Beyond the psychotherapy and survival debate: The challenge of social disparity, depression and treatment adherence in psychosocial cancer care Journal Article


Author: Kissane, D.
Article Title: Beyond the psychotherapy and survival debate: The challenge of social disparity, depression and treatment adherence in psychosocial cancer care
Abstract: The psychotherapy and cancer survival debate generated great interest in the psychoneuroimmunological and bio-behavioral mechanisms that might mediate any gain in survival. Recent methodologically-improved cognitive-existential, supportive-expressive and psycho-educational group interventions for patients with breast cancer and melanoma have not extended survival times. Shorter survival has been associated with social disparity and untreated clinical depression, potentially mediated by poorer adherence to anti-cancer treatments. Group therapy both prevents and treats depression. Future research could address these bio-behavioral mechanisms. Copyright © 2008 John Wiley & Sons, Ltd.
Keywords: cancer survival; survival rate; mortality; review; risk benefit analysis; cancer adjuvant therapy; antineoplastic agent; neoplasm; neoplasms; melanoma; breast cancer; cancer therapy; cancer mortality; social status; survival time; psychological aspect; depression; psychoeducation; patient compliance; cognitive therapy; distress syndrome; psychosocial care; health belief; risk reduction; health status disparities; patient attitude; citalopram; group therapy; depressive disorder; health disparity; psychotherapy; mental stress; medication adherence; stress, psychological
Journal Title: Psycho-Oncology
Volume: 18
Issue: 1
ISSN: 1057-9249
Publisher: John Wiley & Sons  
Date Published: 2009-01-01
Start Page: 1
End Page: 5
Language: English
DOI: 10.1002/pon.1493
PUBMED: 19097139
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 7" - "Export Date: 30 November 2010" - "CODEN: POJCE" - "Source: Scopus"
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  1. David W Kissane
    164 Kissane