The Feasibility and Acceptability of a Cognitive Behavioral Therapy-Based Intervention for Patients With Advanced Colorectal Cancer

Teo, Irene; Tan, Yee Pin; Finkelstein, Eric A.; Yang, Grace Meijuan; Pan, Fang Ting; Lew, Henry Yuen Foong; Tan, Emile; Ong, Simon Yew Kuang; Cheung, Yin Bun

doi:10.1016/j.jpainsymman.2020.06.016

Cited by 13 publications

(18 citation statements)

References 27 publications

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“…Previous studies cite depression rates of 15-25% in cancer patients in general. 10,11 The current study observed a rate of depression of 13% after cutaneous cancer, a rate in keeping with that cited above. One likely explanation for these absent associations between site of skin cancer and depression is that the initial cancer diagnosis itself had a sizable, overwhelming effect that led to depression, leaving site of cutaneous disease of lesser concern for patients.…”

Section: Discussionsupporting

confidence: 92%

Non-Squamous, Non-Basal Cell Cancers of the Skin: Exploring Associations Between Site of Disease and Depression

Almodallal

Lee

Le‐Rademacher

et al. 2020

Am J Hosp Palliat Care

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Background: Earlier studies report a direct association between diseases of the skin—particularly those on the face—and depression. However, to our knowledge, such associations have not been examined in patients with non-squamous, non-basal call skin cancers. Methods: The primary goal was to assess whether malignant skin disease—specifically on the face as opposed to other sites—was associated with depression. The medical records of patients with cutaneous cancer (either primary or metastatic but non-squamous, non-basal cell) were reviewed for the relevant data. Results: One hundred and sixty-five patients were studied. Only 23 patients (14%) had metastases to the face, and 115 (70%) had a readily viewable skin cancer. Twenty-one patients (13%) developed depression after a diagnosis of cutaneous cancer (of note, the rate of missing data for depression was 37%). Only one patient with facial cutaneous cancer manifested depression, yielding an odds ratio for not developing depression (95% confidence interval (CI)) of 4.4 (0.5,35); p = 0.13. Depression appeared to occur more often in women (62% versus 43%), patients with a history of depression (52% versus 6%), and younger patients (median age with and without depression 55 years and 67 years, respectively). Conclusion: In contrast to other cutaneous diseases, no association was found between cutaneous cancer to the face and depression. Nonetheless, high rates of missing data underscore the need to focus on depression in patients with cutaneous cancers in the future.

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Section: Discussionsupporting

confidence: 92%

Non-Squamous, Non-Basal Cell Cancers of the Skin: Exploring Associations Between Site of Disease and Depression

Almodallal

Lee

Le‐Rademacher

et al. 2020

Am J Hosp Palliat Care

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“…Table S1 summarizes the descriptions of each selected study and the sample characteristics. Among the 18 studies, 10 were conducted in Asia (China [ 24 , 25 , 31 , 32 , 34 , 38 , 42 ], Singapore [ 37 , 41 ], and Korea [ 36 ]), six studies in Europe (the United Kingdom [ 27 , 28 , 40 ], Germany [ 29 , 33 ], and the Netherlands [ 30 ]), while the other two studies were conducted in the United States. Study design included 12 RCTs, three pre-post design studies, two quasiexperimental studies, and one case report.…”

Section: Resultsmentioning

confidence: 99%

“…Only two studies targeted CRC patients and their caregivers. Seven studies specifically reported patients' disease stages, including stages I–III [ 28 , 29 , 33 ] ( n = 3), stages I–IV [ 39 ] ( n = 1), stages II–IV [ 40 ] ( n = 1), stages II–III [ 24 ] ( n = 1), and advanced patients [ 41 ]. In addition, seven studies specifically reported patient treatment stages, including posttreatment [ 30 , 31 , 34 , 35 ] and scheduled surgery or chemotherapy [ 24 , 36 , 37 ].…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies reported the attrition rate, which ranged from 3.7% to 41%. The reasons given by CRC patients or caregivers for declining to participate or withdrawing from the intervention were scheduling conflict [ 29 , 38 ]; disease recurrence, too ill, death [ 38 , 41 ]; no further treatment [ 24 , 40 ]; change in hospital [ 38 ]; and chemotherapy [ 24 , 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…A total of 14 studies reported improved SE results. SE improvement in different areas is reported separately and can be roughly divided into two aspects: cancer-related SE [24,28,31,32,35,38,[40][41][42] and general SE [27,28,30,34,36]. e results show that in cancer-related SE, improvements in stoma SE and pain SE, as well as improvements in decision-making and selfmanagement SE, were of particular interest.…”

