The role of integrated psychological support in breast cancer patients: a randomized monocentric prospective study evaluating the Fil-Rouge Integrated Psycho-Oncological Support (FRIPOS) program.
Anxiety
Breast cancer
Depression
Integrative care
Psycho-oncology
Support
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
14 Apr 2023
14 Apr 2023
Historique:
received:
16
09
2022
accepted:
04
04
2023
medline:
18
4
2023
entrez:
14
4
2023
pubmed:
15
4
2023
Statut:
epublish
Résumé
This study examined the effects of Fil-Rouge Integrated Psycho-Oncological Support (FRIPOS) in a group of women with breast cancer compared with a group receiving treatment as usual (TAU). The research design was a randomized, monocentric, prospective study with three time points of data collection: after the preoperative phase (T0), in the initial phase of treatments (T1), and 3 months after the start of treatments (T2). The FRIPOS group (N = 103) and the TAU group (N = 79) completed a sociodemographic questionnaire, the Symptom Checklist-90-R (SCL-90-R) at T0; the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) C30 and EORTC QLQ-BR23 at T1; and SCL-90-R, EORTC QLQ-C30, and EORTC QLQ-BR23 at T2. A series of independent and paired t tests showed that patients in the FRIPOS group performed better on all scales related to symptomatic manifestations and on some quality of life scales (fatigue, dyspnea, and sleep disturbances) at T2. In addition, a series of ten multiple regressions were performed to predict each SCL subscale at T2 from the SCL score at T0 and the EORTC QLQ-C30 scores at T2. In nine of ten regression models (all except somatization), both FRIPOS group membership and QoL subscale contributed significantly to prediction. This study suggests that patients in the FRIPOS group have more benefits in emotional, psychological, and collateral symptoms than patients in the TAU group and that these improvements are due to integrated psycho-oncology care.
Identifiants
pubmed: 37058253
doi: 10.1007/s00520-023-07732-4
pii: 10.1007/s00520-023-07732-4
pmc: PMC10104919
doi:
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
266Informations de copyright
© 2023. The Author(s).
Références
(2022) Il tumore della mammella. https://www.salute.gov.it/portale/tumori/dettaglioContenutiTumori.jsp?lingua=italiano&id=5538&area=tumori&menu=vuoto . Accessed 3 Aug 2022
Gori S, Miglietta F, Modena A (2021) Mammella. In: AIOM, AIRTUM, SIAPEC-IAP et al (eds) I numeri del cancro in Italia 2021. Intermedia Editore, Orvieto (TR), pp 64–66
Gandino G, Dipaola D, Triscio V et al (2017) The impact of breast cancer on the body, femininity and relations a research through the Rorschach test. Minerva Psichiatr 58:135–143. https://doi.org/10.23736/S0391-1772.17.01933-1
doi: 10.23736/S0391-1772.17.01933-1
Holland JC, Weiss TR (2010) History of psycho-oncology. In: Holland JC, Jacobsen PB, Loscalzo MJ (eds) Psycho-oncology, 2nd edn. Oxford University Press, New York, pp 3–12
doi: 10.1093/med/9780195367430.003.0001
Appleton L, Poole H, Wall C (2018) Being in safe hands: patients’ perceptions of how cancer services may support psychological well-being. J Adv Nurs 74:1531–1543. https://doi.org/10.1111/jan.13553
doi: 10.1111/jan.13553
pubmed: 29473186
Faretta E, Borsato T, Civilotti C et al (2016) EMDR and CBT: a comparative clinical study with oncological patients. J EMDR Pract Res 10:215–227. https://doi.org/10.1891/1933-3196.10.3.215
doi: 10.1891/1933-3196.10.3.215
Chambers SK, Hutchison S, Mihalopoulos C, Dunn JC (2014) A randomized trial comparing two low-intensity psychological interventions for distressed patients with cancer and their caregivers. Oncol Nurs Forum 41:E256–E266. https://doi.org/10.1188/14.ONF.E256-E266
doi: 10.1188/14.ONF.E256-E266
pubmed: 24969260
Ye M, Du K, Zhou J et al (2018) A meta-analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients. Psychooncology 27:1695–1703. https://doi.org/10.1002/pon.4687
doi: 10.1002/pon.4687
pubmed: 29500842
