Intervensi Psikoedukasi Dapat Menurunkan depresi pada Pasien Kanker
Abstract
This study aims to examine the effect of psychoeducational interventions on cancer patients who experience depression. The method used was a systematic literature search from randomized controlled trials conducted from 2 September 2022 to 7 September 2022, using Clinical Key Nursing, Embase, Proquest, and Science Direct databases. The results showed that the psychoeducational intervention in the included studies showed a beneficial effect on cancer patients with depression as assessed before the intervention and after using the Patient Health Questionnaire-8 (PHQ-8), Distress Thermometer, and Hospital Anxiety & Depression Scale (HADS). ). The five articles reviewed obtained statistical data on psychological outcomes, namely depression, from P <0.05-0.95. The psychoeducational interventions provided by the five articles are MBST (Mindfulness Based Swinging Technique), iCanDo, LTLWC (Learning to Live with Cancer), iCARE, and MINDCAN, which combine lecture-based education, skills practice, discussion, and counseling. Psychoeducational interventions are carried out online and offline by a team of health professionals. Five studies reported a significant effect in reducing depression in cancer patients. In conclusion, preliminary evidence suggests that psychoeducational interventions have beneficial effects and can relieve depression in cancer patients.
Keywords: Depression, Psychoeducational Intervention, Cancer
References
Bahcivan, O., Estapé, T., & Gutierrez-Maldonado, J. (2022). Efficacy of New Mindfulness-Based Swinging Technique Intervention: A Pilot Randomised Controlled Trial Among Women with Breast Cancer. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.863857
Carbajal-López, E. B., Juárez-GarcÃa, D. M., Espinoza-Velazco, A., & Calderillo-Ruiz, G. (2022). Internet-Delivered Cognitive Behavioral Therapy and Psychoeducation Program for Patients with Gastrointestinal Stromal Tumors. Journal of Cancer Education, 37(3), 668–674. https://doi.org/10.1007/s13187-020-01866-3
Chhikara, B. S., & Parang, K. (2023). Chemical Biology LETTERS Global Cancer Statistics 2022: The Trends Projection Analysis. Chemical Biology Letters Che, 10(1), 1–16. https://pubs.thesciencein.org/journal/index.php/cbl/article/view/451
Chow, K. M., Chan, C. W. H., Choi, K. C., Siu, K. Y., Fung, H. K. S., & Sum, W. M. (2020). A Theory-Driven Psycho-Educational Intervention Programme for Gynaecological Cancer Patients During Treatment Trajectory: A Randomised Controlled Trial. Psycho-Oncology, 29(2), 437–443. https://doi.org/10.1002/pon.5284
Day, M., Harris, S., Hussein, D., Saka, M. Y., Stride, C., Jones, M., Makin, G., & Rowe, R. (2021). The Efficacy of Interactive Group Psychoeducation for Children with Leukaemia: A Randomised Controlled Trial. Patient Education and Counseling, 104(12), 3008–3015. https://doi.org/10.1016/j.pec.2021.04.015
Dieng, M., Morton, R. L., Costa, D. S. J., Butow, P. N., Menzies, S. W., Lo, S., Mann, G. J., Cust, A. E., & Kasparian, N. A. (2020). Benefits of a Brief Psychological Intervention Targeting Fear of Cancer Recurrence in People at High Risk of Developing Another Melanoma: 12-Month Follow-Up Results of a Randomized Controlled Trial. British Journal of Dermatology, 182(4), 860–868. https://doi.org/10.1111/bjd.17990
