Evidence-Based Psychosocial Interventions in Pediatric Psycho-Oncology

2021 ◽  
pp. 703-714
Author(s):  
Lori Wiener ◽  
Marie Barnett ◽  
Stacy Flowers ◽  
Cynthia Fair ◽  
Amanda L. Thompson
Keyword(s):  
Support Groups ◽  
Behavioral Therapy ◽  
Care Transitions ◽  
Psychosocial Care ◽  
Psychosocial Interventions ◽  
Evidence Based ◽  
Adult Care ◽  
Children With Cancer ◽  
Positive Coping ◽  
Acceptance And Commitment

Children with cancer and their families experience significant emotional distress throughout the cancer trajectory. Evidence-based psychosocial interventions can alleviate suffering and promote adaptation and positive coping strategies. This chapter reviews interventions frequently used within pediatric oncology settings, including evidence-based approaches and those with limited empirical data to date. Interventions utilized at initial diagnosis, during active treatment, throughout survivorship, and at end of life and bereavement are presented. Strategies such as psychoeducation, procedural support for children, mind-body interventions, play and expressive techniques, cognitive-behavioral therapy, acceptance and commitment therapy, adherence interventions, support groups, communication, and advanced care planning tools are described along with available efficacy information. Data is also presented to describe the interventions most commonly used by pediatric psychosocial providers when caring for children with cancer and their families. The development of evidence-based standards of psychosocial care highlight the significant progress made toward supporting children with cancer and their families. Gaps in interventions are addressed, particularly on developmental and culturally sensitive approaches, school re-entry support, pediatric to adult care transitions, individual bereavement interventions, and intervention format/delivery. The field of pediatric psycho-oncology would benefit from ongoing translation of science into practice and increased access to evidence-based interventions.

scholarly journals Utilization of Psychotherapeutic Interventions by Pediatric Psychosocial Providers

Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 1045
Author(s):  
Cynthia Fair ◽  
Amanda Thompson ◽  
Marie Barnett ◽  
Stacy Flowers ◽  
June Burke ◽  
...  
Keyword(s):  
Online Survey ◽  
Behavioral Therapy ◽  
Family Members ◽  
Psychosocial Care ◽  
Psychosocial Interventions ◽  
The United States ◽  
Future Research ◽  
Children With Cancer ◽  
Psychotherapeutic Interventions ◽  
Evidenced Based

One of the Standards of Psychosocial Care for Children with Cancer and their Families recommends that all youth with cancer and their family members have access to psychotherapeutic interventions and support throughout the cancer trajectory. This study was created to identify the psychosocial interventions and services provided to children with cancer and their family members, to ascertain whether there are differences in interventions provided by age of the patient and stage of treatment, and to learn about barriers to psychosocial service provision. An online survey was disseminated to psychosocial providers through the listservs of national and international professional organizations. The majority of the 242 respondents were either psychologists (39.3%) or social workers (26.9%) and 79.7% worked in the United States. The intervention offered most often to pediatric patients, caregivers, and siblings, at every stage of treatment, was psychoeducation (41.7–48.8%). Evidence-based interventions, including cognitive behavioral therapy (56.6%) and mindfulness-based interventions (57.9%) were reported to be frequently used with patients. Interventions designed specifically for the pediatric oncology population were not commonly endorsed. Psychosocial providers reported quality of care would be improved by additional staff, better communication/collaboration with medical team members and increased community-based resources. Future research should focus on improving accessibility to population-specific evidenced-based interventions and translating science to practice.

