The effectiveness of psychological intervention for depression, anxiety, and distress in prostate cancer: a systematic review of literature

Mundle, Rhea; Afenya, Evans K.; Agarwal, Neeraj

doi:10.1038/s41391-021-00342-3

Cited by 26 publications

(34 citation statements)

References 62 publications

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“…It was unexpected that self‐reported feeling depressed and lack of energy were so frequent among younger men and it is important that these men are evaluated for and receive effective psychological and psychosocial care, 19 and support, for example, in the form of vigorous monitored exercise 20 . Feeling depressed and a lack of energy were less common in men diagnosed at an older age, but these men should still be considered for routine mental health screening and interventions when clinically indicated, given an increased risk of suicide 21 …”

Section: Discussionmentioning

confidence: 99%

Self‐reported lack of energy or feeling depressed 12 months after treatment in men diagnosed with prostate cancer within a population‐based registry

et al. 2021

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Objective: Feeling depressed and lethargic are common side effects of prostate cancer (PCa) and its treatments. We examined the incidence and severity of feeling depressed and lack of energy in patients in a population based PCa registry. Methods:We included men diagnosed with PCa between 2015 and 2019 in Victoria, Australia, and enrolled in the Prostate Cancer Outcomes Registry. The primary outcome measures were responses to two questions on the Expanded Prostate Cancer Index Composite (EPIC-26) patient reported instrument: problems with feeling depressed and problems with lack of energy 12 months following treatment. We evaluated associations between these and age, cancer risk category, treatment type, and urinary, bowel, and sexual function.

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Section: Discussionmentioning

confidence: 99%

Self‐reported lack of energy or feeling depressed 12 months after treatment in men diagnosed with prostate cancer within a population‐based registry

et al. 2021

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“…Palliative inpatients (PIP) usually stay in hospital for a short period of time and the condition of PIP often rapidly deteriorates within this short timeframe. Long-term psychological interventions over multiple sessions are therefore difficult to perform, which is why PIP could greatly benefit from brief psychotherapies tailored to their specific needs [3,4]. Contrary to long-term psychotherapies, short-term psychotherapies are typically more goal-oriented and tend to focus on specific challenges that are causing patients the greatest amount of adversity in the present.…”

Section: Introductionmentioning

confidence: 99%

“…Recent meta-analyses demonstrated small to large effects in the reduction of depression, anxiety, and distress in PC patients through cognitive behavioural therapy (CBT) interventions, mindfulness-based interventions, and life-review interventions (LRI, also known as dignity and meaning-centred interventions) [3,4,8,9]. To date, there are several short-term psychological interventions for PIP available, while novel psychosocial interventions to address end-of-life care issues are on the rise [10].…”

Section: Introductionmentioning

confidence: 99%

“…Recent literature reviews and meta-analyses typically included patients with a longer life expectancy [3], focused on a single psychotherapy intervention or included other psychosocial interventions such as music or aroma therapy [4], did not distinguish between long-term and short-term psychotherapies [3,5,9], and included mostly ambulant patients and group therapy sessions [3,4,8,9]. To our knowledge, this is the first study to assess shortterm psychotherapy with a focus on feasibility in inpatient or stationary palliative settings.…”

Section: Introductionmentioning

confidence: 99%

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A Systematic Review and Bayesian Network Meta-Analysis Investigating the Effectiveness of Psychological Short-Term Interventions in Inpatient Palliative Care Settings

