Psychoeducational and Psychological Distress Levels in Women with Breast Cancer : A Systematic Review

Authors

  • Dewi Mustikaningsih Doctoral Study Program of Medical and Health Sciences, Faculty of Medicine, Diponegoro University, Semarang, Central Java, 50275, Indonesia ; Department of Nursing, Faculty of Health Science, ‘Aisyiyah University Bandung, Bandung, West Java, 40264, Indonesia https://orcid.org/0000-0001-6601-6409
  • Yan Wisnu Prajoko Doctoral Study Program of Medical and Health Sciences, Faculty of Medicine, Diponegoro University, Semarang, Central Java, 50275, Indonesia
  • Anggorowati Anggorowati Doctoral Study Program of Medical and Health Sciences, Faculty of Medicine, Diponegoro University, Semarang, Central Java, 50275, Indonesia https://orcid.org/0000-0002-5331-9205
  • Angga Wilandika Department of Nursing, Faculty of Health Science, ‘Aisyiyah University Bandung, Bandung, West Java, 40264, Indonesia https://orcid.org/0000-0003-4163-5152
  • Shella Febrita Puteri Utomo Department of Nursing, Faculty of Health Science, ‘Aisyiyah University Bandung, Bandung, West Java, 40264, Indonesia
  • Ridwan Maulana Alamsyah Department of Nursing, Faculty of Health Science, ‘Aisyiyah University Bandung, Bandung, West Java, 40264, Indonesia

DOI:

https://doi.org/10.31674/mjn.2024.v15i04.020

Abstract

Background: Psychoeducation has become a popular intervention for women who have been patients with breast cancer (BC). The effectiveness of psychoeducation on the psychological distress levels of patients with breast cancer was assessed in this systematic review comparison. The aim is a systematic review to assess the effects of psychoeducation on anxiety and depression in women with BC diagnoses. Methods: The Cochrane Library, Ebsco, Embase, and PubMed databases were used for RCT data collection, using various keyword combinations such as "psychoeducation," “breast cancer diagnosis," "anxiety," "depression," "psychological distress," and randomized controlled trial." Only papers focusing on interventions related to psychoeducation and psychological distress in patients with BC diagnoses were collected. Furthermore, the inclusion criteria include breast cancer women over 18 years of age who have had breast cancer diagnosis. The selected articles were all published between 2001 and 2022. Results: A total of 2,181 participants from fifteen RCTs (1,158 psychoeducation and 1,023 controls) were included. The risk of bias (ROB) study used the Joanna Briggs Institute (JBI) for RCT, with results in the 89.74% good category. Analysis data will describe characteristic studies, ROB, and outcome psychoeducation. Psychoeducation significantly decreased the psychological distress level associated with BC diagnosis when compared to controls. Conclusion: Psychoeducation has the potential to be used as an intervention to assist patients in their pathways of primary breast cancer treatment aftersurgery. It was discovered that psychoeducation lowers psychological distress, which benefits the patients.

Keywords:

Breast Cancer Diagnosis, Psychoeducational, Psychological Distress, Systematic Review

Downloads

Download data is not yet available.

References

Anim-Sampong, A. M., Vanderpuye, V., Botwe, B. O., & Anim-Sampong, S. (2021). Psychosocial impact of mastectomy on female breast cancer patients presenting at an academic radiotherapy oncology centre in Ghana. Journal of Radiotherapy in Practice, 20(3), 306-315. https://doi.org/10.1017/S146039692000045X

Boesen, E. H., Karlsen, R., Christensen, J., Paaschburg, B., Nielsen, D., Bloch, I. S., ... & Johansen, C. (2011). Psychosocial group intervention for patients with primary breast cancer: a randomised trial. European Journal of Cancer, 47(9), 1363-1372.https://doi.org/10.1016/j.ejca.2011.01.002

Bredal, I. S., Kåresen, R., Smeby, N. A., Espe, R., Sørensen, E. M., Amundsen, M., ... & Ekeberg, Ø. (2014). Effects of a psychoeducational versus a support group intervention in patients with early-stage breast cancer: results of a randomized controlled trial. Cancer Nursing, 37(3), 198-207. https://doi.org/10.1097/NCC.0b013e31829879a3

Cipolletta, S., Simonato, C., & Faccio, E. (2019). The effectiveness of psychoeducational support groups for women with breast cancer and their caregivers: A mixed methods study. Frontiers in Psychology, 10, 288. https://doi.org/10.3389/fpsyg.2019.00288

Civilotti, C., Botto, R., Maran, D. A., Leonardis, B. D., Bianciotto, B., & Stanizzo, M. R. (2021). Anxiety and depression in women newly diagnosed with breast cancer and waiting for surgery: prevalence and associations with socio-demographic variables. Medicina, 57(5), 454. https://doi.org/10.3390/medicina57050454

