Re‐imagining Psycho‐oncology

Chambers, Suzanne K.; Dunn, Jeff

doi:10.1111/ecc.13136

Cited by 1 publication

(1 citation statement)

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“…Psychological care for people with cancer is not yet a consistently included component of prehabilitation research, despite its importance in quality cancer and survivorship care [ 15 , 55 , 56 ]. Existing evidence synthesized in this paper shows a trend towards positive outcomes in this context; however, endemic within this literature are critical methodological shortcomings and heterogeneity limiting the opportunity for evidence synthesis.…”

Section: Discussion and Observationsmentioning

confidence: 99%

Psychological Interventions Prior to Cancer Surgery: a Review of Reviews

Grimmett

Heneka

Chambers

2022

Curr Anesthesiol Rep

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Purpose of Review Patients with cancer who have high levels of psychological distress have poor treatment compliance and worse outcomes. This “review of reviews” provides a narrative synthesis of the impact of psychological prehabilitation interventions on individuals awaiting cancer surgery. Recent Findings Twenty reviews of prehabilitation with psychological interventions were identified. There is a trend towards improved psychological outcomes following intervention, particularly when psychologist-led. However, there was considerable heterogeneity within interventions, outcome measures, and timing of assessment precluding numeric synthesis. Methodological limitations including non-blinding, absence of stratification, and underpowered studies were also pervasive. Summary Providing psychological support early in the cancer pathway and prior to surgery has the potential to improve psychological health and outcomes. The application of existing knowledge in psycho-oncology, including distress screening, is needed in the prehabilitation setting. Consistent outcome assessments, accurate reporting of intervention components and delivery methods, and a consideration of effective systems and economical implementation strategies would facilitate advancements in this field.

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Section: Discussion and Observationsmentioning

confidence: 99%