Solution-focused brief therapy for adolescent and young adult cancer patients in China: a pilot randomized controlled trial

Zhang, Anao; Ji, Qingying; Zhang, Kan; Cao, Qing; Yu-ting, Chen; Chen, Jingzhi; DuVall, Adam

doi:10.1080/07347332.2021.1931627

Cited by 13 publications

(14 citation statements)

References 40 publications

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“…Besides, the pattern of depression across three time points (pre-treatment, immediate post-treatment, and 1-month follow up) was statistically significant, and with a partial eta-squared of .787. Such finding was consistent with existing studies evaluating SFBT for internalizing disorders in healthcare settings (Schmit, Schmit, & Lenz, 2016; Zhang et al, 2017) as well as a study evaluating SFBT for AYA cancer survivors in China (Zhang et al, 2021a). Findings of this study further extend the literature by demonstrating promising evidence of SFBT for depression among AYA cancer survivors in the United States.…”

Section: Discussionsupporting

confidence: 91%

“…Treatment adherence in this study was excellent, evidenced by all study participants (100%) completed four planned sessions of SFBT. Participants’ strong adherence to SFBT identified in this study was similar to published studies of SFBT when being delivered to patients in medical settings (Li et al, 2018; Zhang et al, 2021a). As a strength-based and client-centered approach, SFBT’s collaborative nature has been repeatedly documented for its high level of acceptability among clients who may otherwise be resistant to other diagnostically oriented psychotherapies (Matanov, McNamee, Akther, Barber, & Bird, 2021; McPherson et al, 2017).…”

Section: Discussionsupporting

confidence: 77%

“…In addition, studies have reported SFBT as a viable approach working with cancer patients and their family members in the United States (Neilson–Clayton & Brownlee, 2008). Finally, studies have reported that SFBT is effective in reducing psychological distress, including depression, among caregivers of cancer patients (Zhang et al, 2018) and for Chinese AYAs diagnosed with cancer (Zhang et al, 2021a), further supporting SFBT’s potentials in alleviating depression among AYAs diagnosed with cancer.…”

mentioning

confidence: 79%

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Solution-Focused Brief Therapy for Depression Among Adolescents and Young Adults Diagnosed With Cancer: An Open Pilot Trial

Zhang

2021

Research on Social Work Practice

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Purpose This pilot study evaluates the acceptability and preliminary efficacy of solution-focused brief therapy (SFBT) for depression, anxiety, and hope among adolescent and young adult (AYA) diagnosed with cancer. Method: 10 AYAs with a primary sarcoma diagnosis participated in an open pilot of SFBT for their depression between January and June 2019 delivered by trained social work interns. Results All participants completed four planned sessions and reported strong acceptability of SFBT. Statistically significant improvements were observed for pre- and post-treatment scores for depression, anxiety, and levels of hope. These improvements were maintained at 1-month follow up, with significant patterns of difference in study participants’ depression, anxiety, and levels of hope over time. Conclusions SFBT is an acceptable intervention approach for depression (and anxiety) among AYAs diagnosed with cancer. SFBT offers a brief, strength-based, and hope-engendering approach to address mental health concerns among young adult diagnosed with cancer.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 77%

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confidence: 79%

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Solution-Focused Brief Therapy for Depression Among Adolescents and Young Adults Diagnosed With Cancer: An Open Pilot Trial

Zhang

2021

Research on Social Work Practice

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“…There were 4.57 million new cancer cases in China in 2020 [ 12 ]. The 2018 National Comprehensive Cancer Network Cancer Pain Management Guide points out that anxiety and depression seriously affect the ability of cancer patients to cope with disease and aggravate cancer progress [ 13 ]. The treatment strategies for emotional disorders of cancer patients are drug therapy and psychotherapy, but it is difficult to adhere to it for a long time, and lack of social free relief measures.…”

Section: Introductionmentioning

confidence: 99%

Study on the Conduction Analysis and Blocking Intervention Scheme of Emotional Disorders between Cancer Patients and Their Families

