Skip to main content
Top
Published in: Current Geriatrics Reports 3/2016

01-09-2016 | Hematology and Oncology (TM Wildes, Section Editor)

Psychosocial Health of Older Adults with Cancer: Clinical Interventions Promoting Meaning and Value-Driven Behavior

Author: Katherine Ramos

Published in: Current Geriatrics Reports | Issue 3/2016

Login to get access

Abstract

The last decade has evidenced a strong push by the interdisciplinary medical community to improve mental health service delivery with older adults. As this momentum grows, additional questions are raised regarding the utility of psychosocial interventions specifically aimed for chronically and terminally ill geriatric populations. Cancer diagnosis among those aged 65 and older is pervasive. Further understanding about the psychological, spiritual and existential issues older adults face when living with cancer is needed. Interventions that promote psychological growth and quality of life are also warranted. The following review article highlights clinical interventions designed to improve the psychosocial health of older adults with cancer. A focus is offered on interventions specifically designed for oncogeriatric populations, while also noting novel and viable treatments that promote meaning, acceptance, and values. Additionally, how these interventions have reached with caregivers and families is also addressed.
Literature
1.
go back to reference Repetto L, Comandini S, Mammoliti S. Life expectancy, comorbidity, and quality of life: the treatment equation in the older cancer patients. Crit Rev Oncol Hematol. 2001;37:147–52.CrossRefPubMed Repetto L, Comandini S, Mammoliti S. Life expectancy, comorbidity, and quality of life: the treatment equation in the older cancer patients. Crit Rev Oncol Hematol. 2001;37:147–52.CrossRefPubMed
2.
go back to reference Hurria A, Balducci L. Geriatric oncology. New York: Springer Science; 2009.CrossRef Hurria A, Balducci L. Geriatric oncology. New York: Springer Science; 2009.CrossRef
3.
go back to reference Smith BD, Smith GL, Hurria A, et al. Future of cancer incidence in the United States: burdens upon an aging, changing nation. J Clin Oncol. 2009;27:2758–65.CrossRefPubMed Smith BD, Smith GL, Hurria A, et al. Future of cancer incidence in the United States: burdens upon an aging, changing nation. J Clin Oncol. 2009;27:2758–65.CrossRefPubMed
5.••
go back to reference Holland JC, Breitbart WS, Butow PN, Jacobsen PB, Loscalzo MJ, McCorkle R. Psycho-oncology. 3rd ed. New York: Oxford University Press; 2015. Selected articles provide an in-depth overview of psychosocial dimensions to consider in the delivery of psychological interventions with onco-geriatric patients. Holland JC, Breitbart WS, Butow PN, Jacobsen PB, Loscalzo MJ, McCorkle R. Psycho-oncology. 3rd ed. New York: Oxford University Press; 2015. Selected articles provide an in-depth overview of psychosocial dimensions to consider in the delivery of psychological interventions with onco-geriatric patients.
6.•
go back to reference Holland JC, Wiesel TW, Nelson CJ, Roth AJ, Alici Y. Geriatric Psycho-oncology: a quick reference on the psychosocial dimensions of cancer symptom management. New York: Oxford University Press; 2015. Selected articles provide an in-depth overview of psychosocial dimensions to consider in the delivery of psychological interventions with onco-geriatric patients. Holland JC, Wiesel TW, Nelson CJ, Roth AJ, Alici Y. Geriatric Psycho-oncology: a quick reference on the psychosocial dimensions of cancer symptom management. New York: Oxford University Press; 2015. Selected articles provide an in-depth overview of psychosocial dimensions to consider in the delivery of psychological interventions with onco-geriatric patients.
8.
go back to reference Bartels SJ, Blow FC, Brockmann LM, Van Citters AD. Substance abuse and mental health care among older Americans: the state of the knowledge and future directions. Rockville: WESTAT; 2005. Bartels SJ, Blow FC, Brockmann LM, Van Citters AD. Substance abuse and mental health care among older Americans: the state of the knowledge and future directions. Rockville: WESTAT; 2005.
10.
go back to reference Mantovani G, Astara G, Lampis B, Bianchi A, Curreli L, Orrù W, et al. Impact of psychosocial intervention on the quality of life of elderly cancer patients. Psychooncology. 1996;5:127–35.CrossRef Mantovani G, Astara G, Lampis B, Bianchi A, Curreli L, Orrù W, et al. Impact of psychosocial intervention on the quality of life of elderly cancer patients. Psychooncology. 1996;5:127–35.CrossRef
11.
go back to reference Koh S, Blank K, Cohen CI, Cohen G, Faison W, Kennedy G, et al. Public’s view of mental health services for the elderly: responses to dear Abby. Psychiatr Serv. 2010;61:1146–9.CrossRefPubMed Koh S, Blank K, Cohen CI, Cohen G, Faison W, Kennedy G, et al. Public’s view of mental health services for the elderly: responses to dear Abby. Psychiatr Serv. 2010;61:1146–9.CrossRefPubMed
12.