Schweighoffer

Schumacher

Blaese

et al. 2022

IJERPH

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This paper reviews and summarises the evidence of short-term psychosocial interventions (up to 12 sessions delivered within less than eight weeks) on anxiety, depression, and emotional distress in palliative patients in inpatient settings. We screened publications from the following five databases, Embase, PubMed, PsycINFO, Web of Science, and CINAHL, from their inception to 10 September 2021. The eligible studies included controls receiving standard palliative care, actively treated controls, and wait-list controls. Nine studies met the eligibility criteria and reported the effects of five psychosocial interventions in a total of N = 543 patients. We followed PRISMA-guidelines for outcome reporting and the Cochrane Risk of Bias Assessment Tool for assessing study quality. This paper used the network meta-analysis to compare multiple treatments by providing greater statistical power and the cross-validation of observed treatment effects, using the R package BUGSnet. Compared to control groups, the following psychosocial interventions in inpatient settings showed to be superior: life review interventions were the best ranked treatment for improving anxiety and distress, while the top ranked treatment for reducing depression was outlook intervention. The short-term psychosocial interventions investigated in this meta-analysis, especially life review intervention, are feasible and can potentially improve anxiety, depression, and distress in palliative inpatients and should therefore be offered in inpatient settings.

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“…In Portugal, patients with localized prostate cancer chose more frequently external beam radiation or radiotherapy than radical prostatectomy [ 8 ], whereas, in other countries where treatments are not paid for by the health system but by insurance, radical prostatectomy may be more frequently chosen. Anxiety and depression, in addition to being reported as the most common psychological disturbances among patients with cancer, are associated with poorer treatment outcomes, increased hospitalization, higher mortality rates, and lower treatment adherence [ 9 , 10 , 11 , 12 , 13 , 14 ]. Previous studies have estimated the prevalence of clinically meaningful anxiety and depressive symptoms, before, during, and after treatment, to be 27.04%, 15.09%, and 18.49%, respectively, for anxiety symptoms, and 17.27%, 14.70%, and 18.44%, respectively, for depressive symptoms, with these values being higher than in the general population [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Anxiety and Depression in Patients with Prostate Cancer, at Cancer Diagnosis and after a One-Year Follow-Up

Duarte

Araújo

Lopes

et al. 2022

IJERPH

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Prostate cancer (PCa) is the most prevalent among men, and psychological symptoms may affect many patients. This study aims to describe the prevalence of probable anxiety and depression before PCa treatments and after one year and to identify sociodemographic and clinical factors associated with these outcomes. Between February 2018 and March 2020, 292 patients recently diagnosed with PCa were recruited at the Instituto Português de Oncologia—Porto. The Hospital Anxiety and Depression Scale (HADS) was used to define probable anxiety and depression (cutoff = 11). The prevalence of probable anxiety remained stable from baseline to one year (7.8% vs. 8.5%, p = 0.866) while there was an increase in probable depression (3.1% vs. 6.8%, p = 0.012). After one year, probable depression persisted in 55.6% of patients with probable depression at baseline and 47.8% of those with probable anxiety at the first assessment had normal anxiety scores. At baseline, anxiety was more frequent among dwellers in rural areas (adjusted odds ratio—aOR, 95%CI: 2.80, 0.91–8.58) and less frequent in patients with body mass index 25–29.9 kg/m2 (aOR, 95%CI: 0.33, 0.12–0.91) compared to 18.5–24.9 Kg/m2, while those living alone had higher odds of depression (aOR, 95%CI: 6.35, 1.43–28.30). The frequency of anxiety and depression fluctuated during the course of treatment. Monitoring these symptoms would identify the most affected patients, contributing for a better use of mental health services.

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The effectiveness of psychological intervention for depression, anxiety, and distress in prostate cancer: a systematic review of literature

Cited by 26 publications

References 62 publications

Self‐reported lack of energy or feeling depressed 12 months after treatment in men diagnosed with prostate cancer within a population‐based registry

Self‐reported lack of energy or feeling depressed 12 months after treatment in men diagnosed with prostate cancer within a population‐based registry

A Systematic Review and Bayesian Network Meta-Analysis Investigating the Effectiveness of Psychological Short-Term Interventions in Inpatient Palliative Care Settings

Anxiety and Depression in Patients with Prostate Cancer, at Cancer Diagnosis and after a One-Year Follow-Up

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