Ledesma D, Kumano H (2009) Mindfulness-based stress reduction and cancer: a meta-analysis. Psychooncology 18:571–579. https://doi.org/10.1002/pon.1400
doi: 10.1002/pon.1400
pubmed: 19023879
Sagar SM (2016) Integrative oncology: are we doing enough to integrate psycho-education? Future Oncol 12:2779–2783. https://doi.org/10.2217/fon-2016-0345
doi: 10.2217/fon-2016-0345
pubmed: 27623954
Kissane D (2003) Family focused grief therapy: the role of the family in preventive and therapeutic bereavement care. Bereavement Care 22:6–8. https://doi.org/10.1080/02682620308657563
doi: 10.1080/02682620308657563
Meggiolaro E, De Padova S, Ruffilli F et al (2021) From distress screening to uptake: an Italian multicenter study of cancer patients. Cancers (Basel) 13:3761. https://doi.org/10.3390/cancers13153761
doi: 10.3390/cancers13153761
pubmed: 34359662
Arora NK (2003) Interacting with cancer patients: The significance of physicians’ communication behavior. Soc Sci Med 57:791–806. https://doi.org/10.1016/S0277-9536(02)00449-5
doi: 10.1016/S0277-9536(02)00449-5
pubmed: 12850107
Van Scheppingen C, Schroevers MJ, Smink A et al (2011) Does screening for distress efficiently uncover meetable unmet needs in cancer patients? Psychooncology 20:655–663. https://doi.org/10.1002/pon.1939
doi: 10.1002/pon.1939
pubmed: 21381148
Soothill K, Morris SM, Harman J et al (2001) The significant unmet needs of cancer patients: probing psychosocial concerns. Support Care Cancer 9:597–605. https://doi.org/10.1007/s005200100278
doi: 10.1007/s005200100278
pubmed: 11762970
Swartzman S, Booth JN, Munro A, Sani F (2017) Posttraumatic stress disorder after cancer diagnosis in adults: a meta-analysis. Depress Anxiety 34:327–339. https://doi.org/10.1002/da.22542
doi: 10.1002/da.22542
pubmed: 27466972
Ghirardello D, Munari J, Testa S et al (2018) Italian adaptation of the brief modified experiences in close relationships scale in a sample of cancer patients: factor analysis and clinical implications. Res Psychother: Psychopathol Process Outcome 21(3). https://doi.org/10.4081/ripppo.2018.319
Eakin EG, Strycker LA (2001) Awareness and barriers to use of cancer support and information resources by HMO patients with breast, prostate, or colon cancer: patient and provider perspectives. Psychooncology 10:103–113. https://doi.org/10.1002/pon.500
doi: 10.1002/pon.500
pubmed: 11268137
Dilworth S, Higgins I, Parker V et al (2014) Patient and health professional’s perceived barriers to the delivery of psychosocial care to adults with cancer: a systematic review. Psychooncology 23:601–612. https://doi.org/10.1002/pon.3474
doi: 10.1002/pon.3474
pubmed: 24519814
Rose S, Boyes A, Kelly B et al (2018) Help-seeking behaviour in newly diagnosed lung cancer patients: assessing the role of perceived stigma. Psychooncology 27:2141–2147. https://doi.org/10.1002/pon.4779
doi: 10.1002/pon.4779
pubmed: 29802652
pmcid: 6175243
Hutchison SD, Steginga SK, Dunn J (2006) The tiered model of psychosocial intervention in cancer: a community based approach. Psychooncology 15:541–546. https://doi.org/10.1002/pon.973
doi: 10.1002/pon.973
pubmed: 16331595
Singer S, Danker H, Briest S et al (2014) Effect of a structured psycho-oncological screening and treatment model on mental health in cancer patients (STEPPED CARE): study protocol for a cluster randomized controlled trial. Trials 15:1–6
doi: 10.1186/1745-6215-15-482
Savard J, Ivers H, Savard M-H et al (2021) Efficacy of a stepped care approach to deliver cognitive-behavioral therapy for insomnia in cancer patients: a noninferiority randomized controlled trial. Sleep 44:zsab166
doi: 10.1093/sleep/zsab166
pubmed: 34228123
pmcid: 8598200
NICE | The National Institute for Health and Care Excellence. https://www.nice.org.uk/guidance/csg4/resources/improving-supportive-and-palliative-care-for-adults-with-cancer-pdf-773375005 . Accessed 3Aug 2022
Watson M, Dunn J (2016) The multidisciplinary art and science of cancer care: integrating psycho-oncology. Future Oncol 12:2775–2778. https://doi.org/10.2217/fon-2016-0374
