Stress management training for breast cancer surgery patients

Garssen, Bart; Boomsma, Martijn F.; Meezenbroek, Eltica de Jager; Porsild, Terry; Berkhof, Johannes; Berbee, Monique; Visser, Adriaan; Meijer, Sybren; Beelen, R.H.J.

doi:10.1002/pon.3034

Cited by 68 publications

(137 citation statements)

References 36 publications

(49 reference statements)

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“…Timeappropriate implementation coupled with patient anxiety and uncertainty about what to expect from imminent treatment and its outcomes is challenging for service delivery staff, patients and families. According to results of the review, prehabilitation appears to be acceptable to patients and feasible to implement with good levels of adherence supported by studies within the review [15,18,29]. This finding is further supported by the wider research literature [37].…”

Section: Discussionsupporting

confidence: 66%

“…There were no significant between-group differences in anxiety, QoL, perceived control or sleep. Patients in SMT group experienced an improvement in QoL at days 2 and 30 post-surgery, and both groups experienced a reduction in anxiety over time [29].…”

Section: Breast Cancer Psychosocial Intervention Versus Usual Carementioning

confidence: 99%

“…Three studies investigated the effectiveness of psychosocial interventions compared to usual care on a range of somatic [23,29], biological markers [27] and psychological outcomes [23,27,29]. Each study was rated as having high risk of bias.…”

Section: Breast Cancer Psychosocial Intervention Versus Usual Carementioning

confidence: 99%

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An international review and meta-analysis of prehabilitation compared to usual care for cancer patients

2017

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Purpose The purpose of the study is to systematically review and synthesise randomised controlled trials investigating the effectiveness of prehabilitation compared to usual care for newly diagnosed, adult-onset cancer patients. Methods MEDLINE, EMBASE, PsycINFO, CINAHL and SSCI were searched up to April 2017. Studies were included if disease-related, treatment-related, patient-reported and health service utilisation outcomes were assessed. Two reviewers independently reviewed and appraised the risk of bias of each study. Results Eighteen studies were included. Interventions comprised one or more of the following components: psychological support, education and exercise. Meta-analyses found that pelvic floor muscle training (PFMT) significantly increased odds of continence at 3 months (OR = 3.29, 95% CI = 1.57-6.91), but did not significantly reduce daily pad use at 6 months post-surgery Mean Difference (MD)= ( = − 0.96, 95% CI = − 2.04-0.12) for prostate cancer patients. Although quality of life improved due to PFMT, functional ability or distress did not. Further meta-analyses indicated that presurgical exercise significantly reduced length of hospital stay (MD = − 4.18, 95% CI = − 5.43-− 2.93) and significantly lowered odds of post-surgery complications (OR = 0.25, 95% CI = 0.10-0.66) for lung cancer patients. Psychology-based prehabilitation significantly improved mood, physical wellbeing and immune function for prostate cancer patients and improved fatigue and psychological outcomes and a trend for better quality of life among breast cancer patients. Risk of bias was high for most studies. Conclusions Prehabilitation appears to benefit cancer patients. Rigorous trials are needed to investigate the effectiveness of prehabilitation among other cancer sites and other related effects. The cost-effectiveness of prehabilitation remains unanswered. Implications for cancer survivors Providing interventions earlier in the care pathway may lead to better outcomes for patients during survivorship.

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Section: Discussionsupporting

confidence: 66%

Section: Breast Cancer Psychosocial Intervention Versus Usual Carementioning

confidence: 99%

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An international review and meta-analysis of prehabilitation compared to usual care for cancer patients

2017

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“…Evidence supporting the role for 'psychological prehabilitation' before surgery comes from RCTs in breast, colon and prostate cancer patients. Interventions implemented prior to surgery, such as relaxation techniques (deep breathing, progressive muscle relaxation and meditation), guided imagery and/or problem-solving and coping strategies, have been shown to improve quality of life [40], reduce anxiety and depression [40,41], reduce pain severity and fatigue [42].…”

Section: The Anxiety State Of the Surgical Cancer Patientmentioning

confidence: 99%

Promoting a culture of prehabilitation for the surgical cancer patient

2017

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Background: Traditional rehabilitative approaches to perioperative cancer care have focused on the postoperative period to facilitate the return to presurgical baseline conditions. However, there is some realization that the preoperative period can be a very effective time for intervention as the patients are more amenable to target their physiological condition to prepare to overcome the metabolic cost of the surgical stress. Methods: We undertook a narrative review of the current literature on surgical prehabilitation and discussed the current evidence of preoperative interventions before cancer surgery in order to increase physiological reserve before surgery and accelerate postoperative recovery. Results: Published data indicate the positive impact of prehabilitation on postoperative functional capacity and return to daily activities. However, the current evidence on the impact on short-and long-term clinical outcome is limited, and more research needs to be conducted. Conclusion: Preliminary findings indicate that a group of interventions such as exercise, nutrition and anxiety reduction in the preoperative period can complement the enhanced recovery program and facilitate the return to baseline activities of daily living. It is not clear at this stage whether the preoperative increase in functional capacity mitigates the burden of postoperative morbidities and subsequent cancer therapies. Therefore, more research is warranted.

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“…Garssen et al [15] proposed a presurgical stress management training (SMT) in breast cancer patients (n ¼ 70) in a randomized study. The training comprised four sessions in total -two before and two after surgery.…”

Section: Key Pointsmentioning

confidence: 99%

Psychological interventions to reduce pain in patients with cancer

Lossignol¹

2013

Current Opinion in Oncology

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Not all studies with psychological interventions measured pain as a primary outcome; pain was measured inconsistently across studies, pain raters were rarely blinded, few studies carefully described the other treatments (pharmacological or not), and patients were observed for only a limited period of time. Despite these limitations, the positive findings of this review advance support for the importance of psychological interventions on reducing pain among patients with cancer, and for the implementation of quality-controlled psychosocial interventions as part of a multimodal approach to the management of pain.

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Stress management training for breast cancer surgery patients

Cited by 68 publications

References 36 publications

An international review and meta-analysis of prehabilitation compared to usual care for cancer patients

An international review and meta-analysis of prehabilitation compared to usual care for cancer patients

Promoting a culture of prehabilitation for the surgical cancer patient

Psychological interventions to reduce pain in patients with cancer

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