New Challenges in Psycho‐Oncology Research III: A systematic review of psychological interventions for prostate cancer survivors and their partners: Clinical and research implications

Journal article extract: Psycho‐Oncology Volume 26 2017

Suzanne K. Chambers, Melissa K. Hyde, David P. Smith, Suzanne Hughes, Susan Yuill, Sam Egger, Dianne L. O’Connell, Kevin Stein, Mark Frydenberg, Gary Wittert, and Jeff Dunn

DOI 10.1002/pon.4431

“Psychosocial concerns are prevalent with 30%‐50% of prostate cancer survivors reporting unmet sexuality, psychological, and health system and information needs and 10%‐23% of men clinically distressed. Risk of suicide is increased after prostate cancer diagnosis and can persist for a decade or more. Psychosocial and psychosexual intervention can improve decision‐related distress, mental health, domain‐specific, and health‐related quality of life in men with prostate cancer. Combinations of educational, cognitive behavioural, communication, and peer support have been most commonly applied and found effective; followed by decision support and relaxation; and to a much lesser extent supportive counselling.

In this review, approximately one‐quarter of interventions reported effects moderated by sociodemographic or psychosocial variables; with age, educational level, domain‐specific quality of life, baseline mental health, and social support important considerations in designing care. Hence, as well as taking into account levels of distress, it is also important to consider factors that both moderate intervention effectiveness and place men at risk of greater psychosocial distress and poorer quality of life (such as age, domain‐specific quality of life, socioeconomic deprivation) over the longer term.

Survivorship care plans for prostate cancer patients will need to be stepped according to the type and depth of need. In conclusion, there is sufficient evidence to recommend multi‐modal psychosocial and psychosexual interventions for men with prostate cancer; with distress screening and risk and need assessment built in to tailor support to the individual.”

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