Section: Self-efficacy Outcomesmentioning

confidence: 92%

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Interventions to Improve Self-Efficacy in Colorectal Cancer Patients and/or Caregivers: A Systematic Review and Meta-Analysis

Gong

Chen

et al. 2021

Journal of Oncology

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Objective. High levels of self-efficacy (SE) in colorectal cancer (CRC) patients and/or caregivers enable patients to cope with cancer, reduce caregiver burden, and promote quality of life (QOL) in patients and caregivers alike. This review aims to (a) identify the SE theory sources covered by SE interventions or interventions, including targeting improved SE for CRC patients and/or caregivers, to guide future development of SE interventions; and (b) explore intervention effects based on SE theory through meta-analysis. Methods. Using five electronic databases—CINAHL, Cochrane Library, Embase, PsycINFO, and PubMed—a systematic search was performed in April 2021 to identify English or Chinese literature that studied improving SE interventions for CRC patients and/or caregivers. Manual screening of the articles’ references list was also performed. Results. A total of 18 studies were found to be suitable and included in this review. Of the 18 studies that were included, 10 randomized controlled trials (RCTs) studies with 917 participants were eligible for meta-analysis. Interventions provide support for SE drawing on different sources of information. Performance accomplishment (PA) is the key source, with vicarious experience (VE) and verbal persuasion (VP) assisting in improving PA. Reducing negative emotional arousal (NEA) and improving positive emotional arousal (PEA) are also indispensable factors in improving SE. The meta-analysis results show that interventions based on the SE theory can bring about positive effects for CRC patients and/or caregivers. Conclusions. Different sources of information aimed at improving SE, covered by the interventions, including PA, VE, VP, NEA, and PEA, have been explored. Positive intervention outcomes that focused on improving SE for CRC patients and/or caregivers were identified and highlighted. For future SE interventions, we advocate choosing combination sources of SE information to design interventions. It is recommended that future SE improvement interventions should focus on improving PA, supplemented by increasing VE, while reducing NEA and providing useful VP.

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The unmet rehabilitation needs of colorectal cancer survivors after surgery: A qualitative meta‐synthesis

Yi,

Yang,

Shi

et al. 2023

Nursing Open

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AimTo systematically review and synthesize the findings of qualitative research on the unmet rehabilitation needs of colorectal cancer survivors (CRC) after surgery.DesignA qualitative meta‐synthesis registered with PROSPERO (CRD42022368837).MethodsCNKI, Wanfang Data, PubMed, Scopus, Embase, Cochrane, Medline, PsychINFO and CINAHL were systematically searched for qualitative studies on the rehabilitation needs of CRC survivors after surgery from the inception of each database to September 2022.ResultsA total of 917 relevant reports were initially collected and 14 studies were finally included. A total of 49 needs were extracted and divided into 15 categories in 6 integrated findings: (1) the need to adopt healthy eating habits; (2) the need for exercise motivation and exercise guidance; (3) the conflicting needs to return to work; (4) unaddressed physiological needs; (5) spiritual needs; (6) the need for multi‐dimensional social support.Patient or Public ContributionNot applicable.

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The Feasibility and Acceptability of a Cognitive Behavioral Therapy-Based Intervention for Patients With Advanced Colorectal Cancer

Cited by 13 publications

References 27 publications

Non-Squamous, Non-Basal Cell Cancers of the Skin: Exploring Associations Between Site of Disease and Depression

Non-Squamous, Non-Basal Cell Cancers of the Skin: Exploring Associations Between Site of Disease and Depression

Interventions to Improve Self-Efficacy in Colorectal Cancer Patients and/or Caregivers: A Systematic Review and Meta-Analysis

The unmet rehabilitation needs of colorectal cancer survivors after surgery: A qualitative meta‐synthesis

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