Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2023

Open Access 01-12-2023 | Mood Disorders | Research

Third-wave cognitive behavioral therapies for caregivers of cancer patients: a scoping review

Authors: Bomi Hong, Sora Yang, Sojeong Hyeon, Sojeong Kim, Jiyeon Lee

Published in: BMC Complementary Medicine and Therapies | Issue 1/2023

Login to get access

Abstract

Background

Cancer caregivers extend comprehensive support covering all aspects of patients’ daily lives. It has been reported that a significant proportion of cancer caregivers experience emotional distress. As one way to solve this problem, third-wave cognitive behavioral therapies (CBT), which involves integrating acceptance and mindfulness into cognitive‒behavioral therapy, has been applied to improve caregiver outcomes.

Methods

A scoping review was conducted based on the scoping review guidelines proposed by the Jonna Briggs Institute (JBI). The population was caregivers of cancer patients, the concept was third-wave CBT, and the context remained open. English and Korean publications published from 2001 to June 2022 were identified from PubMed, Embase, CINAHL, PsycINFO, Cochrane, Korea Med, and RISS.

Results

A total of 12 studies were included in this scoping review. Mindfulness-Based Stress Reduction (MBSR) and Acceptance and Commitment Therapy (ACT) was the most frequently applied intervention (n = 3, each). Among the components of third-wave CBT, ‘mindfulness’ was identified in all the studies reviewed (n = 12). Dyadic interventions comprised the majority (n = 9). Interventions using digital technologies such as mobile application/web page (n = 3), telephone (n = 3), and FaceTime (n = 2) have increased since 2017. Depression was the most frequently evaluated outcome (n = 8), followed by anxiety and mindfulness (n = 6, each).

