Publicatie

Publicatie datum

Psychosocial interventions for patients with advanced cancer: a systematic review of the literature.

Uitterhoeve, R.J., Vernooy, M., Litjens, M., Potting, K., Bensing, J., Mulder, P. de, Achterberg, T. van. Psychosocial interventions for patients with advanced cancer: a systematic review of the literature. British Journal of Cancer: 2004, 91(6), 1050-1062
Lees online
Advanced cancer is associated with emotional distress, especially depression and feelings of
sadness. To date, it is unclear which is the most effective way to address these problems. This
review focuses on the effects of psychosocial interventions on the quality of life (QoL) of patients
with advanced cancer. It was hypothesised that patients will benefit from psychosocial interventions
by improving QoL, especially in the domain of emotional functioning. The review was conducted using systematic review methodology involving a systematic search of the literature published between 1990 and 2002, quality assessment of included studies, systematic data extraction and narrative data synthesis. In all, 10 randomised controlled studies involving 13 trials were included. Overall interventions and outcome measures across studies were heterogeneous. Outcome measures, pertaining to the QoL dimension of emotional functioning, were most frequently measured. A total of 12 trials evaluating behaviour therapy found positive effects on one or more indicators of QoL, for example, depression. The results of the review support recommendation of behaviour therapy in the care of patients with advanced cancer. (aut.ref.)