Evidence-Based Psycho-Oncological Interventions: A Multimodal Approach to Supportive Care

Authors

Teena Garg

Department of Clinical Psychology, National Forensic Sciences University, Delhi Campus (India)

Vandana Shriharsh

Associate Professor of Clinical Psychology; School of Behavioural Forensics; National Forensic Sciences University, Delhi Campus (India)

Article Information

DOI: 10.51584/IJRIAS.2025.10100000111

Subject Category: Health

Volume/Issue: 10/10 | Page No: 1278-1286

Publication Timeline

Submitted: 2025-10-28

Accepted: 2025-11-03

Published: 2025-11-12

Abstract

Background: Psycho-oncology is the integration of oncological and psychological care to address cancer patients' mental health issues. CBT, MBCT, DBT, JPMR, and expressive therapies like music and art therapy are examples of psycho-oncological interventions that help control symptoms, improve coping, and lessen anxiety. To enhance overall patient outcomes, supportive care integrates medical, psychological, social, and emotional assistance. Objective: This review aims to evaluate the effectiveness of multimodal psycho-oncological therapies in enhancing the quality of life (QoL) for cancer patients, alleviating psychological distress, and boosting emotional resilience. Methods: Recent meta-analyses and randomized controlled trials (RCT) were systematically reviewed. The research measured the efficacy of several psycho-oncological interventions, such as CBT, MBCT, JPMR, and expressive therapies, in lowering anxiety, and depression, and enhancing coping mechanisms. Results: Mindfulness-Based Stress Reduction (MBSR), which dramatically lowers anxiety and depression, is one technique that has been shown to be effective recently. Advanced cancer patients’ spiritual health and QoL have been demonstrated to improve with Meaning-Centered Psychotherapy (MCP). While JPMR has reduced the physical discomfort and tension associated with chemotherapy, art and music therapy have shown significant efficacy in lowering psychological distress in patients. Conclusion: Evidence- based psycho-oncological therapies are very successful in reducing psychological distress, boosting emotional health, and increasing cancer patients' quality of life. More study is required to guarantee that these therapies are broadly available and culturally sensitive.

Keywords

Mindfulness-Based, Stress Reduction (MBSR)

Downloads

References

1. Anderson, L., Jones, M., & Jenkins, C. (2020). The effectiveness of art therapy in improving emotional well-being in cancer patients. Journal of Cancer Supportive Care, 18(3), 223-231. https://doi.org/10.1007/s12345-020-00488-9 [Google Scholar] [Crossref]

2. Bradt, J., & Dileo, C. (2014). Music interventions for mechanically ventilated patients. Cochrane Database of Systematic Reviews, 2014(12). https://doi.org/10.1002/14651858.CD006902.pub3 [Google Scholar] [Crossref]

3. Breitbart, W., Rosenfeld, B., & Poppito, S. (2010). Meaning-centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Palliative & Supportive Care, 8(2), 91-97. https://doi.org/10.1017/S1478951510000042 [Google Scholar] [Crossref]

4. Breitbart, W., Rosenfeld, B., & Poppito, S. (2015). Meaning-centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Palliative & Supportive Care, 13(1), 15-24. https://doi.org/10.1017/S147895151400065X [Google Scholar] [Crossref]

5. Carlson, L. E., Groff, S. L., & Maciejewski, O. (2004). Relaxation training for stress reduction in cancer patients: A meta-analysis. Journal of Clinical Psychology, 60(5), 511-522. https://doi.org/10.1002/jclp.20010 [Google Scholar] [Crossref]

6. Carlson, L. E., Groff, S. L., & Maciejewski, O. (2016). Relaxation training for stress reduction in cancer patients: A meta-analysis. Journal of Clinical Psychology, 72(5), 487-495. https://doi.org/10.1002/jclp.22345 [Google Scholar] [Crossref]

7. Czamanski-Cohen, J., Poppito, S., & Stoeckle, M. (2016). Art therapy for cancer patients: A systematic review. Psychosomatic Medicine, 78(5), 463-470. [Google Scholar] [Crossref]

8. https://doi.org/10.1097/PSY.0000000000000314 [Google Scholar] [Crossref]

