Psychooncology - The state of its development in 2006 Journal Article


Authors: Levin, T.; Kissane, D. W.
Article Title: Psychooncology - The state of its development in 2006
Abstract: Background and Objectives: Psychooncology research and practice has grown exponentially in recent years. We review the evidence-based accomplishments of psychooncology in key areas that inform clinical practice. Methods: We reviewed the following computerized databases: PubMed, Embase, Cochrane, Ovid Medline and Psychinfo for studies on predetermined areas of interest representing the continuum of current psychooncology, focusing on meta-analyses and controlled studies. Results: Cancer related psychological distress occurs in one third of patients. Psychological factors are of importance in cancer prevention such as the relationship of smoking to depression. The association between personality styles and cancer vulnerability is not strong, but social support is a well-established prognostic factor. Existential distress may manifest as demoralization; meaning and dignity-based therapies have been designed to assuage existential angst in the cancer setting. Psychotherapy is efficacious in ameliorating cancer related distress, anxiety and depression, with newer models focusing on meaning and adaptive coping. Although there is not a strong evidence-base for the impact of psychooncology on survival, psychological factors clearly impact on adherence to cancer treatment. Most survivors do well overall, but concerns relate to the long term impact of specific treatments or special populations including children. Neurocognitive effects of chemotherapy have recently been associated with carriers of Alzheimer precursor genes. Doctor-patient communication is of increasing clinical interest alongside concern that physician burnout is increasing. Conclusions: Evidence-based research informs psychooncology's clinical practice and service provision in 2006.
Keywords: cancer chemotherapy; cancer survival; clinical feature; clinical trial; fatigue; review; cigarette smoking; treatment; clinical practice; cancer susceptibility; cancer prevention; evidence based practice; psychology; data base; oncology; cancer therapy; psychological aspect; social support; depression; doctor patient relation; systematic review; cognition; distress syndrome; mental disease; medline; nicotine; anxiety; cochrane library; venlafaxine; meta analysis; alzheimer disease; psychotherapy; embase; psychosocial; health care need; psycinfo; personality disorder; psychooncology
Journal Title: European Journal of Psychiatry
Volume: 20
Issue: 3
ISSN: 0213-6163
Publisher: Universidad de Zaragoza  
Date Published: 2006-07-01
Start Page: 183
End Page: 197
Language: English
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 8" - "Export Date: 4 June 2012" - "CODEN: EJOPE" - "Source: Scopus"
MSK Authors
  1. Tomer T Levin
    58 Levin
  2. David W Kissane
    160 Kissane
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