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Background: Patients with a terminal disease report a high need for psychosocial and spiritual support. Previous literature reviews on psychosocial interventions in palliative care were restricted to certain subtypes of techniques, included a wide range of patients, conditions, and settings, or required a number of sessions unrealistic to be achieved in patients nearing the end of their lives. Aim: The aim of this study was to review and synthesize the evidence on brief psychosocial interventions (i.e. four sessions or less and less than 21 days) for patients receiving palliative treatment. Design: We performed a systematic review and meta-analysis in accordance with standard guidelines and a pre-registered protocol (PROSPERO: CRD42018082713). Data sources: Electronic databases, journals, and references were searched for controlled clinical trials. We used the Cochrane criteria to assess the risk of bias within studies. Results: In total, 15 studies met the eligibility criteria and reported the effects of 17 interventions and a total of 1248 patients. The most frequently used techniques were life review techniques and music therapy. After exclusion of outliers, psychosocial interventions showed to be superior with regard to the improvement of quality of life (effect size = 0.36, confidence interval = 0.08 to 0.64), and the reduction of emotional (effect size = −0.51, confidence interval = −0.77 to −0.26) and existential distress (effect size = −0.40, confidence interval = −0.71 to −0.07) compared to the control groups. Conclusion: Brief psychosocial interventions can improve clinically relevant health outcomes and should therefore be made available for patients receiving palliative care.

Sense of coherence (SOC), resilience, dispositional optimism, and self-compassion are highly related aspects of personality that promote health and well-being. We systematically compared these constructs and explored their criterion validity when predicting psychological distress. With the help of structural equation modeling, we examined SOC's factor structure and incremental validity over resilience (N1 = 208) as well as over optimism and self-compassion (N2 = 308) in two studies. Despite strong overlap (shared variance) SOC clearly outperformed its competitors. Neither resilience, nor optimism, nor self-compassion had significant incremental validity over SOC on a latent level. A two-factor model for SOC explained most variance in psychological distress. Results highlight the importance of salutogenic factors even in a neck-to-neck comparison with other potentially healthbenefitting personality variables. Meaningfulness appears to contribute to SOC's uniqueness.

This is the first study investigating circadian variation pattern by mild depressive symptoms in a large, rather healthy occupational sample. Depressive symptoms were associated with decreased circadian variation pattern of vagal activity in men but with increased circadian variation pattern in women. The possible underlying mechanism(s) are discussed using the neurovisceral integration model. These findings may have implications for the knowledge on etiology, diagnosis, course, and treatment of depressive symptoms and thus may be of significant public health relevance.

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Purpose of Review This systematic review and meta-analysis aimed to synthesize the evidence on the effects of psychosocial interventions on pain in advanced cancer patients. Recent Findings The included studies investigated the effects of relaxation techniques, cognitive-behavioral therapy, music therapy, mindfulness- and acceptance-based interventions, and supportive-expressive group therapy. Overall, we found a small, but significant effect on pain intensity (d = − 0.29, CI = − 0.54 to − 0.05). Effect sizes were highly heterogeneous between studies. We did not find evidence for the superiority of any of the intervention types. However, psychosocial interventions may be more effective if they specifically targeted pain distress as the primary outcome. Summary Although findings were mixed, psychosocial interventions can be recommended to complement comprehensive care to alleviate pain in patients facing an advanced or terminal stage of the disease. Future research should develop innovative interventions tailored specifically for pain relief.

Family relationships form very important social relationships. They provide the social context enabling the development for a healthy personality and fostering social competencies and the capacity for social adjustment. Several constructs constitute a complex sample of health beneficial attributes, such as resilience, sense of coherence, self-compassion and others, that haven't been investigated in connection with perceived quality of family relationships and collective family efficacy. In three studies we investigated, if perceived quality of family relationshipsassessed with a relatively new measure: the Evaluation of Social Systems Scalewas associated with these advantageous health-related qualities, additionally confirming EVOS' construct validity. In study 1 (N = 207) and 2 (N = 305) university students filled out several paper-pencil-questionnaire whereas in study 3 (N = 528) a heterogeneous sample took part in an online-survey. Controlling for participants' age and sex, better family relationships were associated with reduced psychological distress (r = −.30 to −.37), more satisfaction with life (r = 0.40), stronger resilience (r = 0.37), sense of coherence (r = 0.37), self-compassion (r = 0.33), optimism (r = 0.32), general self-efficacy (r = 0.27), and self-esteem (r = 0.34). Results highlight the importance of the family environment not only for psychological health and quality of life, but also for individual adaptation and well-being. In future research, this should be especially addressed in designing and providing preventative interventions for families.

Social interactions have gained increasing importance, both as an outcome and as a possible mediator in psychotherapy research. Still, there is a lack of adequate measures capturing relational aspects in multi-person settings. We present a new measure to assess relevant dimensions of quality of relationships and collective efficacy regarding interpersonal interactions in diverse personal and professional social systems including couple partnerships, families, and working teams: the EVOS. Theoretical dimensions were derived from theories of systemic family therapy and organizational psychology. The study was divided in three parts: In Study 1 (N = 537), a short 9-item scale with two interrelated factors was constructed on the basis of exploratory factor analysis. Quality of relationship and collective efficacy emerged as the most relevant dimensions for the quality of social systems. Study 2 (N = 558) confirmed the measurement model using confirmatory factor analysis and established validity with measures of family functioning, life satisfaction, and working team efficacy. Measurement invariance was assessed to ensure that EVOS captures the same latent construct in all social contexts. In Study 3 (N = 317), an English language adaptation was developed, which again confirmed the original measurement model. The EVOS is a theory-based, economic, reliable, and valid measure that covers important aspects of social relationships, applicable for different social systems. It is the first instrument of its kind and an important addition to existing measures of social relationships and related outcome measures in therapeutic and other counseling settings involving multiple persons.