A systematic review of psychotherapeutic interventions for women with metastatic breast cancer: Implications and recommendations for developing an online self-help program

Lisa Beatty, Emma Kemp, Phyllis Butow, Afaf Girgis, Nick Hulbert-Williams, Penelope Schofield, Jane Turner, Addie C Wootten, Janelle Veronica Levesque, Bogda Koczwara

Research output: Contribution to conferenceAbstract

Abstract

Aims: While metastatic breast cancer (MBC) is incurable, many women live with the disease for a long time, with a median survival time of 2–4 years. A diagnosis of MBC brings significant adjustment challenges for women, and psychological morbidity rates typically range from 35–43%. Despite this, there is little data on how best to address these. A review conducted up until 2011 found only 10 intervention studies, largely delivered in a group format. This presentation aims to update the evidence-base for psychological interventions for women with MBC, and discuss how these can inform the development of an online self-help program.
Methods: Four electronic bibliographic databases were searched: MEDLINE (OvidSP), PsychINFO (OvidSP), CINAHL (EBSCO), and SCOPUS; and reference lists of previous trials, systematic reviews and metaanalyses were examined. Selection criteria included: (a) Randomised controlled trial, (b) metastatic breast cancer, (c) psychotherapeutic intervention, and (d) outcomes related to either survival or psychosocial adjustment (distress, quality of life, sleep, fatigue, pain, social support).
Results: Initial database searches yielded 1063 results. After removing duplicates, titles and abstracts of 706 records were screened for possible inclusion against the eligibility criteria by two review authors independently,
resulting in 29 full-texts being retrieved for further assessment. Of the full-texts retrieved for full-screening, 21 were therapist-administered (TA) group-interventions, 3 were TA individual-interventions, and 5 were low-intensity interventions (i.e., self-help / telephone / internet). Data was extracted and the study quality assessed using the Cochrane Collaboration risk of bias tool. Study characteristics, methodological quality, efficacy and survival outcomes will be discussed.
Conclusions: There remains a paucity of psychological interventions developed specifically for women with MBC, and novel delivery formats are warranted. The current findings will help to inform the development of an online self-help program for this population.
Original languageEnglish
Pages79-79
Number of pages1
Publication statusPublished - 2015
EventClinical Oncology Society of Australia Annual Scientific Meeting 2015: Rare Cancers: Common Goals - Hotel Grand Chancellor Hobart, Hobart, Australia
Duration: 17 Nov 201519 Nov 2015
Conference number: 42nd
https://www.cosa.org.au/events/past-annual-scientific-meetings/ (Past annual meetings on the society's website)

Conference

ConferenceClinical Oncology Society of Australia Annual Scientific Meeting 2015
Abbreviated titleCOSA ASM 2015
CountryAustralia
CityHobart
Period17/11/1519/11/15
OtherRare Cancers: Common Goals
17-19 November 2015
Hotel Grand Chancellor Hobart, Tasmania
Theme: Rare cancers Resources
Program: Asia-Pacific Journal of Clinical Oncology, November 2015 Video recordings: Select recordings are available for COSA members to view.
Internet address

Cite this

Beatty, L., Kemp, E., Butow, P., Girgis, A., Hulbert-Williams, N., Schofield, P., Turner, J., Wootten, A. C., Levesque, J. V., & Koczwara, B. (2015). A systematic review of psychotherapeutic interventions for women with metastatic breast cancer: Implications and recommendations for developing an online self-help program. 79-79. Abstract from Clinical Oncology Society of Australia Annual Scientific Meeting 2015, Hobart, Australia.