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. 2022 Apr 14:13:839065.
doi: 10.3389/fpsyg.2022.839065. eCollection 2022.

The Effect of Pre-operative Psychological Interventions on Psychological, Physiological, and Immunological Indices in Oncology Patients: A Scoping Review

Tsipi Hanalis-Miller  1 , Gabriel Nudelman  2 , Shamgar Ben-Eliyahu  3 , Rebecca Jacoby  4
Affiliations

The Effect of Pre-operative Psychological Interventions on Psychological, Physiological, and Immunological Indices in Oncology Patients: A Scoping Review

Tsipi Hanalis-Miller et al. Front Psychol. .

Abstract

Introduction: The stressful pre-operative period exerts a profound impact on psychological, physiological and immunological outcomes. Oncological surgeries, in particular, elicit significantly higher stress responses than most other surgeries. Managing these responses through psychological interventions may improve long-term outcomes. The purpose of the current research was to review studies that have explored pre-operative psychological interventions in cancer patients in order to map the types of current interventions and provide an initial assessment of whether these interventions improved psychological, physiological, and/or immunological indices as well as long-term cancer outcomes.

Methods: A systematic literature search for studies that included pre-operative psychological interventions in oncology patients was conducted, using the databases PubMed and Web of Science. Inclusion criteria included studies pertaining to oncological surgery in adults, study designs that included a clearly defined pre-operative psychological intervention and control group.

Results: We found 44 studies, each using one of the following interventions: psychoeducation, cognitive interventions, relaxation techniques, integrated approaches. All the studies reported improved immediate post-operative psychological, physiological, and/or immunological outcomes. Only a few studies addressed long-term cancer outcomes, and only one reported improved survival.

Conclusions: Research on pre-operative interventions with cancer patients is missing systematic methods. Studies provide varying results, which makes it difficult to compare them and reach reliable conclusions. There is considerable heterogeneity in the literature regarding the specific intervention used, the timing of intervention, the characteristics of the patients studied and the outcome measures. In order to improve research in this field, including the measurement of long-term outcomes, we suggest some steps that should be taken in further research.

Keywords: cancer; oncology; pre-operative; psychological intervention; stress; surgery.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
PRISMA-ScR flow diagram.
See this image and copyright information in PMC

References

    1. Allard N. C. (2007). Day surgery for breast cancer: effects of a psychoeducational telephone intervention on functional status and emotional distress. Oncol. Nurs. Forum 34, 133–141. - PubMed
    1. Ali N. S., Khalil H. Z. (1989). Effect of psychoeducational intervention on anxiety among Egyptian bladder cancer patients. Cancer Nurs. 12, 236–242. - PubMed
    1. Ambler N., Rumsey N., Harcourt D., Khan F., Cawthorn S., Barker J. (1999). Specialist nurse counsellor interventions at the time of diagnosis of breast cancer: comparingadvocacy’with a conventional approach. J. Adv. Nurs. 29 445–453. 10.1046/j.1365-2648.1999.00902.x - DOI - PubMed
    1. Angioli R., Plotti F., Capriglione S., Aloisi A., Aloisi M. E., Luvero D., et al. (2014). The effects of giving patients verbal or written pre-operative information in gynecologic oncology surgery: a randomized study and the medical-legal point of view. Eur. J. Obstet. Gynecol. Reprod. Biol. 177, 67–71. - PubMed
    1. Andersen B. L., Yang H. C., Farrar W. B., Golden-Kreutz D. M., Emery C. F., Thornton L. M., et al. (2008). Psychologic intervention improves survival for breast cancer patients: a randomized clinical trial. Cancer 113 3450–3458. 10.1002/cncr.23969 - DOI - PMC - PubMed

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