Meaning-Centered Interventions for Patients With Advanced or Terminal Cancer

Kang, Kyungsik; Han, Suk Jung; Lim, Young-Sook; Kim, Shin‐Jeong

doi:10.1097/ncc.0000000000000628

Cited by 31 publications

(25 citation statements)

References 24 publications

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“…pain) and in improving quality of life, well-being and return to work and illness behaviour (Li et al, 2017). The interventions, with the most empirical support for treating distress in cancer patients include supportive-expressive group psychotherapy, cognitive-behavioural and cognitive-existential therapy, and meaning centred psychotherapy (Breitbart, 2017;Kang et al, 2019) Integrated psychopharmacological intervention ( psychopharmoncology) (Grassi and Riba, 2014) has also shown to be efficacious in several disorders, where the use of specific serotonin reuptake inhibitors; specific noradrenergic and serotonin reuptake inhibitors have been shown to help both in treating depression and anxiety and cancer-related symptoms, such as pain, hot-flashes and pain (Caruso et al, 2013;Grassi et al, 2014). With respect to this it is important for clinicians, usually psychiatrists, but also oncologists and primary care physicians to have a proper training on the use of the drugs, their side-effects and interaction with other cancer treatment in oncology .…”

Section: Evidenced-based Psychiatric and Psycho-social Interventionsmentioning

confidence: 99%

“…pain) and in improving quality of life, well-being and return to work and illness behaviour (Li et al ., 2017). The interventions, with the most empirical support for treating distress in cancer patients include supportive-expressive group psychotherapy, cognitive-behavioural and cognitive-existential therapy, and meaning centred psychotherapy (Breitbart, 2017; Kang et al ., 2019)…”

Section: Evidenced-based Psychiatric and Psycho-social Interventionsmentioning

confidence: 99%

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Mental health care in oncology. Contemporary perspective on the psychosocial burden of cancer and evidence-based interventions

Caruso

Breitbart

2020

Epidemiol Psychiatr Sci

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With cancer incidence increasing over time worldwide, attention to the burden of psychiatric and psychosocial consequences of the disease is now mandatory for both cancer and mental health care professionals. Psychiatric disorders have been shown to affect at least 30–35% of cancer patients during all phases of the disease trajectory, and differ in nature according to stage and type of cancer. Other clinically relevant distressing psychosocial and existential conditions (e.g. demoralisation, health anxiety, loss of meaning and existential distress) not included as ‘disorders’ in the usual diagnostic and nosological systems (i.e. meta-diagnostic conditions) have also been shown to be present in another 15–20% of cancer patients. In this editorial, we will present a summary of the extensive literature regarding the epidemiology of the several psychosocial disorders affecting cancer patients as a cause of distress and burden to be taken into consideration and addressed in cancer care through evidence-based intervention.

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Section: Evidenced-based Psychiatric and Psycho-social Interventionsmentioning

confidence: 99%

Section: Evidenced-based Psychiatric and Psycho-social Interventionsmentioning

confidence: 99%

Mental health care in oncology. Contemporary perspective on the psychosocial burden of cancer and evidence-based interventions

Caruso

Breitbart

2020

Epidemiol Psychiatr Sci

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“…We searched literature published from the earliest available subscription date to May 2017 that applied the meaning-centered intervention (MCI) to patients with advanced and life-threatening disease and caregivers. The contents of MCIs were analyzed by means of a systematic review [23] and two meta-analyses [24,25]. Besides the MCI study, which was designed to prevent burnout among and provide support for nurses who provide palliative care [12,13], only one study on spiritual care training protocols was conducted regarding the general educational contents of spiritual care training for oncology nurses [8].…”

Section: Stage I: Development Analysismentioning

confidence: 99%

“…Most previous studies which applied MCI to patients with an advanced or terminal illness or in an unavoidable suffering situation were designed as group interventions, with eight sessions lasting 90-120 minutes per session with lectures, discussion, reading and selfre ection as individual tasks [23][24][25] Two studies, which applied MCI to improve job satisfaction and QoL among palliative care nurses [12][13], were designed with four sessions of group intervention, lasting 120180 minutes per session. The teaching methods were didactic presentations, discussions, experiential exercises, and home exercises, similar to those of McSCTP-HPCT in this study.…”

Section: Development Of Mcsctp-hpctmentioning

confidence: 99%

A Meaning-centered spiritual care training program for hospice palliative care team in South Korea: development and preliminary evaluation