doi: 10.2217/fon-2016-0374
pubmed: 27624098
Philip EJ, Merluzzi TV (2016) Psychosocial issues in post-treatment cancer survivors: desire for support and challenges in identifying individuals in need. J Psychosoc Oncol 34:223–239. https://doi.org/10.1080/07347332.2016.1157716
doi: 10.1080/07347332.2016.1157716
pubmed: 26939620
pmcid: 4961683
Jacobs LA, Blauch AN, Pucci DA et al (2017) Does screening for anxiety and depression efficiently identify patients who want help? J Clin Oncol 35:e21604–e21604. https://doi.org/10.1200/jco.2017.35.15_suppl.e21604
doi: 10.1200/jco.2017.35.15_suppl.e21604
Absolom K, Holch P, Pini S et al (2011) The detection and management of emotional distress in cancer patients: the views of health-care professionals. Psychooncology 20:601–608. https://doi.org/10.1002/pon.1916
doi: 10.1002/pon.1916
pubmed: 21308857
Sharpe M, Walker J, Hansen CH et al (2014) Integrated collaborative care for comorbid major depression in patients with cancer (SMaRT Oncology-2): a multicentre randomised controlled effectiveness trial. The Lancet 384:1099–1108. https://doi.org/10.1016/S0140-6736(14)61231-9
doi: 10.1016/S0140-6736(14)61231-9
Li M, Kennedy EB, Byrne N et al (2017) Systematic review and meta-analysis of collaborative care interventions for depression in patients with cancer. Psychooncology 26:573–587. https://doi.org/10.1002/PON.4286
doi: 10.1002/PON.4286
pubmed: 27643388
Commission to the European Parliament and the Council (2021) Europe’s beating cancer plan. https://health.ec.europa.eu/system/files/2022-02/eu_cancer-plan_en_0.pdf . Accessed 3 Aug 2022
Grimmett C, Heneka N, Chambers S (2022) Psychological interventions prior to cancer surgery: a review of reviews. Curr Anesthesiol Rep 12:78–87. https://doi.org/10.1007/s40140-021-00505-x
doi: 10.1007/s40140-021-00505-x
pubmed: 35125973
pmcid: 8801554
Lucchini D, Giampaolo R, Fogazzi G et al (2020) Fil-Rouge: implementazioni dell’approccio integrato nell’iter terapeutico antitumorale in un campione di donne affette da neoplasia mammaria: progetto pilota. Psicologia della Salute 3:5–34. https://doi.org/10.3280/PDS2020-003001
Seiler A, Jenewein J (2019) Resilience in cancer patients. Front Psychiatry 10:208. https://doi.org/10.3389/fpsyt.2019.00208
doi: 10.3389/fpsyt.2019.00208
pubmed: 31024362
pmcid: 6460045
Kalter J, Verdonck-de Leeuw IM, Sweegers MG et al (2018) Effects and moderators of psychosocial interventions on quality of life, and emotional and social function in patients with cancer: an individual patient data meta-analysis of 22 RCTs. Psychooncology 27:1150–1161. https://doi.org/10.1002/pon.4648
doi: 10.1002/pon.4648
pubmed: 29361206
pmcid: 5947559
Carlson LE, Waller A, Mitchell AJ (2012) Screening for distress and unmet needs in patients with cancer: review and recommendations. J Clin Oncol 30:1160–1177. https://doi.org/10.1200/JCO.2011.39.5509
doi: 10.1200/JCO.2011.39.5509
pubmed: 22412146
De Vincentis G, Monari F, Baldari S et al (2018) Narrative medicine in metastatic prostate cancer reveals ways to improve patient awareness & quality of care. Future Oncol 14:2821–2832. https://doi.org/10.2217/fon-2018-0318
doi: 10.2217/fon-2018-0318
pubmed: 29905090
Fobair P, Stewart SL, Chang S et al (2006) Body image and sexual problems in young women with breast cancer. Psychooncology 15:579–594. https://doi.org/10.1002/pon.991
doi: 10.1002/pon.991
pubmed: 16287197
Boquiren VM, Esplen MJ, Wong J et al (2016) Sexual functioning in breast cancer survivors experiencing body image disturbance. Psychooncology 25:66–76. https://doi.org/10.1002/pon.3819
doi: 10.1002/pon.3819
pubmed: 25916689
Harrison JD, Young JM, Price MA et al (2009) What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer 17:1117–1128. https://doi.org/10.1007/s00520-009-0615-5
doi: 10.1007/s00520-009-0615-5
pubmed: 19319577
Derogatis LR (1994) Symptom Checklist-90-R: administration, scoring & procedure manual for the revised version of the SCL-90. National Computer Systems, Minneapolis