Dastan, N. B., & Buzlu, S. (2012). Psychoeducation intervention to improve adjustment to cancer among Turkish stage I-II breast cancer patients: a randomized controlled trial. Asian Pacific Journal of Cancer Prevention, 13(10), 5313-5318. https://doi.org/10.7314/apjcp.2012.13.10.5313

Dolbeault, S., Cayrou, S., Bredart, A., Viala, A. L., Desclaux, B., Saltel, P., ... & Dickes, P. (2009). The effectiveness of a psycho‐educational group after early‐stage breast cancer treatment: results of a randomized French study. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 18(6), 647-656. https://doi.org/10.1002/pon.1440

Edgar, L., Rosberger, Z., & Collet, J. P. (2001). Lessons learned: Outcomes and methodology of a coping skills intervention trial comparing individual and group formats for patients with cancer. The International Journal of Psychiatry in Medicine, 31(3), 289-304. https://doi.org/10.2190/U0P3-5VPV-YXKF-GRG1

Fan, R., Wang, L., Bu, X., Wang, W., & Zhu, J. (2023). Unmet supportive care needs of breast cancer survivors: a systematic scoping review. BMC Cancer, 23(1), 1-24. https://doi.org/10.1186/s12885-023-11087-8

Fillion, L., Gagnon, P., Leblond, F., Gélinas, C., Savard, J., Dupuis, R., ... & Larochelle, M. (2008). A brief intervention for fatigue management in breast cancer survivors. Cancer Nursing, 31(2), 145-159. https://doi.org/10.1097/01.NCC.0000305698.97625.95

González‐Santos, Á., Postigo‐Martin, P., Gallart‐Aragón, T., Esteban‐Cornejo, I., Lopez‐ Garzon, M., Galiano‐Castillo, N., ... & Cantarero‐Villanueva, I. (2021). Neurotoxicity prevention with a multimodal program (ATENTO) prior to cancer treatment versus throughout cancer treatment in women newly diagnosed for breast cancer: Protocol for a randomized clinical trial. Research in Nursing & Health, 44(4), 598-607. https://doi.org/10.1002/nur.22136

Joshy, G., Khalatbari-Soltani, S., Soga, K., Butow, P., Laidsaar-Powell, R., Koczwara, B., ... & Banks, E. (2023). Pain and its interference with daily living in relation to cancer: a comparative population-based study of 16,053 cancer survivors and 106,345 people without cancer. BMC Cancer, 23(1), 774. https://doi.org/10.1186/s12885-023-11214-5

Kim, J., Kim, J., Han, A., & Nguyen, M. C. (2021). Leisure time physical activity, social support, health perception, and mental health among women with breast cancer. Leisure Studies, 40(3), 352-362. https://doi.org/10.1080/02614367.2020.1869290

Martinez-Calderon, J., García-Muñoz, C., Heredia-Rizo, A. M., & Cano-García, F. J. (2024). The prevalence of anxiety and depression in cancer around the world: An overview of systematic reviews evaluating 128 meta-analyses. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2024.01.259

Oakley, C., & Ream, E. (2024, February). Role of the Nurse in Patient Education and Engagement and Its Importance in Advanced Breast Cancer. In Seminars in Oncology Nursing, 40(1), 151556 pages. WB Saunders. https://doi.org/10.1016/j.soncn.2023.151556

Pei-Hua, W. U., Shang-Wen, C. H. E. N., Huang, W. T., Chang, S. C., & Mei-Chi, H. S. U. (2018). Effects of a psychoeducational intervention in patients with breast cancer undergoing chemotherapy. Journal of Nursing Research, 26(4), 266-279.https://doi.org/10.1097/jnr.0000000000000252

Ploos van Amstel, F. K., Peters, M. E., Donders, R., Schlooz‐Vries, M. S., Polman, L. J., van der Graaf, W. T., ... & Ottevanger, P. B. (2020). Does a regular nurse‐led distress screening and discussion improve quality of life of breast cancer patients treated with curative intent? A randomized controlled trial. Psycho‐Oncology, 29(4), 719-728.https://doi.org/10.1002/pon.5324

Reme, S. E., Munk, A., Holter, M. T. S., Falk, R. S., & Jacobsen, H. B. (2022). Pre-and post- operative psychological interventions to prevent pain and fatigue after breast cancer surgery (PREVENT): Protocol for a randomized controlled trial. PLoS One, 17(7), e0268606. https://doi.org/10.1371/journal.pone.0268606

Saleem, S., Javed, F., & Ahmad, I. (2020). Management of Large Size and Multiple Benign Breast Lesions Using Oncoplastic Surgical Skills. Malaysian Journal of Medical Research (MJMR), 4(3), 6-10. https://doi.org/10.31674/mjmr.2020.v04i03.002

Sağdıç, B. Ç., Bozkul, G., & Karahan, S. (2024). Experiences, difficulties and coping methods of female nurses caring for breast cancer surgery patients: A qualitative study. European Journal of Oncology Nursing, 69, 102511. https://doi.org/10.1016/j.ejon.2024.102511