Hauffman, A., Alfonsson, S., Bill-Axelson, A., Bergkvist, L., Forslund, M., Mattsson, S., von Essen, L., Nygren, P., Igelström, H., & Johansson, B. (2020). Cocreated Internet-Based Stepped Care for Individuals with Cancer and Concurrent Symptoms of Anxiety and Depression: Results from the U-CARE AdultCan Randomized Controlled Trial. Psycho-Oncology, 29(12), 2012–2018. https://doi.org/10.1002/pon.5489
Ichikura, K., Nakayama, N., Matsuoka, S., Ariizumi, Y., Sumi, T., Sugimoto, T., Fukase, Y., Murayama, N., Tagaya, H., Asakage, T., & Matsushima, E. (2020). Efficacy of Stress Management Program for Depressive Patients with Advanced Head and Neck Cancer: A Single-Center Pilot Study. International Journal of Clinical and Health Psychology, 20(3), 213–221. https://doi.org/10.1016/j.ijchp.2020.06.003
Klainin-Yobas, P., Chng, W. J., Ang, N. K. E., Lopez, V., Arunoda, P. D., & Lau, Y. (2022). Effects of a Mindfulness Program on Stress and Psychological Outcomes Among Cancer Survivors: A Quasi-Experimental Study. Mindfulness, 13, 982–992. https://doi.org/10.1007/s12671-022-01852-4
Lally, R. M., Kupzyk, K. A., Bellavia, G., Hydeman, J., Gallo, S., Helgeson, V. S., Erwin, D., Mills, A. C., & Brown, J. K. (2020). CaringGuidanceTM after breast Cancer Diagnosis eHealth Psychoeducational Intervention to Reduce Early pOst-Diagnosis Distress. Supportive Care in Cancer, 28(5), 2163–2174. https://doi.org/10.1007/s00520-019-05028-0
Lally, R. M., Kupzyk, K., Mills, A., Gallo, S., & Meneses, K. (2019). Effects of Social Constraints and Web-Based Psychoeducation on Cancer-Related psychological Adjustment Early-After Breast Cancer Diagnosis. Journal of Psychosocial Oncology, 37(6), 677–698. https://doi.org/10.1080/07347332.2018.1546787
Ma’rifah, A. R., Afiyanti, Y., Huda, M. H., Chipojola, R., Putri, Y. R., & Nasution, M. A. T. (2022). Effectiveness of Psychoeducation Intervention Among Women with Gynecological Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Supportive Care in Cancer, 30(10), 8271–8285. https://doi.org/10.1007/s00520-022-07277-y
Neubert, S., Schlecht, S., Meng, K., Rabe, A., & Jentschke, E. (2023). Effects of a Video Sequence Based Intervention on Anxiety, Fatigue and Depression in Cancer Patients: Results of a Randomized Controlled Trial. Integrative Cancer Therapies, 22. https://doi.org/10.1177/15347354231153172
Novakov, I., Popovic-Petrović, S., Dugandžija, T., & Tatić, M. (2019). Empirical Validation of the Iintegrative Psychological Group Intervention for Women with Breast Cancer - Preliminary Results. Vojnosanitetski Pregled, 76(10), 1022–1028. https://doi.org/10.2298/VSP171011004
Salvetti, M. G., Donato, S. C. T., Machado, C. S. P., de Almeida, N. G., Santos, D. V. D., & Kurita, G. P. (2021). Psychoeducational Nursing Intervention for Symptom Management in Cancer Patients: A Randomized Clinical Trial. Asia-Pacific Journal of Oncology Nursing, 8(2), 156–163. https://doi.org/10.4103/apjon.apjon_56_20
Samoil, D., Abdelmutti, N., Gallagher, L. O., Jivraj, N., Quartey, N. K., Tinker, L., Giuliani, M., Trang, A., Ferguson, S. E., & Papadakos, J. (2021). Evaluating the Effect of a Group Pre-treatment Chemotherapy Psycho-Education Session for Chemotherapy-Naive Gynecologic Cancer Patients and Their Caregivers. Gynecologic Oncology, 160(1), 234–243. https://doi.org/10.1016/j.ygyno.2020.10.007