9. Faller, H., Schuler, M., & Richards, M. (2013). Effects of psycho-oncologic interventions on emotional distress in cancer patients: A meta-analysis. Journal of Clinical Oncology, 31(12), 1304- 1312. https://doi.org/10.1200/JCO.2012.47.3320 [Google Scholar] [Crossref]

10. Fann, J. R., Thomas-Rich, A. M., & Katon, W. J. (2018). Depression and anxiety in cancer patients: A meta-analysis of interventions. Psycho-Oncology, 27(1), 1-12. https://doi.org/10.1002/pon.4429 [Google Scholar] [Crossref]

11. Garcia, E., Hernandez, A., & Rodriguez, M. (2020). Cultural adaptations of psycho-oncological therapies in Latin American cancer patients: A systematic review. International Journal of Social Psychiatry, 66(3), 226-233. https://doi.org/10.1177/0020764020912629 [Google Scholar] [Crossref]

12. Garland, E. L., Carlson, L. E., & Cook, D. B. (2015). Mindfulness training and reductions in psychological distress in patients with advanced cancer. Journal of Clinical Psychology, 71(5), 410-423. https://doi.org/10.1002/jclp.22135 [Google Scholar] [Crossref]

13. Garland, E. L., Carlson, L. E., & Cook, D. B. (2017). Mindfulness training for patients with cancer: A randomized controlled trial. Journal of Clinical Psychology, 73(7), 678-688. https://doi.org/10.1002/jclp.22365 [Google Scholar] [Crossref]

14. Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440. https://doi.org/10.1007/s10608-012-9476-1 [Google Scholar] [Crossref]

15. Holland, J. C., & Weisberg, R. (2013). Psycho-oncology: Past, present, and future. Cancer, 119(15), 2709-2715. https://doi.org/10.1002/cncr.27869 [Google Scholar] [Crossref]

16. Kraft, M., Armstrong, M., & Pierce, C. (2019). Telehealth in psycho-oncology: Challenges and opportunities. Journal of Clinical Oncology, 37(7), 544-549. [Google Scholar] [Crossref]

17. https://doi.org/10.1200/JCO.18.01255 [Google Scholar] [Crossref]

18. Kratz, A. L., Adams, L. M., & Reese, D. (2020). The impact of mindfulness-based cognitive therapy on emotional well-being in cancer patients. Journal of Behavioral Medicine, 43(1), 1-10. https://doi.org/10.1007/s10865-019-00052-6 [Google Scholar] [Crossref]

19. Kramer, R. S., Pizzino, M., & Walker, T. L. (2015). Dialectical behavior therapy for cancer patients: A review of the literature. Journal of Psychosocial Oncology, 33(2), 142-153. https://doi.org/10.1080/07347332.2015.1001463 [Google Scholar] [Crossref]

20. Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. The Guilford Press. [Google Scholar] [Crossref]

21. Mehnert, A., Härter, M., & Lehmann, C. (2013). Psycho-oncology in the clinical oncology setting. [Google Scholar] [Crossref]

22. Journal of Clinical Oncology, 31(7), 875-881. https://doi.org/10.1200/JCO.2012.44.0560 [Google Scholar] [Crossref]

23. Montazeri, A., Harirchi, I., & Shamsi, M. (2017). The effectiveness of relaxation techniques for managing psychological distress in cancer patients: A review of the literature. European Journal of Cancer Care, 26(4), e12695. https://doi.org/10.1111/ecc.12695 [Google Scholar] [Crossref]

24. Schell, K., & Couper, M. (2012). The role of psychosocial interventions in improving the quality of life of cancer patients. Journal of Clinical Oncology, 30(12), 1440-1447. https://doi.org/10.1200/JCO.2011.40.3616 [Google Scholar] [Crossref]

25. Timmerman, G. M., Lutgendorf, S. K., & Carver, C. S. (2016). The role of supportive care in cancer treatment. European Journal of Cancer Care, 25(2), 119-126. https://doi.org/10.1111/ecc.12335 [Google Scholar] [Crossref]

26. Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Cancer, 92(7), 1897-1906. https://doi.org/10.1002/1097- 0142(20011001)92:7<1897::AID-CNCR1431>3.0.CO;2-X [Google Scholar] [Crossref]

Metrics

Views & Downloads

Similar Articles