F Kühne1, C Meinders2, H Mohr3, K Hafenbrack4, K Kieseritzky5, C Rosenberger3, M Härter3, F Schulz-Kindermann3, R Klinger6, A Y Nestoriuc7. 1. Abteilung für Klinische Psychologie und Psychotherapie, Universität Potsdam, Karl-Liebknecht-Str. 24-25, 14476, Potsdam, Deutschland. dr.franziska.kuehne@uni-potsdam.de. 2. Arbeitsbereich Klinische Psychologie und Psychotherapie, Institut für Psychologie, Universität Hamburg, Hamburg, Deutschland. 3. Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Deutschland. 4. Psychologisch-psychotherapeutische Praxis, Hamburg, Deutschland. 5. Psychologischer Dienst, Krankenhaus St. Joseph-Stift Bremen, Bremen, Deutschland. 6. Klinik und Poliklinik für Anästhesiologie, Bereich Schmerzmedizin und Schmerzpsychologie, Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Deutschland. 7. Institut und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Deutschland.
Abstract
BACKGROUND: In cancer patients, pain is one of the main symptoms and especially in the late stages of disease, these symptoms can be associated with considerable suffering. In psycho-oncology, preliminary psychological therapies targeting cancer pain have been tested; however, a systematic review of available interventions is lacking, especially considering their dissemination, evidence base, study quality, and the comparison with established treatments. Therefore, the aim of the current study is to systematically review the current research on psychological treatments for pain in cancer patients. MATERIALS AND METHODS: During May 2014, MEDLINE, PsycINFO, PSYNDEX, and CENTRAL databases were searched. Psychological treatments for pain in adult cancer patients studied in randomized, controlled trials (RCTs) and referring to pain as primary or secondary outcome were included. After examination for inclusion, structured data extraction and assessment followed. Data were synthesized narratively. RESULTS: In the review, 32 RCTs were included. Studies mainly referred to patients with breast cancer or patients in earlier stages of the disease. The methodological quality of included studies was heterogeneous. Most commonly, short interventions were delivered by nurses in out-patient settings. Interventions including education and relaxation techniques were utilized most often, followed by interventions with behavioral or cognitive components. CONCLUSION: A need for research persists regarding efficacy of current psychotherapeutic interventions, or the role of mediator variables (e. g., coping) on pain perception in cancer patients. Studies with high methodological quality which comprehensively and transparently report on interventions and designs are lacking.
BACKGROUND: In cancerpatients, pain is one of the main symptoms and especially in the late stages of disease, these symptoms can be associated with considerable suffering. In psycho-oncology, preliminary psychological therapies targeting cancer pain have been tested; however, a systematic review of available interventions is lacking, especially considering their dissemination, evidence base, study quality, and the comparison with established treatments. Therefore, the aim of the current study is to systematically review the current research on psychological treatments for pain in cancerpatients. MATERIALS AND METHODS: During May 2014, MEDLINE, PsycINFO, PSYNDEX, and CENTRAL databases were searched. Psychological treatments for pain in adult cancerpatients studied in randomized, controlled trials (RCTs) and referring to pain as primary or secondary outcome were included. After examination for inclusion, structured data extraction and assessment followed. Data were synthesized narratively. RESULTS: In the review, 32 RCTs were included. Studies mainly referred to patients with breast cancer or patients in earlier stages of the disease. The methodological quality of included studies was heterogeneous. Most commonly, short interventions were delivered by nurses in out-patient settings. Interventions including education and relaxation techniques were utilized most often, followed by interventions with behavioral or cognitive components. CONCLUSION: A need for research persists regarding efficacy of current psychotherapeutic interventions, or the role of mediator variables (e. g., coping) on pain perception in cancerpatients. Studies with high methodological quality which comprehensively and transparently report on interventions and designs are lacking.
Authors: Alice D Domar; Aimee Eyvazzadeh; Sarah Allen; Kara Roman; Rebecca Wolf; John Orav; Nile Albright; Janet Baum Journal: AJR Am J Roentgenol Date: 2005-02 Impact factor: 3.959
Authors: Karen L Syrjala; Janet R Abrams; Nayak L Polissar; Jennifer Hansberry; Jeanne Robison; Stuart DuPen; Mark Stillman; Marvin Fredrickson; Saul Rivkin; Eric Feldman; Julie Gralow; John W Rieke; Robert J Raish; Douglas J Lee; Charles S Cleeland; Anna DuPen Journal: Pain Date: 2008-01-08 Impact factor: 6.961