Schofield, P., Gough, K., Pascoe, M., Bergin, R., White, K., Mileshkin, L., Bernshaw, D., Kinnane, N., Jackson, M., Do, V., Brand, A., Aranda, S., Cheuk, R., Drosdowsky, A., Penberthy, S., & Juraskova, I. (2020). A Nurse- and Peer-Led Psycho-Educational Intervention to Support Women with Gynaecological Cancers Receiving Curative Radiotherapy: The PeNTAGOn Randomised Controlled Trial – ANZGOG 1102. Gynecologic Oncology, 159(3), 785–793. https://doi.org/10.1016/j.ygyno.2020.09.016
Stanzer, S., Andritsch, E., Zloklikovits, S., Ladinek, V., Farkas, C., Augustin, T., Obermayer-Pietsch, B., Samonigg, H., & Bauernhofer, T. (2019). A Pilot Randomized Trial Assessing the Effect of a Psychoeducational Intervention on Psychoneuroimmunological Parameters Among Patients with Nonmetastatic Breast Cancer. Psychosomatic Medicine, 81(2), 165–175. https://doi.org/10.1097/PSY.0000000000000656
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Verhoeff-Korpershoek, A., der Burg, M. L. C. van, Vrijmoeth, C., & Schaap-Jonker, H. (2023). A Quasi-Experimental Study of an Adjunctive, Online Psychoeducational Module on Religious Coping for Christian Outpatients with Depression or Anxiety. Psychology of Religion and Spirituality, 15(1), 56–67. https://doi.org/10.1037/rel0000457
Wang, Y., Yang, L., Xu, W., Wang, C., Chen, J., Wu, Y., & Hu, R. (2022). Effects of a WeChat-Based Multimodal Psychoeducational Intervention on Psychological Well-Being and Quality of Life in Aacute Leukaemia Patients in China: A Randomised Controlled Trial. Journal of Cancer Survivorship, 16(6), 1461–1477. https://doi.org/10.1007/s11764-021-01124-5
Wondie, Y., Mehnert, A., & Hinz, A. (2020). The Hospital Anxiety and Depression Scale (HADS) Applied to Ethiopian Cancer Patients. PLoS ONE, 15(12), 1–15. https://doi.org/10.1371/journal.pone.0243357
Younis, M., Norsa’adah, B., & Othman, A. (2021). Effectiveness of Psycho-Education Intervention Programme on Coping Strategies among Jordanian Women Diagnosed with Breast Cancer: A Randomised Controlled Trial. Breast Cancer: Targets and Therapy, 13(May), 285–297. https://doi.org/10.2147/BCTT.S299584
Yuan, Y., Hu, Y., Cheng, J. X., & Ding, P. (2019). Psychological Nursing Approach on Anxiety and Depression of Patients with Severe Urinary Incontinence after Radical Prostatectomy – A Pilot Study. Journal of International Medical Research, 47(11), 5689–5701. https://doi.org/10.1177/0300060519878014
Carbajal-López, E. B., Juárez-GarcÃa, D. M., Espinoza-Velazco, A., & Calderillo-Ruiz, G. (2022). Internet-Delivered Cognitive Behavioral Therapy and Psychoeducation Program for Patients with Gastrointestinal Stromal Tumors. Journal of Cancer Education, 37(3), 668–674. https://doi.org/10.1007/s13187-020-01866-3
Chhikara, B. S., & Parang, K. (2023). Chemical Biology LETTERS Global Cancer Statistics 2022: The Trends Projection Analysis. Chemical Biology Letters Che, 10(1), 1–16. https://pubs.thesciencein.org/journal/index.php/cbl/article/view/451
Chow, K. M., Chan, C. W. H., Choi, K. C., Siu, K. Y., Fung, H. K. S., & Sum, W. M. (2020). A Theory-Driven Psycho-Educational Intervention Programme for Gynaecological Cancer Patients During Treatment Trajectory: A Randomised Controlled Trial. Psycho-Oncology, 29(2), 437–443. https://doi.org/10.1002/pon.5284