Zhang

Song

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To analyze the transmission and blocking intervention scheme of emotional disorders between cancer patients and their families. Methods. About 150 patients with cancer and 150 family members with mood disorders treated in a tertiary hospital in North China from March 2021 to Octobor2021 were enrolled. The patients were randomly assigned into control group and study group. The control group received routine intervention, and the study group received the diagnosis, intervention, and treatment strategies of doctor-patient-affective disorder. The factors related to the transmission of emotional disorders between cancer patients and their families were analyzed, and the alterations of anxiety, depression, social support, and satisfaction of the two groups were compared under different blocking intervention schemes. Results. (1) Univariate analysis indicated that there were significant differences in family age, family income, sex, location of tumor, course of disease, TNM stage, somatic symptoms, and the incidence of anxiety and depression. There exhibited no significant difference between the gender of the family, the years of education of the family, the occupational status of the family, the relationship between the family and the patient, the mode of payment of the patient’s medical expenses, the age of the patient, the mode of treatment of the patient, the degree of knowledge of the disease, and the incidence of anxiety and depression ( P > 0.05 ). The anxiety and depression status of relatives were taken as dependent variables, and the age of family members, family income status, sex of patients, location of tumor, course of disease, TNM stage, and physical symptoms of patients were taken as independent variables, and the data were analyzed by Logistic regression analysis. Logistic regression analysis indicated that family income, tumor location, disease course, TNM stage, and somatic symptoms were the risk factors of anxiety and depression in relatives. (2) Comparison of social support status and intergroup, the objective support, subjective support, support utilization, and total score of social support in the study group were higher compared to the control group. In terms of the depression score before intervention, there exhibited no significant difference ( P > 0.05 ), but after intervention, the depression score of the two groups decreased, and the depression score of the study group was lower compared to the control group before intervention, 1 week, 2 weeks, 3 weeks, and 4 weeks after intervention ( P < 0.05 ). In terms of the anxiety score before intervention, there exhibited no significant difference ( P > 0.05 ), but after intervention, the anxiety score of the two groups decreased, and the anxiety score of the study group was lower compared to the control group before intervention, 1 week, 2 weeks, 3 weeks, and 4 weeks after intervention ( P < 0.05 ). Comparison of the satisfaction between the two groups and the study group was very satisfied in 56 cases, satisfactory in 14 cases, and general in 5 cases, and the satisfaction rate was 100.00%. The control group was very satisfied in 35 cases, satisfactory in 23 cases, general in 12 cases, and dissatisfied in 5 cases, and the satisfaction rate was 93.33%. The satisfaction of the study group was higher compared to the control group ( P < 0.05 ). Conclusion. Family income, tumor location, course of disease, TNM stage, and somatic symptoms are the risk factors of anxiety and depression in relatives. After establishing the diagnosis, intervention and treatment strategies of doctor-patient-affective disorder, the emotional disorder of family members of cancer patients, is significantly promoted, and the intervention satisfaction is high, so the scheme is worth promoting.

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“…4 Consequently, AYA cancer patients are more likely to report treatment disengagement, lower quality of life, and even suicidality. 5,6 Psychological disturbances are common in AYA cancer patients. 1,7,8 A meta-analysis indicated that approximately 32% of cancer patients experience some type of psychological distress during active treatment, 9 and a review reported a significant association between younger age and greater psychological distress during cancer trajectory.…”

Section: Introductionmentioning

confidence: 99%

Alleviating Excessive Worries Improves Co-Occurring Depression and Pain in Adolescent and Young Adult Cancer Patients: A Network Approach

Li¹,

Xu²,

Luo³

et al. 2022

NDT

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Anxiety, depression, and pain are highly interactive with each other in adolescent and young adult (AYA) cancer patients. This study aims to map out the connectivity between anxiety, depression and pain symptoms amongst Chinese AYA cancer patients from the perspective of a network model. Methods: Two hundred and eighteen AYA patients, aged between 15 and 39 years at diagnosis; completed the Patient Health Questionnaire (PHQ), Generalized Anxiety Disorder (GAD), and McGill Pain Questionnaire-Visual Analogue Scale (MPQ-VAS). Network analyses were performed. Results: In all, 38.07% (95% CI = 31.58-44.57%) of the participants reported depression, 30.73% (95% CI = 24.56-36.91%) reported anxiety, and 14.22% (95% CI = 9.55-18.89%) reported current pain. The generated network illustrated that anxiety, depression and pain community were well connected. In the network, "having trouble relaxing" (GAD4, node strength = 1.182), "uncontrollable worry" (GAD2, node strength = 1.165), and "sad mood" (PHQ2, node strength = 1.144) were identified as the most central symptoms, while "uncontrollable worry" (GAD2, bridge strength = 0.645), "guilty" (PHQ6, bridge strength = 0.545), and "restlessness" (GAD5, bridge strength = 0.414) were the key bridging symptoms that connected different communities. Conclusion: Anxiety, depression and pain symptoms are highly interactive with each other. Alleviating AYA cancer patient's excessive worries might be helpful in improving the patient's co-occurring anxiety, depression and pain symptoms.

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Solution-focused brief therapy for adolescent and young adult cancer patients in China: a pilot randomized controlled trial

Cited by 13 publications

References 40 publications

Solution-Focused Brief Therapy for Depression Among Adolescents and Young Adults Diagnosed With Cancer: An Open Pilot Trial

Solution-Focused Brief Therapy for Depression Among Adolescents and Young Adults Diagnosed With Cancer: An Open Pilot Trial

Study on the Conduction Analysis and Blocking Intervention Scheme of Emotional Disorders between Cancer Patients and Their Families

Alleviating Excessive Worries Improves Co-Occurring Depression and Pain in Adolescent and Young Adult Cancer Patients: A Network Approach

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