Prunas A, Sarno I, Preti E et al (2012) Psychometric properties of the Italian version of the SCL-90-R: a study on a large community sample. Eur Psychiatry 27:591–597. https://doi.org/10.1016/j.eurpsy.2010.12.006
doi: 10.1016/j.eurpsy.2010.12.006
pubmed: 21334861
Osoba D, Zee B, Pater J et al (1994) Psychometric properties and responsiveness of the EORTC Quality of Life Questionnaire (QLQ-C30) in patients with breast, ovarian and lung cancer. Qual Life Res 3:353–364. https://doi.org/10.1007/BF00451727
doi: 10.1007/BF00451727
pubmed: 7841968
Peckham M, Pinedo B, Veronesi U (1996) Oxford textbook of oncology. Elsevier Science
Lopez G, McQuade J, Cohen L et al (2017) Integrative oncology physician consultations at a comprehensive cancer center: analysis of demographic, clinical and patient reported outcomes. J Cancer 8:395–402. https://doi.org/10.7150/jca.17506
doi: 10.7150/jca.17506
pubmed: 28261340
pmcid: 5332890
Powell Davies G, Williams AM, Larsen K et al (2008) Coordinating primary health care: an analysis of the outcomes of a systematic review. Med J Aust 188:S65–S68. https://doi.org/10.5694/j.1326-5377.2008.tb01748.x
doi: 10.5694/j.1326-5377.2008.tb01748.x
pubmed: 18429740
Kusch M, Labouvie H, Schiewer V et al (2022) Integrated, cross-sectoral psycho-oncology (isPO): a new form of care for newly diagnosed cancer patients in Germany. BMC Health Serv Res 22:1–31. https://doi.org/10.1186/s12913-022-07782-0
doi: 10.1186/s12913-022-07782-0
Walker J, Sharpe M (2009) Depression care for people with cancer: a collaborative care intervention. Gen Hosp Psychiatry 31:436–441. https://doi.org/10.1016/j.genhosppsych.2009.05.010
doi: 10.1016/j.genhosppsych.2009.05.010
pubmed: 19703637
Civilotti C, Botto R, Maran DA et al (2021) Anxiety and depression in women newly diagnosed with breast cancer and waiting for surgery: prevalence and associations with socio-demographic variables. Medicina (Lithuania) 57:454. https://doi.org/10.3390/medicina57050454
doi: 10.3390/medicina57050454
Wang YH, Li JQ, Shi JF et al (2020) Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Mol Psychiatry 25:1487–1499. https://doi.org/10.1038/s41380-019-0595-x
doi: 10.1038/s41380-019-0595-x
pubmed: 31745237
Chae BJ, Lee J, Lee SK et al (2019) Unmet needs and related factors of Korean breast cancer survivors: a multicenter, cross-sectional study. BMC Cancer 19:839. https://doi.org/10.1186/s12885-019-6064-8
doi: 10.1186/s12885-019-6064-8
pubmed: 31455311
pmcid: 6712787
Liu X, Chen Y, Cheng AS et al (2022) Conceptualizing problems with symptoms, function, health behavior, health-seeking skills, and financial strain in breast cancer survivors using hierarchical clustering. J Cancer Surviv 16:751–759. https://doi.org/10.1007/s11764-021-01068-w
doi: 10.1007/s11764-021-01068-w
pubmed: 34109506
Mokhatri-Hesari P, Montazeri A (2020) Health-related quality of life in breast cancer patients: review of reviews from 2008 to 2018. Health Qual Life Outcomes 18:1–25
Götz A, Kröner A, Jenewein J, Spirig R (2019) Evaluation of the adherence of distress screening with the distress thermometer in cancer patients 4 years after implementation. Support Care Cancer 27:2799–2807
doi: 10.1007/s00520-018-4579-1
pubmed: 30539312
Merckaert I, Libert Y, Messin S et al (2010) Cancer patients’ desire for psychological support: prevalence and implications for screening patients’ psychological needs. Psychooncology 19:141–149. https://doi.org/10.1002/pon.1568
doi: 10.1002/pon.1568
pubmed: 19382112
Faretta E, Civilotti C (2016) EMDR therapy in psycho-oncology: a bridge between mind and body. J EMDR Pract Res 10:138–152. https://doi.org/10.1891/1933-3196.10.3.138
doi: 10.1891/1933-3196.10.3.138
Slevin ML, Nichols SE, Downer SM et al (1996) Emotional support for cancer patients: what do patients really want? Br J Cancer 74:1275–1279. https://doi.org/10.1038/bjc.1996.529
doi: 10.1038/bjc.1996.529
pubmed: 8883417
pmcid: 2075927