Conclusions

The current review explored available third-wave CBT intervention studies for cancer caregivers and targeted outcomes. Most of the interventions were dyadic interventions and utilized mindfulness. Delivery methods were continuously updated with digital technologies. Further RCTs with robust research designs and a synthesis of the results of the trials would provide evidence about how to effectively apply third-wave CBTs for cancer caregivers.
Appendix
Available only for authorised users
Literature
2.
go back to reference Washington KT, Pike KC, Demiris G, Oliver DP. Unique characteristics of informal hospice cancer caregiving. Support Care Cancer. 2015;23:2121–8.CrossRefPubMed Washington KT, Pike KC, Demiris G, Oliver DP. Unique characteristics of informal hospice cancer caregiving. Support Care Cancer. 2015;23:2121–8.CrossRefPubMed
3.
go back to reference Sklenarova H, Krümpelmann A, Haun MW, Friederich HC, Huber J, Thomas M, et al. When do we need to care about the caregiver? Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer. 2015;121:1513–9.CrossRefPubMed Sklenarova H, Krümpelmann A, Haun MW, Friederich HC, Huber J, Thomas M, et al. When do we need to care about the caregiver? Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer. 2015;121:1513–9.CrossRefPubMed
4.
go back to reference Treanor CJ, Santin O, Prue G, Coleman H, Cardwell CR, O’Halloran P, et al. Psychosocial interventions for informal caregivers of people living with cancer. Cochrane Database Syst Rev. 2019;6:CD009912.PubMed Treanor CJ, Santin O, Prue G, Coleman H, Cardwell CR, O’Halloran P, et al. Psychosocial interventions for informal caregivers of people living with cancer. Cochrane Database Syst Rev. 2019;6:CD009912.PubMed
5.
go back to reference Thoma N, Pilecki B, McKay D. Contemporary cognitive behavior therapy: a review of theory, history, and evidence. Psychodyn Psychiatry. 2015;43:423–61.CrossRefPubMed Thoma N, Pilecki B, McKay D. Contemporary cognitive behavior therapy: a review of theory, history, and evidence. Psychodyn Psychiatry. 2015;43:423–61.CrossRefPubMed
9.
go back to reference Beck AT. Cognitive therapy: nature and relation to behavior therapy. Behav Ther. 1970;1:184–200.CrossRef Beck AT. Cognitive therapy: nature and relation to behavior therapy. Behav Ther. 1970;1:184–200.CrossRef
10.
go back to reference Khoury B, Sharma M, Rush SE, Fournier C. Mindfulness-based stress reduction for healthy individuals: a meta-analysis. J Psychosom Res. 2015;78:519–28.CrossRefPubMed Khoury B, Sharma M, Rush SE, Fournier C. Mindfulness-based stress reduction for healthy individuals: a meta-analysis. J Psychosom Res. 2015;78:519–28.CrossRefPubMed
12.
go back to reference Han A, Yuen HK, Jenkins J. Acceptance and commitment therapy for family caregivers: a systematic review and meta-analysis. J Health Psychol. 2021;26:82–102.CrossRefPubMed Han A, Yuen HK, Jenkins J. Acceptance and commitment therapy for family caregivers: a systematic review and meta-analysis. J Health Psychol. 2021;26:82–102.CrossRefPubMed
13.
go back to reference Liu Z, Sun YY, Zhong BL. Mindfulness-based stress reduction for family carers of people with dementia. Cochrane Database Syst Rev. 2018;8:CD012791.PubMed Liu Z, Sun YY, Zhong BL. Mindfulness-based stress reduction for family carers of people with dementia. Cochrane Database Syst Rev. 2018;8:CD012791.PubMed
18.
go back to reference Covidence Systematic Review Software. Covidence Web-Based Review Program [Internet]. Melbourne, Australia: Veritas Health Innovation; c2023 [cited 2023 Apr 26]. Available from: https://www.covidence.org/. Covidence Systematic Review Software. Covidence Web-Based Review Program [Internet]. Melbourne, Australia: Veritas Health Innovation; c2023 [cited 2023 Apr 26]. Available from: https://​www.​covidence.​org/​.
19.
go back to reference Mosher CE, Secinti E, Hirsh AT, Hanna N, Einhorn LH, Jalal SI, et al. Acceptance and commitment therapy for symptom interference in advanced lung cancer and caregiver distress: a pilot randomized trial. J Pain Symptom Manag. 2019;58:632–44.CrossRef Mosher CE, Secinti E, Hirsh AT, Hanna N, Einhorn LH, Jalal SI, et al. Acceptance and commitment therapy for symptom interference in advanced lung cancer and caregiver distress: a pilot randomized trial. J Pain Symptom Manag. 2019;58:632–44.CrossRef
21.
go back to reference Milbury K, Li Y, Durrani S, Liao Z, Tsao AS, Carmack C, et al. A mindfulness-based intervention as a supportive care strategy for patients with metastatic non-small cell lung cancer and their spouses: results of a three-arm pilot randomized controlled trial. Oncologist. 2020;25:e1794–802.CrossRefPubMedPubMedCentral Milbury K, Li Y, Durrani S, Liao Z, Tsao AS, Carmack C, et al. A mindfulness-based intervention as a supportive care strategy for patients with metastatic non-small cell lung cancer and their spouses: results of a three-arm pilot randomized controlled trial. Oncologist. 2020;25:e1794–802.CrossRefPubMedPubMedCentral
22.