Evidence-Based Behavioral Therapies for Substance Use Disorders

2020 ◽  
pp. 267-282
Author(s):  
Kathryn Polak ◽  
Sydney Kelpin ◽  
Jarrod Reisweber ◽  
Dace S. Svikis
Keyword(s):  
Gender Differences ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Brief Intervention ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Psychosocial Interventions ◽  
Evidence Based ◽  
Behavioral Therapies ◽  
Selection Of

A variety of pharmacological and psychosocial interventions have demonstrated efficacy in the treatment of substance use disorders (SUDs). This chapter focuses on evidence-based behavioral and psychosocial interventions for the treatment of alcohol use disorder and other SUDs. Among the interventions discussed are screening, brief intervention, and referral to treatment (SBIRT); motivational interviewing (MI); cognitive behavioral therapy (CBT); and contingency management (CM). Additionally, one promising intervention for SUD, Transcending Self Therapy (TST), is spotlighted. The importance of comprehensive care is noted by the authors, as is the importance of recognizing gender differences in the selection of therapies and the need to address barriers to care for specific populations.

scholarly journals A review of psychosocial interventions targeting families of children with cancer

2020 ◽  
pp. 1-16
Author(s):  
Anna Koumarianou ◽  
Artemis E. Symeonidi ◽  
Antonis Kattamis ◽  
Katerina Linardatou ◽  
George P. Chrousos ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Behavioral Therapy ◽  
Experimental Studies ◽  
Psychosocial Interventions ◽  
Skills Training ◽  
Well Being ◽  
Computer Assisted ◽  
Children With Cancer ◽  
Problem Solving Skills ◽  
Pubmed Database

Abstract Objective Psychosocial interventions in families of children with cancer are considered an effective way of empowering family members to tackle the complex hurdles they face. The ability of parents to develop adaptive coping strategies during the child's treatment is not only important to their own mental and physical health, but also to their child's well-being and long-term adjustment with the disease. Methods The aim of this review was to evaluate the existing literature for the period from 2009 to 2017 on psychosocial interventions targeting families of children with cancer. We searched the PubMed database using the following combination of keywords: “cancer AND children AND (intervention OR training) AND (mothers OR primary caregivers OR parents OR fathers OR siblings).” Results After careful evaluation of 995 papers, 17 full-text papers were found to match our criteria (12 randomized controlled trials and 5 quasi-experimental studies). The quality of the studies was assessed using the Delphi score questionnaire, and the score of the reviewed studies ranged from 3 to 5. The findings suggest that most interventions reduced distress and improved coping strategies among participants. Interventions, mainly cognitive behavioral therapy and problem-solving skills training targeting maternal distress, were associated with improved adjustment outcomes in mothers of children with cancer. Significance of results Psychosocial interventions are helpful, and efforts should be made to promote them in a larger scale. Protocols should be implemented to ensure that all parents benefit. Computer-assisted methods may provide additional benefit by improving cancer-related knowledge and cancer-related communication.

What Happens Now? Psychosocial Care for Cancer Survivors After Medical Treatment Completion

2012 ◽  
Vol 30 (11) ◽  
pp. 1215-1220 ◽  
Author(s):  
Annette L. Stanton
Keyword(s):  
Psychosocial Care ◽  
Psychosocial Interventions ◽  
The United States ◽  
Current Evidence ◽  
Evidence Based ◽  
Medical Treatments ◽  
History Of ◽  
History Of Cancer ◽  
Growing Population

The growing population of adults living with a history of cancer in the United States mandates attention to quality of life and health in this group, as well as to the implementation of evidence-based interventions to address psychosocial and physical concerns at completion of medical treatments and beyond. The goals of this article are to document the need for attention to psychosocial domains during the re-entry and later phases of the cancer survivor trajectory, offer an overview of current evidence on efficacy of psychosocial interventions during those phases, and offer suggestions for application and research regarding post-treatment psychosocial care.