Day, M., Harris, S., Hussein, D., Saka, M. Y., Stride, C., Jones, M., Makin, G., & Rowe, R. (2021). The Efficacy of Interactive Group Psychoeducation for Children with Leukaemia: A Randomised Controlled Trial. Patient Education and Counseling, 104(12), 3008–3015. https://doi.org/10.1016/j.pec.2021.04.015
Dieng, M., Morton, R. L., Costa, D. S. J., Butow, P. N., Menzies, S. W., Lo, S., Mann, G. J., Cust, A. E., & Kasparian, N. A. (2020). Benefits of a Brief Psychological Intervention Targeting Fear of Cancer Recurrence in People at High Risk of Developing Another Melanoma: 12-Month Follow-Up Results of a Randomized Controlled Trial. British Journal of Dermatology, 182(4), 860–868. https://doi.org/10.1111/bjd.17990
Hauffman, A., Alfonsson, S., Bill-Axelson, A., Bergkvist, L., Forslund, M., Mattsson, S., von Essen, L., Nygren, P., Igelström, H., & Johansson, B. (2020). Cocreated Internet-Based Stepped Care for Individuals with Cancer and Concurrent Symptoms of Anxiety and Depression: Results from the U-CARE AdultCan Randomized Controlled Trial. Psycho-Oncology, 29(12), 2012–2018. https://doi.org/10.1002/pon.5489
Ichikura, K., Nakayama, N., Matsuoka, S., Ariizumi, Y., Sumi, T., Sugimoto, T., Fukase, Y., Murayama, N., Tagaya, H., Asakage, T., & Matsushima, E. (2020). Efficacy of Stress Management Program for Depressive Patients with Advanced Head and Neck Cancer: A Single-Center Pilot Study. International Journal of Clinical and Health Psychology, 20(3), 213–221. https://doi.org/10.1016/j.ijchp.2020.06.003
Klainin-Yobas, P., Chng, W. J., Ang, N. K. E., Lopez, V., Arunoda, P. D., & Lau, Y. (2022). Effects of a Mindfulness Program on Stress and Psychological Outcomes Among Cancer Survivors: A Quasi-Experimental Study. Mindfulness, 13, 982–992. https://doi.org/10.1007/s12671-022-01852-4
Lally, R. M., Kupzyk, K. A., Bellavia, G., Hydeman, J., Gallo, S., Helgeson, V. S., Erwin, D., Mills, A. C., & Brown, J. K. (2020). CaringGuidanceTM after breast Cancer Diagnosis eHealth Psychoeducational Intervention to Reduce Early pOst-Diagnosis Distress. Supportive Care in Cancer, 28(5), 2163–2174. https://doi.org/10.1007/s00520-019-05028-0
Lally, R. M., Kupzyk, K., Mills, A., Gallo, S., & Meneses, K. (2019). Effects of Social Constraints and Web-Based Psychoeducation on Cancer-Related psychological Adjustment Early-After Breast Cancer Diagnosis. Journal of Psychosocial Oncology, 37(6), 677–698. https://doi.org/10.1080/07347332.2018.1546787
Ma’rifah, A. R., Afiyanti, Y., Huda, M. H., Chipojola, R., Putri, Y. R., & Nasution, M. A. T. (2022). Effectiveness of Psychoeducation Intervention Among Women with Gynecological Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Supportive Care in Cancer, 30(10), 8271–8285. https://doi.org/10.1007/s00520-022-07277-y
Neubert, S., Schlecht, S., Meng, K., Rabe, A., & Jentschke, E. (2023). Effects of a Video Sequence Based Intervention on Anxiety, Fatigue and Depression in Cancer Patients: Results of a Randomized Controlled Trial. Integrative Cancer Therapies, 22. https://doi.org/10.1177/15347354231153172
