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Related Experiment Videos

Psychological intervention. The gap between research and practice.

Steven Greer1

  • 1St Raphael's Hospice, London Road, North Cheam, Surrey SM3 9DX, UK.

Acta Oncologica (Stockholm, Sweden)
|August 28, 2002
PubMed
Summary

Psychological interventions significantly improve cancer patients' quality of life. Despite limited access in Britain, evidence supports therapies like cognitive behavioral therapy to enhance well-being and alter negative coping responses.

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Area of Science:

  • Psycho-oncology
  • Clinical Psychology
  • Cancer Care

Background:

  • Limited availability of dedicated psycho-oncology units in Britain.
  • Systematic psychological therapy is inaccessible to most cancer patients.
  • Growing recognition of psychological factors impacting cancer patient outcomes.

Purpose of the Study:

  • To evaluate the benefit of psychological interventions for cancer patients.
  • To highlight the importance of quality of life in chronic cancer disease.
  • To address the lack of psycho-oncology services in Britain.

Main Methods:

  • Review of literature including randomized trials on psychological interventions.
  • Analysis of evidence for psychological interventions' effects on quality of life and survival.

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  • Identification of psychological factors negatively impacting cancer patients.

    • Main Results:

    • Randomized trials provide compelling evidence for improved quality of life through psychological interventions.
    • Specific therapies like cognitive behavioral therapy, psychoeducational therapy, and supportive-expressive group therapy show significant benefits.
    • Evidence on the impact of psychological interventions on survival remains contradictory.
    • Helplessness/hopelessness coping response detrimentally affects quality of life and survival.

    Conclusions:

    • Psychological interventions, particularly evidence-based ones, are crucial for enhancing cancer patients' quality of life.
    • Despite contradictory survival data, quality of life improvements justify providing these services.
    • Psychotherapy can effectively alter negative coping mechanisms like helplessness/hopelessness.