Psychosocial Treatment for Psychotic Disorders: Systems of Care and Empirically Supported Psychosocial Interventions

2016 ◽  
Author(s):  
Jessica M. Gannon ◽  
Shaun M. Eack
Keyword(s):  
Psychotic Disorders ◽  
Systems Of Care ◽  
Behavioral Therapy ◽  
Psychosocial Care ◽  
Cognitive Remediation ◽  
Psychosocial Interventions ◽  
Psychosocial Treatment ◽  
Community Treatment ◽  
Empirically Supported ◽  
Somatic Therapies

In this chapter, we discuss psychosocial interventions, including psychotherapies and other services useful for helping individuals with psychotic disorders. We explain the basics components of the systems of care through which these services are frequently offered, focusing on outpatient treatments. Psychosocial rehabilitation is highlighted, as it helps patients move towards recovery, which is an important model for psychosocial care. A number of evidence-based psychotherapies are explored, notably cognitive-behavioral therapy (CBT), family therapy, and cognitive remediation. Many of these treatments can be given individually or in groups, and although underutilized, can improve outcome when combined with somatic therapies. Other services have been shown to be useful in recovery, such as case management, assertive community treatment, and housing, and these are explored in this chapter as well. Finally, we review the role of hospitalization and involuntary treatment in the care of patients with psychotic disorders.

Psychosocial Treatment of Depression and Suicidality in Adolescents

CNS Spectrums ◽  
2007 ◽  
Vol 12 (2) ◽  
pp. 135-144 ◽  
Author(s):  
Anat Brunstein Klomek ◽  
Barbara Stanley
Keyword(s):  
United States ◽  
High Risk ◽  
Suicidal Behavior ◽  
Behavioral Therapy ◽  
Psychosocial Interventions ◽  
The United States ◽  
Psychosocial Treatment ◽  
Evidence Based ◽  
The Third ◽  
Treatment Of Depression

ABSTRACTDepression is a common disorder among adolescents and is associated with a high risk of suicide. Suicide is the third leading cause of death among adolescents in the United States. Currently, there are only two evidence-based psychotherapies for adolescence depression: cognitive-behavioral therapy and interpersonal psychotherapy. Furthermore, psychosocial interventions that specifically target suicidal behavior in adolescents are even fewer in number than treatments for depression. This article will review the psychosocial interventions for depression and suicidality in adolescents and will describe a recently developed treatment that is under study for depressed suicidal adolescents.

日本における抑うつ症状に対する心理学的介入を目的とした スマートフォン用アプリケーション・プログラムのレビュー

2020 ◽  
Author(s):  
Hikari Takashina ◽  
Kengo Yokomitsu
Keyword(s):  
Depressive Symptoms ◽  
Daily Life ◽  
Behavioral Therapy ◽  
Mobile Apps ◽  
Evaluation Model ◽  
Ease Of Use ◽  
Background Information ◽  
Evidence Based ◽  
Privacy And Security ◽  
Current State

There are thousands of mobile apps delivering information and offering support and intervention in situations of daily life. The aim of this study was to identify the current state of apps for depressive symptoms or prevention of depression within the official Android and iOS app stores in Japan. The 47 apps for depression available for download from the app stores were evaluated by the App Evaluation Model regarding background information, risk/ privacy and security, evidence, ease of use, and interoperability. Also, we evaluated their primary purpose, technology components, and cognitive-behavioral therapy components. The results suggest that in general few apps have been developed that are evidence-based, secure, and provide the services that users expect. In the future, it will be necessary to develop a framework for developing and disseminating more effective apps. This study is the first review of apps for depression available in Japan and seeks to help create a framework for such apps.

scholarly journals The Integration of Psychosocial Care into National Dementia Strategies Across Europe: Evidence from the Skills in DEmentia Care (SiDECar) Project

2021 ◽  
Vol 18 (7) ◽  
pp. 3422
Author(s):  
Ilaria Chirico ◽  
Rabih Chattat ◽  
Vladimíra Dostálová ◽  
Pavla Povolná ◽  
Iva Holmerová ◽  
...  
Keyword(s):  
Content Analysis ◽  
Clinical Practice ◽  
Social Services ◽  
Psychosocial Care ◽  
Psychosocial Interventions ◽  
System Of Care ◽  
Dementia Care ◽  
Integrated System ◽  
Health And Social Services

