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The Effectiveness of Psychosocial Interventions for Psychological Outcomes in Paediatric Oncology: A Systematic Review

Coughtrey, A; Millington, A; Bennett, S; Christie, D; Hough, R; Su, M; Constantinou, M; (2018) The Effectiveness of Psychosocial Interventions for Psychological Outcomes in Paediatric Oncology: A Systematic Review. Journal of Pain and Symptom Management , 55 (3) pp. 1004-1017. 10.1016/j.jpainsymman.2017.09.022. Green open access

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Abstract

CONTEXT: This review summarises the current randomised controlled trials literature on psychological and physical outcomes of psychosocial interventions in paediatric oncology. OBJECTIVES: To evaluate the effectiveness and impact of psychosocial interventions in children with cancer. METHODS: A search of the literature resulted in a total of 12 randomised clinical trials which have evaluated psychosocial interventions in children under 18 years with current and previous diagnoses of cancer. The mean age of patients ranged between 7 to 18 years. Outcome measures included psychological (e.g. symptoms of anxiety, depression, quality of life, self-esteem) and physical (e.g. symptomatology, treatment adherence, pain). Interventions identified included cognitive-behavioural therapy (CBT; n=4), joint CBT and physical exercise therapy (n=1), family therapy (n=2), therapeutic music video (n=2), self-coping strategies (n=1), a wish fulfilment intervention (n=1), and joint family therapy and CBT (n=1). RESULTS: Nine studies reported statistically significant improvements on psychological outcomes. These findings suggest that psychosocial interventions are effective at reducing anxiety and depressive symptoms as well as improving quality of life. Additionally, six studies found psychosocial interventions to have positive impact on physical symptoms and wellbeing, including a reduction in procedural pain and symptom distress. CONCLUSION: These findings suggest that mental health needs in paediatric oncology patients can and should be addressed, which will lead to better mental and physical health outcomes.

Type: Article
Title: The Effectiveness of Psychosocial Interventions for Psychological Outcomes in Paediatric Oncology: A Systematic Review
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jpainsymman.2017.09.022
Publisher version: https://doi.org/10.1016/j.jpainsymman.2017.09.022
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: paediatric oncology, systematic review, psychosocial interventions, randomised controlled trials, mental health
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute > Research Department of Haematology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10024317
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