Novakov, I., Popovic-Petrović, S., Dugandžija, T., & Tatić, M. (2019). Empirical Validation of the Iintegrative Psychological Group Intervention for Women with Breast Cancer - Preliminary Results. Vojnosanitetski Pregled, 76(10), 1022–1028. https://doi.org/10.2298/VSP171011004
Salvetti, M. G., Donato, S. C. T., Machado, C. S. P., de Almeida, N. G., Santos, D. V. D., & Kurita, G. P. (2021). Psychoeducational Nursing Intervention for Symptom Management in Cancer Patients: A Randomized Clinical Trial. Asia-Pacific Journal of Oncology Nursing, 8(2), 156–163. https://doi.org/10.4103/apjon.apjon_56_20
Samoil, D., Abdelmutti, N., Gallagher, L. O., Jivraj, N., Quartey, N. K., Tinker, L., Giuliani, M., Trang, A., Ferguson, S. E., & Papadakos, J. (2021). Evaluating the Effect of a Group Pre-treatment Chemotherapy Psycho-Education Session for Chemotherapy-Naive Gynecologic Cancer Patients and Their Caregivers. Gynecologic Oncology, 160(1), 234–243. https://doi.org/10.1016/j.ygyno.2020.10.007
Schofield, P., Gough, K., Pascoe, M., Bergin, R., White, K., Mileshkin, L., Bernshaw, D., Kinnane, N., Jackson, M., Do, V., Brand, A., Aranda, S., Cheuk, R., Drosdowsky, A., Penberthy, S., & Juraskova, I. (2020). A Nurse- and Peer-Led Psycho-Educational Intervention to Support Women with Gynaecological Cancers Receiving Curative Radiotherapy: The PeNTAGOn Randomised Controlled Trial – ANZGOG 1102. Gynecologic Oncology, 159(3), 785–793. https://doi.org/10.1016/j.ygyno.2020.09.016
Stanzer, S., Andritsch, E., Zloklikovits, S., Ladinek, V., Farkas, C., Augustin, T., Obermayer-Pietsch, B., Samonigg, H., & Bauernhofer, T. (2019). A Pilot Randomized Trial Assessing the Effect of a Psychoeducational Intervention on Psychoneuroimmunological Parameters Among Patients with Nonmetastatic Breast Cancer. Psychosomatic Medicine, 81(2), 165–175. https://doi.org/10.1097/PSY.0000000000000656
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Verhoeff-Korpershoek, A., der Burg, M. L. C. van, Vrijmoeth, C., & Schaap-Jonker, H. (2023). A Quasi-Experimental Study of an Adjunctive, Online Psychoeducational Module on Religious Coping for Christian Outpatients with Depression or Anxiety. Psychology of Religion and Spirituality, 15(1), 56–67. https://doi.org/10.1037/rel0000457
Wang, Y., Yang, L., Xu, W., Wang, C., Chen, J., Wu, Y., & Hu, R. (2022). Effects of a WeChat-Based Multimodal Psychoeducational Intervention on Psychological Well-Being and Quality of Life in Aacute Leukaemia Patients in China: A Randomised Controlled Trial. Journal of Cancer Survivorship, 16(6), 1461–1477. https://doi.org/10.1007/s11764-021-01124-5
Wondie, Y., Mehnert, A., & Hinz, A. (2020). The Hospital Anxiety and Depression Scale (HADS) Applied to Ethiopian Cancer Patients. PLoS ONE, 15(12), 1–15. https://doi.org/10.1371/journal.pone.0243357
Younis, M., Norsa’adah, B., & Othman, A. (2021). Effectiveness of Psycho-Education Intervention Programme on Coping Strategies among Jordanian Women Diagnosed with Breast Cancer: A Randomised Controlled Trial. Breast Cancer: Targets and Therapy, 13(May), 285–297. https://doi.org/10.2147/BCTT.S299584
Yuan, Y., Hu, Y., Cheng, J. X., & Ding, P. (2019). Psychological Nursing Approach on Anxiety and Depression of Patients with Severe Urinary Incontinence after Radical Prostatectomy – A Pilot Study. Journal of International Medical Research, 47(11), 5689–5701. https://doi.org/10.1177/0300060519878014