There is evidence supporting the use of psychosocial interventions in dementia care. Due to the role of policy in clinical practice, the present study investigates whether and how the issue of psychosocial care and interventions has been addressed in the national dementia plans and strategies across Europe. A total of 26 national documents were found. They were analyzed by content analysis to identify the main pillars associated with the topic of psychosocial care and interventions. Specifically, three categories emerged: (1) Treatment, (2) Education, and (3) Research. The first one was further divided into three subcategories: (1) Person-centred conceptual framework, (2) Psychosocial interventions, and (3) Health and social services networks. Overall, the topic of psychosocial care and interventions has been addressed in all the country policies. However, the amount of information provided differs across the documents, with only the category of ‘Treatment’ covering all of them. Furthermore, on the basis of the existing policies, how the provision of psychosocial care and interventions would be enabled, and how it would be assessed are not fully apparent yet. Findings highlight the importance of policies based on a comprehensive and well-integrated system of care, where the issue of psychosocial care and interventions is fully embedded.

scholarly journals Acceptance and Commitment Therapy in Obsessive–Compulsive Disorder: A Case Study

2021 ◽  
pp. 025371762199673
Author(s):  
Joel Philip ◽  
Vinu Cherian
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Third Wave ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Change Acceptance ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Recent years have witnessed an increased interest in the use of “third-wave” psychotherapies in treating psychiatric disorders. These newer therapies are fundamentally different from the existing techniques such as cognitive behavioral therapy in terms of their guiding principles and processes of change. Acceptance and commitment therapy (ACT) is the most prominent among these “third wave” psychotherapies. However, there have not been any reports from India, thus far, that have studied the use of ACT in treating obsessive–compulsive disorder (OCD). We describe a case of OCD that was successfully treated with eight sessions of ACT, with the results being maintained over a one-month follow-up period. Postintervention tests revealed a significant decrease in obsessive–compulsive symptoms and an associated increase in psychological flexibility. This case study highlights the possible utility of ACT as a therapeutic intervention in OCD, especially when combined with pharmacotherapy.

The effects of mobile apps on stress, anxiety, and depression: overview of systematic reviews

2020 ◽  
pp. 1-11
Author(s):  
Fatemeh Khademian ◽  
Azam Aslani ◽  
Peivand Bastani
Keyword(s):  
Mental Health ◽  
Systematic Reviews ◽  
Behavioral Activation ◽  
Behavioral Therapy ◽  
Mobile Apps ◽  
Conclusive Evidence ◽  
Anxiety And Depression ◽  
Health Apps ◽  
Acceptance And Commitment ◽  
Overview Of Systematic Reviews

Abstract Objectives Despite a large number of mobile apps in the field of mental health, it is difficult to find a useful and reliable one, mainly due to the fact that the effectiveness of many apps has not been assessed scientifically. The present study aimed to assess the effects of mental health apps on managing the symptoms of stress, anxiety, and depression. Methods A comprehensive literature search was conducted in PubMed, Scopus, EMBASE, Cochrane, and Web of Science databases for the papers published from 2000 to 2019. Studies were included if they reviewed articles or mobile apps for their effectiveness in stress, anxiety, and depression. The reviews that had considered mobile apps or web-based mobile applications as an intervention or part of intervention were included, as well. Results A total of 4,999 peer-reviewed articles were identified, out of which nine systematic reviews met the inclusion criteria. Seven systematic reviews measured depression outcomes, three measured stress, and five systematic reviews measured anxiety symptoms. The applications that used behavior change strategies, such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and Behavioral Activation, reported significant effects on depression, anxiety, and stress. Conclusion It seems that mental health apps can be promising media for reducing depressive symptoms. This field is an emerging area of mobile health, and further research should be done in future in order to reach conclusive evidence.

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