go back to reference Milbury K, Weathers SP, Durrani S, Li Y, Whisenant M, Li J, et al. Online couple-based meditation intervention for patients with primary or metastatic brain tumors and their partners: results of a pilot randomized controlled trial. J Pain Symptom Manag. 2020;59:1260–7.CrossRef Milbury K, Weathers SP, Durrani S, Li Y, Whisenant M, Li J, et al. Online couple-based meditation intervention for patients with primary or metastatic brain tumors and their partners: results of a pilot randomized controlled trial. J Pain Symptom Manag. 2020;59:1260–7.CrossRef
23.
go back to reference Trevino KM, Stern A, Hershkowitz R, Kim SY, Li Y, Lachs M, et al. Managing anxiety from cancer (MAC): a pilot randomized controlled trial of an anxiety intervention for older adults with cancer and their caregivers. Palliat Support Care. 2021;19:135–45.CrossRefPubMedPubMedCentral Trevino KM, Stern A, Hershkowitz R, Kim SY, Li Y, Lachs M, et al. Managing anxiety from cancer (MAC): a pilot randomized controlled trial of an anxiety intervention for older adults with cancer and their caregivers. Palliat Support Care. 2021;19:135–45.CrossRefPubMedPubMedCentral
24.
go back to reference Mosher CE, Secinti E, Wu W, et al. Acceptance and commitment therapy for patient fatigue interference and caregiver burden in advanced gastrointestinal cancer: results of a pilot randomized trial. Palliat Med. 2022;36(7):1104–17.CrossRefPubMedPubMedCentral Mosher CE, Secinti E, Wu W, et al. Acceptance and commitment therapy for patient fatigue interference and caregiver burden in advanced gastrointestinal cancer: results of a pilot randomized trial. Palliat Med. 2022;36(7):1104–17.CrossRefPubMedPubMedCentral
25.
go back to reference Kubo A, Kurtovich E, McGinnis M, Aghaee S, Altschuler A, Quesenberry C, et al. A randomized controlled trial of mhealth mindfulness intervention for cancer patients and informal cancer caregivers: a feasibility study within an integrated health care delivery system. Integr Cancer Ther. 2019;18:1534735419850634.CrossRefPubMedPubMedCentral Kubo A, Kurtovich E, McGinnis M, Aghaee S, Altschuler A, Quesenberry C, et al. A randomized controlled trial of mhealth mindfulness intervention for cancer patients and informal cancer caregivers: a feasibility study within an integrated health care delivery system. Integr Cancer Ther. 2019;18:1534735419850634.CrossRefPubMedPubMedCentral
26.
go back to reference Geng L, Wang J, Cheng L, Zhang B, Shen H. Mindful learning improves positive feelings of cancer patients’ family caregivers. Int J Environ Res Public Health. 2019;16:248.CrossRefPubMedPubMedCentral Geng L, Wang J, Cheng L, Zhang B, Shen H. Mindful learning improves positive feelings of cancer patients’ family caregivers. Int J Environ Res Public Health. 2019;16:248.CrossRefPubMedPubMedCentral
27.
go back to reference Köhle N, Drossaert CHC, Klooster PMT, Schreurs KMG, Hagedoorn M, Van Uden-Kraan CF, et al. Web-based self-help intervention for partners of cancer patients based on acceptance and commitment therapy and self-compassion training: a randomized controlled trial with automated versus personal feedback. Support Care Cancer. 2021;29:5115–25.CrossRefPubMedPubMedCentral Köhle N, Drossaert CHC, Klooster PMT, Schreurs KMG, Hagedoorn M, Van Uden-Kraan CF, et al. Web-based self-help intervention for partners of cancer patients based on acceptance and commitment therapy and self-compassion training: a randomized controlled trial with automated versus personal feedback. Support Care Cancer. 2021;29:5115–25.CrossRefPubMedPubMedCentral
28.
go back to reference Hsiao FH, Jow GM, Kuo WH, Yang PS, Lam HB, Chang KJ, et al. The long-term effects of mindfulness added to family resilience-oriented couples support group on psychological well-being and cortisol responses in breast cancer survivors and their partners. Mindfulness. 2016;7:1365–76.CrossRef Hsiao FH, Jow GM, Kuo WH, Yang PS, Lam HB, Chang KJ, et al. The long-term effects of mindfulness added to family resilience-oriented couples support group on psychological well-being and cortisol responses in breast cancer survivors and their partners. Mindfulness. 2016;7:1365–76.CrossRef
29.
go back to reference Price-Blackshear MA, Pratscher SD, Oyler DL, Armer JM, Cheng A-L, Cheng MX, et al. Online couples mindfulness-based intervention for young breast cancer survivors and their partners: a randomized-control trial. J Psychosoc Oncol. 2020;38:592–611.CrossRefPubMed Price-Blackshear MA, Pratscher SD, Oyler DL, Armer JM, Cheng A-L, Cheng MX, et al. Online couples mindfulness-based intervention for young breast cancer survivors and their partners: a randomized-control trial. J Psychosoc Oncol. 2020;38:592–611.CrossRefPubMed
30.
go back to reference Trevino KM, Stern A, Hershkowitz R, et al. Managing anxiety from Cancer (MAC): a pilot randomized controlled trial of an anxiety intervention for older adults with cancer and their caregivers. Palliat Support Care. 2021;19(2):135–45.CrossRefPubMedPubMedCentral Trevino KM, Stern A, Hershkowitz R, et al. Managing anxiety from Cancer (MAC): a pilot randomized controlled trial of an anxiety intervention for older adults with cancer and their caregivers. Palliat Support Care. 2021;19(2):135–45.CrossRefPubMedPubMedCentral
31.
