Psychosocial interventions and quality of life in gynaecological cancer patients: A systematic review

Objective: Women with gynaecological cancer are at risk of poor quality of life outcomes. Although various psychosocial interventions have been developed to address these concerns, such interventions have not yet been systematically evaluated in this population. The current review provides an up-to-...

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Main Authors: Hersch, J., Juraskova, I., Price, M., Mullan, Barbara
Format: Journal Article
Published: Wiley InterScience 2009
Online Access:http://hdl.handle.net/20.500.11937/23419
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author Hersch, J.
Juraskova, I.
Price, M.
Mullan, Barbara
author_facet Hersch, J.
Juraskova, I.
Price, M.
Mullan, Barbara
author_sort Hersch, J.
building Curtin Institutional Repository
collection Online Access
description Objective: Women with gynaecological cancer are at risk of poor quality of life outcomes. Although various psychosocial interventions have been developed to address these concerns, such interventions have not yet been systematically evaluated in this population. The current review provides an up-to-date and comprehensive summary of the evidence regarding the effectiveness of psychosocial interventions in women with gynaecological cancers. Methods: Relevant studies were identified via Medline, CINAHL, and PsycINFO databases (1980 to June 2008), reference lists of articles and reviews, grey literature databases, and consultations with physicians and other experts in the field. Only controlled trials comparing a psychosocial intervention with a control group in a gynaecological cancer population, with at least one quality of life variable as a main outcome, were included in the review. Two authors independently assessed trial quality and extracted data. Results: Twenty-two studies involving 1926 participants were included. There was substantial variability in study quality and results. Evidence was mixed regarding intervention effects on social and sexual functioning, distress, depression, anxiety, attitude to medical care, self-esteem and body image. Interventions generally did not improve physical or vocational outcomes. Conclusions: There was limited evidence in support of healing touch, whereas information based interventions seemed largely unable to provide meaningful benefits. Cognitive behavioural interventions had some positive effects. Counselling appeared to be the most promising intervention strategy for addressing quality of life concerns for women with gynaecological cancers.
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spelling curtin-20.500.11937-234192017-09-13T13:57:03Z Psychosocial interventions and quality of life in gynaecological cancer patients: A systematic review Hersch, J. Juraskova, I. Price, M. Mullan, Barbara Objective: Women with gynaecological cancer are at risk of poor quality of life outcomes. Although various psychosocial interventions have been developed to address these concerns, such interventions have not yet been systematically evaluated in this population. The current review provides an up-to-date and comprehensive summary of the evidence regarding the effectiveness of psychosocial interventions in women with gynaecological cancers. Methods: Relevant studies were identified via Medline, CINAHL, and PsycINFO databases (1980 to June 2008), reference lists of articles and reviews, grey literature databases, and consultations with physicians and other experts in the field. Only controlled trials comparing a psychosocial intervention with a control group in a gynaecological cancer population, with at least one quality of life variable as a main outcome, were included in the review. Two authors independently assessed trial quality and extracted data. Results: Twenty-two studies involving 1926 participants were included. There was substantial variability in study quality and results. Evidence was mixed regarding intervention effects on social and sexual functioning, distress, depression, anxiety, attitude to medical care, self-esteem and body image. Interventions generally did not improve physical or vocational outcomes. Conclusions: There was limited evidence in support of healing touch, whereas information based interventions seemed largely unable to provide meaningful benefits. Cognitive behavioural interventions had some positive effects. Counselling appeared to be the most promising intervention strategy for addressing quality of life concerns for women with gynaecological cancers. 2009 Journal Article http://hdl.handle.net/20.500.11937/23419 10.1002/pon.1443 Wiley InterScience restricted
spellingShingle Hersch, J.
Juraskova, I.
Price, M.
Mullan, Barbara
Psychosocial interventions and quality of life in gynaecological cancer patients: A systematic review
title Psychosocial interventions and quality of life in gynaecological cancer patients: A systematic review
title_full Psychosocial interventions and quality of life in gynaecological cancer patients: A systematic review
title_fullStr Psychosocial interventions and quality of life in gynaecological cancer patients: A systematic review
title_full_unstemmed Psychosocial interventions and quality of life in gynaecological cancer patients: A systematic review
title_short Psychosocial interventions and quality of life in gynaecological cancer patients: A systematic review
title_sort psychosocial interventions and quality of life in gynaecological cancer patients: a systematic review
url http://hdl.handle.net/20.500.11937/23419