Therapist-led interventions for the treatment of traumatic stress symptoms in cancer survivors: A systematic literature review

Psychooncology. 2022 Jul;31(7):1057-1075. doi: 10.1002/pon.5964. Epub 2022 May 23.

Abstract

Objective: We reviewed the evidence regarding the effectiveness of therapist-led interventions for reducing symptoms of traumatic stress in cancer survivors.

Methods: This systematic review was completed in accordance with the guidelines illustrated by Popay and colleagues and the following online databases, PsychInfo, Medline, CINAHL, were searched for peer-reviewed literature. Further studies were searched through Google Scholar and manually scanning the reference lists of all included studies. The PRISMA guidelines were followed to report results.

Results: Sixteen studies were identified, their quality varied and the interventions broadly fell into two categories: CBT-based and non-CBT interventions. Effect sizes were small to moderate in 12 studies and large in four. Drop-out rates were mostly low.

Conclusion: This review has demonstrated that the research in this field is still scarce and due to the data mostly suggesting a small to moderate effect, firm conclusions cannot be drawn on the effectiveness of the included interventions.

Keywords: adults; cancer survivors; post-traumatic stress disorder; psycho-oncology; psychotherapy; systematic literature review.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Cancer Survivors*
  • Cognitive Behavioral Therapy* / methods
  • Humans
  • Neoplasms* / therapy
  • Psychotherapy / methods
  • Stress Disorders, Post-Traumatic* / therapy
  • Waiting Lists