go back to reference Schellekens MPJ, van den Hurk DGM, Prins JB, Donders ART, Molema J, Dekhuijzen R, et al. Mindfulness-based stress reduction added to care as usual for lung cancer patients and/or their partners: a multicentre randomized controlled trial. Psychooncology. 2017;26:2118–26.CrossRefPubMed Schellekens MPJ, van den Hurk DGM, Prins JB, Donders ART, Molema J, Dekhuijzen R, et al. Mindfulness-based stress reduction added to care as usual for lung cancer patients and/or their partners: a multicentre randomized controlled trial. Psychooncology. 2017;26:2118–26.CrossRefPubMed
32.
go back to reference Jaffray L, Bridgman H, Stephens M, Skinner T. Evaluating the effects of mindfulness-based interventions for informal palliative caregivers: a systematic literature review. Palliat Med. 2016;30(2):117–31.CrossRefPubMed Jaffray L, Bridgman H, Stephens M, Skinner T. Evaluating the effects of mindfulness-based interventions for informal palliative caregivers: a systematic literature review. Palliat Med. 2016;30(2):117–31.CrossRefPubMed
33.
go back to reference Denecke K, Schmid N, Nüssli S. Implementation of cognitive behavioral therapy in e-mental health apps: literature review. J Med Internet Res. 2022;24:e27791.CrossRefPubMedPubMedCentral Denecke K, Schmid N, Nüssli S. Implementation of cognitive behavioral therapy in e-mental health apps: literature review. J Med Internet Res. 2022;24:e27791.CrossRefPubMedPubMedCentral
34.
go back to reference Weightman M. Digital psychotherapy as an effective and timely treatment option for depression and anxiety disorders: implications for rural and remote practice. J Int Med Res. 2020;48(6):300060520928686.CrossRefPubMed Weightman M. Digital psychotherapy as an effective and timely treatment option for depression and anxiety disorders: implications for rural and remote practice. J Int Med Res. 2020;48(6):300060520928686.CrossRefPubMed
35.
go back to reference Pospos S, Young IT, Downs N, Iglewicz A, Depp C, Chen JY, et al. Web-based tools and mobile applications to mitigate burnout, depression, and suicidality among healthcare students and professionals: a systematic review. Acad Psychiatry. 2018;42:109–20.CrossRefPubMed Pospos S, Young IT, Downs N, Iglewicz A, Depp C, Chen JY, et al. Web-based tools and mobile applications to mitigate burnout, depression, and suicidality among healthcare students and professionals: a systematic review. Acad Psychiatry. 2018;42:109–20.CrossRefPubMed
36.
go back to reference Platts D, Morgan S. Comment on web-based tools and mobile applications to mitigate burnout, depression, and suicidality among healthcare students and professionals: a systematic review. Acad Psychiatry. 2018;42:422–3.CrossRefPubMed Platts D, Morgan S. Comment on web-based tools and mobile applications to mitigate burnout, depression, and suicidality among healthcare students and professionals: a systematic review. Acad Psychiatry. 2018;42:422–3.CrossRefPubMed
37.
go back to reference Li Q, Loke AY. A systematic review of spousal couple-based intervention studies for couples coping with cancer: direction for the development of interventions. Psychooncology. 2014;23:731–9.CrossRefPubMed Li Q, Loke AY. A systematic review of spousal couple-based intervention studies for couples coping with cancer: direction for the development of interventions. Psychooncology. 2014;23:731–9.CrossRefPubMed
38.
go back to reference Buck HG, Stromberg A, Chung ML, Donovan KA, Harkness K, Howard AM, et al. A systematic review of heart failure dyadic self-care interventions focusing on intervention components, contexts, and outcomes. Int J Nurs Stud. 2018;77:232–42.CrossRefPubMed Buck HG, Stromberg A, Chung ML, Donovan KA, Harkness K, Howard AM, et al. A systematic review of heart failure dyadic self-care interventions focusing on intervention components, contexts, and outcomes. Int J Nurs Stud. 2018;77:232–42.CrossRefPubMed
39.
go back to reference Litzelman K, Yabroff KR. How are spousal depressed mood, distress, and quality of life associated with risk of depressed mood in cancer survivors? Longitudinal findings from a national sample. Cancer Epidemiol Biomarkers Prev. 2015;24:969–77.CrossRefPubMedPubMedCentral Litzelman K, Yabroff KR. How are spousal depressed mood, distress, and quality of life associated with risk of depressed mood in cancer survivors? Longitudinal findings from a national sample. Cancer Epidemiol Biomarkers Prev. 2015;24:969–77.CrossRefPubMedPubMedCentral
40.
go back to reference Hofmann SG, Gómez AF. Mindfulness-based interventions for anxiety and depression. Psychiatr Clin N Am. 2017;40:739–49.CrossRef Hofmann SG, Gómez AF. Mindfulness-based interventions for anxiety and depression. Psychiatr Clin N Am. 2017;40:739–49.CrossRef
Metadata
Title
Third-wave cognitive behavioral therapies for caregivers of cancer patients: a scoping review
Authors
Bomi Hong
Sora Yang
Sojeong Hyeon
Sojeong Kim
Jiyeon Lee
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2023
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-023-04186-3

Other articles of this Issue 1/2023

BMC Complementary Medicine and Therapies 1/2023 Go to the issue