Schou‐Bredal, I., Ekeberg, Ø., & Kåresen, R. (2021). Variability and stability of coping styles among breast cancer survivors: A prospective study. Psycho‐Oncology, 30(3), 369-377. https://doi.org/10.1002/pon.5587

Setyowibowo, H., Yudiana, W., Hunfeld, J. A., Iskandarsyah, A., Passchier, J., Arzomand, H.,... & Sijbrandij, M. (2022). Psychoeducation for breast cancer: A systematic review and meta- analysis. The Breast, 62, 36-51. https://doi.org/10.1016/j.breast.2022.01.005

Šimunović, M., & Ljubotina, D. (2020). Prevalence, structure and predictors of posttraumatic stress disorder symptoms in Croatian patients following breast cancer. Psychiatria Danubina, 32(2), 187-196. https://doi.org/10.24869/psyd.2020.187

Stanton, A. L., Ganz, P. A., Kwan, L., Meyerowitz, B. E., Bower, J. E., Krupnick, J. L., ... & Belin, T. R. (2005). Outcomes from the Moving Beyond Cancer psychoeducational, randomized, controlled trial with breast cancer patients. Journal of Clinical Oncology 23(25), 6009-6018. https://doi.org/10.1200/JCO.2005.09.101

Stanzer, S., Andritsch, E., Zloklikovits, S., Ladinek, V., Farkas, C., Augustin, T., ... & 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

Taylor, K. L., Lamdan, R. M., Siegel, J. E., Shelby, R., Moran-Klimi, K., & Hrywna, M. (2003). Psychological adjustment among African American breast cancer patients: one-year follow-up results of a randomized psychoeducational group intervention. Health Psychology, 22(3), 316. https://doi.org/10.1037/0278-6133.22.3.316

Teo, I., Krishnan, A., & Lee, G. L. (2019). Psychosocial interventions for advanced cancer patients: a systematic review. Psycho‐Oncology, 28(7), 1394-1407.https://doi.org/10.1002/pon.5103

Teo, I., Vilardaga, J. P., Tan, Y. P., Winger, J., Cheung, Y. B., Yang, G. M., ... & Somers, T.J. (2020). A feasible and acceptable multicultural psychosocial intervention targeting symptom management in the context of advanced breast cancer. Psycho‐Oncology, 29(2), 389-397. https://doi.org/10.1002/pon.5275

Ticha, P., & Sukop, A. (2023). Patient-reported outcomes in bilateral prophylactic mastectomy with breast reconstruction: A narrative review. The Breast, 103602. https://doi.org/10.1016/j.breast.2023.103602

Travado, L., & Bastos, L. (2024, February). Distress and Psycho-Oncological Support for Patients With Advanced Breast Cancer. In Seminars in Oncology Nursing, 40(1), 151555 pages. WB Saunders. https://doi.org/10.1016/j.soncn.2023.151555

Varman, B., Yılmaz, H., Eryılmaz, M. A., Muştu, Y. B., & Varman, A. (2024). Functional status, depression, and quality of life in female patients with postmastectomy lymphedema. European Surgery, 56(1), 33-38. https://doi.org/10.1007/s10353-023-00821-y

Wang, Y. H., Li, J. Q., Shi, J. F., Que, J. Y., Liu, J. J., Lappin, J. M., ... & Bao, Y. P. (2020). Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Molecular Psychiatry, 25(7), 1487-1499. https://doi.org/10.1038/s41380-019-0595-x

Williams, A. M., Khan, C. P., Heckler, C. E., Barton, D. L., Ontko, M., Geer, J., ... & Janelsins,M. C. (2021). Fatigue, anxiety, and quality of life in breast cancer patients compared to non- cancer controls: a nationwide longitudinal analysis. Breast Cancer Research and Treatment, 187, 275-285. https://doi.org/10.1007/s10549-020-06067-6

Wu, C., Zheng, Y., Duan, Y., Lai, X., Cui, S., Xu, N., ... & Lu, L. (2019). Nonpharmacological interventions for cancer‐related fatigue: A systematic review and Bayesian Network Meta‐ Analysis. Worldviews on Evidence‐Based Nursing, 16(2), 102-110.https://doi.org/10.1111/wvn.12352

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, 285-297.https://doi.org/10.2147/BCTT.S299584

Published

30-05-2024

How to Cite

Mustikaningsih, D., Wisnu Prajoko, Y., Anggorowati, A., Wilandika, A., Puteri Utomo, S. F. ., & Maulana Alamsyah, R. . (2024). Psychoeducational and Psychological Distress Levels in Women with Breast Cancer : A Systematic Review. The Malaysian Journal of Nursing (MJN), 15(4), 179-195. https://doi.org/10.31674/mjn.2024.v15i04.020

Metrics