Kim

Kang

Kim³

et al. 2020

Preprint

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Background Spirituality is a fundamental and intrinsic aspect of human beings and should be a core component of quality palliative care. There is an urgent need for training of hospice palliative care teams (HPCTs) to enhance their competency to provide spiritual care. The purpose of this study was to develop and evaluate a meaning-centered spiritual care training program for hospice palliative care teams (McSCTP-HPCT). Methods In this methodological study we developed a training program for HPCTs, using the ADDIE educational content developmental model. The final training program comprised five modules. The modules’ content was informed by Viktor Frankl’s meaning-centered logotherapy with its emphasis on spiritual resources as well as the spiritual care model of ISPEC (Interprofessional Spiritual Care Education Curriculum). Following development, a pilot test was conducted with four nurses. The results of the pilot were used to inform the final program. The final program was tested in an intervention involving 13 hospice palliative care nurses. Measurements using self-administered questionnaires were taken at three points before and after the intervention. Participants’ demographic and career-related characteristics and the degree of variance between outcome variables (compassion fatigue [CF], spiritual care competency [SCC], and spiritual care therapeutics [SCT]) were analyzed using descriptive statistics, t-test, and one-way ANOVA. Results The MCTP-HPCT was developed into five modules. Module I: The HPCT’s SCC evaluation, understanding the major concepts of spiritual care and logotherapy, Module II-IV: Meaning-centered intervention related to the spiritual needs (existential, relational, and transcendental/religious), Module V: The process of meaning-centered spiritual care. The preliminary evaluation showed a significant differences in all three outcome variables at the first measure point (CF, p = 0.037; SCC, p = 0.005; SCT, p = 0.002). At the second measure point statistical significance was found only with SCC (p = 0.006). Conclusions The MCTP-HPCT developed in this study is suitable for use in clinical settings and provides evidence for evaluating the spiritual care competency of HPCTs.

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“…Unfortunately, theoretically derived interventions developed for patients with advanced disease have also found small effect sizes on anxiety (e.g. meaning-centred therapies; Kang et al, 2019), suggesting that more extensive theoretical models are needed.…”

Section: Introductionmentioning

confidence: 99%

Pilot of a novel theoretically derived intervention for cancer-related anxiety with patients with advanced or recurred disease

Curran

Sharpe

Butow

2020

Behav. Cogn. Psychother.

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Background: Treatments for cancer-related anxiety show modest benefits, but most have been trialled in patients with early stage disease or patients who are currently disease free. However, many patients with cancer have incurable disease, or their disease is slowly progressing or likely to recur. Treating anxiety in the context of realistic threat and ongoing uncertainty is particularly challenging. Based on a theoretical model of cancer-related anxiety, we developed a transdiagnostic intervention for patients with advanced or recurred disease who are experiencing clinically significant anxieties. The intervention was a novel integration of traditional and contemporary CBT. Aims: To evaluate the feasibility, acceptability and preliminary efficacy of the intervention in a pilot with patients with advanced or recurred cancer. Method: Twelve patients with advanced or recurred cancer, who were experiencing anxiety, participated. Feasibility and acceptability were assessed with participant’s ratings and adherence and retention rates. Psychological outcomes (anxiety, traumatic symptoms, fear of progression, depression, death anxiety and quality of life) were assessed pre-intervention, post-intervention and at 2-month follow-up. Results: Eleven of the 12 participants completed at least five therapy sessions of whom eight completed all nine sessions. Participants rated the intervention as having excellent face validity. Post-intervention, statistically significant improvements were demonstrated for anxiety, traumatic symptoms, fear of progression, depression and quality of life. These improvements were maintained at follow-up for anxiety, traumatic symptoms and depression. Conclusions: This pilot provides preliminary evidence for the feasibility, acceptability and effectiveness of the novel intervention for cancer-related anxiety in the context of advanced disease.

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Meaning-Centered Interventions for Patients With Advanced or Terminal Cancer

Abstract: Meaning-centered interventions could be a valuable way to enhance quality of life at the end stage for patients with advanced or terminal cancer.

Cited by 31 publications

References 24 publications

Mental health care in oncology. Contemporary perspective on the psychosocial burden of cancer and evidence-based interventions

Mental health care in oncology. Contemporary perspective on the psychosocial burden of cancer and evidence-based interventions

A Meaning-centered spiritual care training program for hospice palliative care team in South Korea: development and preliminary evaluation

Pilot of a novel theoretically derived intervention for cancer-related anxiety with patients with advanced or recurred disease

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