><subject>Well being</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkdGK1DAUhoMo7rj6ClLxxpvWk6RNJ94tw6oLC7Poeh0y6Ymb0iZj0o70bXwWn8wMM4p45VUg_3dywv8R8opCRYGKt33V77XzaRlH7SsGtK1AVsDYI7Ki65aXoqH8MVnBet2UXLL6gjxLqQeAhgv-lFywtRRMUrkih_sHLK6tRTO5A3pMqQi2uEuLeQgpGKeH4sZPGHM2ueBTYUM8x0P46kzOt_NkwoipcL64w87pKTpTbL05Esu74urnj89LmnDUU77_hAeH35-TJ1YPCV-cz0vy5f31_eZjebv9cLO5ui1NDc1U7rSoLddoOwaNZdSCqLHrhKjBGI6SM2HQAuN63VreSGs422UWkdWso8gvyZvTu_sYvs2YJjW6ZHAYtMcwJ0Vl3TDaAmsy-voftA9z9Pl3ikENbSNA0kzJE2ViSCmiVfvoRh0XRUEd5ahe_SVHHeUokCrLybMvzxvm3Yjdn8nfNjKwOQGYK8k1RZWMQ29yqTELUl1w_7HmF7WcqZc</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Coughtrey, Anna</creator><creator>Millington, Amy</creator><creator>Bennett, Sophie</creator><creator>Christie, Deborah</creator><creator>Hough, Rachael</creator><creator>Su, Merina T.</creator><creator>Constantinou, Matthew P.</creator><creator>Shafran, Roz</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2729-4961</orcidid></search><sort><creationdate>201803</creationdate><title>The Effectiveness of Psychosocial Interventions for Psychological Outcomes in Pediatric Oncology: A Systematic Review</title><author>Coughtrey, Anna ; 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The objective of this study was to evaluate the effectiveness and impact of psychosocial interventions in children with cancer.
A search of the literature resulted in a total of 12 randomized clinical trials and these have evaluated psychosocial interventions in children younger than 18 years with current and previous diagnoses of cancer. Outcome measures were both psychological (e.g., symptoms of anxiety, depression, quality of life, and self-esteem) and physical (e.g., cancer symptoms, treatment adherence, and pain). Interventions identified included cognitive behavioral therapy (CBT; n = 4), joint CBT and physical exercise therapy (n = 1), family therapy (n = 2), therapeutic music video (n = 2), self-coping strategies (n = 1), a wish fulfillment intervention (n = 1), and joint family therapy and CBT (n = 1).
Nine studies reported statistically significant improvements on psychological outcomes. These findings suggest that psychosocial interventions are effective at reducing anxiety and depressive symptoms as well as improving quality of life. Additionally, six studies found psychosocial interventions to have a positive impact on physical symptoms and well-being, including a reduction in procedural pain and symptom distress.
These findings suggest that mental health needs in pediatric oncology patients can and should be addressed, potentially which will lead to better mental and physical health outcomes.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28962919</pmid><doi>10.1016/j.jpainsymman.2017.09.022</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-2729-4961</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of pain and symptom management, 2018-03, Vol.55 (3), p.1004-1017 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Elsevier ScienceDirect Journals Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Anxiety Cancer Children Clinical outcomes Clinical research Clinical trials Cognitive behavioral therapy Coping strategies Evidence-based medicine Exercise therapy Family therapy Health needs Health status Mental depression Mental health Music therapy Music videos Oncology Pain Pediatric oncology Pediatrics Physical symptoms Psychological distress Psychosocial factors Psychosocial intervention psychosocial interventions Quality of life randomized controlled trials Self esteem Symptoms Systematic review Well being |
| title | The Effectiveness of Psychosocial Interventions for Psychological Outcomes in Pediatric Oncology: A Systematic Review |
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