go back to reference Dubruille S, Libert Y, Merckaert I, Reynaert C, Vandenbossche S, Roos M, et al. The prevalence and implications of elderly inpatients’ desire for a formal psychological help at the start of cancer treatment. Psychooncology. 2015;24:294–301.CrossRefPubMed Dubruille S, Libert Y, Merckaert I, Reynaert C, Vandenbossche S, Roos M, et al. The prevalence and implications of elderly inpatients’ desire for a formal psychological help at the start of cancer treatment. Psychooncology. 2015;24:294–301.CrossRefPubMed
13.
go back to reference Unützer J, Katon W, Williams Jr JW, Callahan CM, Harpole L, Hunkeler EM, et al. Improving primary care for depression in late life: the design of a multicenter randomized trial. Med Care. 2001;39:785–99.CrossRefPubMed Unützer J, Katon W, Williams Jr JW, Callahan CM, Harpole L, Hunkeler EM, et al. Improving primary care for depression in late life: the design of a multicenter randomized trial. Med Care. 2001;39:785–99.CrossRefPubMed
14.
go back to reference Fan JR, Fan MY, Unützer J. Improving primary care for older adults with cancer and depression. J Gen Intern Med. 2009;24:417–24.CrossRefPubMedCentral Fan JR, Fan MY, Unützer J. Improving primary care for older adults with cancer and depression. J Gen Intern Med. 2009;24:417–24.CrossRefPubMedCentral
15.
go back to reference Emanu J, Avildsen I, Starr T, Kelman J, Roth A, Nelson C, et al. Delivering the Cancer and Aging: Reflections for Elders (CARE) psychosocial intervention through expressive writing: a pilot study. In Psycho-oncology. 24th ed. New Jersey: Wiley; 2015. p. 74. Emanu J, Avildsen I, Starr T, Kelman J, Roth A, Nelson C, et al. Delivering the Cancer and Aging: Reflections for Elders (CARE) psychosocial intervention through expressive writing: a pilot study. In Psycho-oncology. 24th ed. New Jersey: Wiley; 2015. p. 74.
16.•
go back to reference Baider L, Wiesel TW, Holland JC. Psychosocial Interventions for older cancer patients. Geriatric psycho-oncology: a quick reference on the psychosocial dimensions of cancer symptom management. New York: Oxford University Press; 2015. Selected articles provide an in-depth overview of psychosocial dimensions to consider in the delivery of psychological interventions with onco-geriatric patients. Baider L, Wiesel TW, Holland JC. Psychosocial Interventions for older cancer patients. Geriatric psycho-oncology: a quick reference on the psychosocial dimensions of cancer symptom management. New York: Oxford University Press; 2015. Selected articles provide an in-depth overview of psychosocial dimensions to consider in the delivery of psychological interventions with onco-geriatric patients.
17.
go back to reference Rose JH, Radziewicz R, Bowman KF, O’Toole EE. A coping and communication support intervention tailored to older patients diagnosed with late-stage cancer. Clin Interv Aging. 2008;3:77–95.PubMedPubMedCentral Rose JH, Radziewicz R, Bowman KF, O’Toole EE. A coping and communication support intervention tailored to older patients diagnosed with late-stage cancer. Clin Interv Aging. 2008;3:77–95.PubMedPubMedCentral
18.
go back to reference Radziewicz RM, Rose JH, Bowman KF, Berila RA, O’Toole EE, Given B. Establishing treatment fidelity in a coping and communication support telephone intervention for aging patients with advanced cancer and their family caregivers. Cancer Nurs. 2009;32:193–202.CrossRefPubMed Radziewicz RM, Rose JH, Bowman KF, Berila RA, O’Toole EE, Given B. Establishing treatment fidelity in a coping and communication support telephone intervention for aging patients with advanced cancer and their family caregivers. Cancer Nurs. 2009;32:193–202.CrossRefPubMed
19.
go back to reference Bowman KF, Rose JH, Radziewicz RM, O’Toole EE, Berila RA. Family caregiver engagement in a coping and communication support intervention tailored to advanced cancer patients and families. Cancer Nurs. 2009;32:73–81.CrossRefPubMed Bowman KF, Rose JH, Radziewicz RM, O’Toole EE, Berila RA. Family caregiver engagement in a coping and communication support intervention tailored to advanced cancer patients and families. Cancer Nurs. 2009;32:73–81.CrossRefPubMed
20.
go back to reference Rose JH, Bowman KF, Radziewicz RM, Lewis SA, O’Toole EE. Predictors of engagement in a coping and communication support intervention for older patients with advanced cancer. J Am Geriatr Soc. 2009;57:s296–9.CrossRefPubMed Rose JH, Bowman KF, Radziewicz RM, Lewis SA, O’Toole EE. Predictors of engagement in a coping and communication support intervention for older patients with advanced cancer. J Am Geriatr Soc. 2009;57:s296–9.CrossRefPubMed
21.
go back to reference Hales S, Lo C, Rodin G. Managing Cancer and Living Meaningfully (CALM): treatment manual: an individual psychotherapy for patients with advanced cancer. Toronto: Psychosocial Oncology and Palliative Care. Princess Margaret Hospital, University Health Network; 2010. Hales S, Lo C, Rodin G. Managing Cancer and Living Meaningfully (CALM): treatment manual: an individual psychotherapy for patients with advanced cancer. Toronto: Psychosocial Oncology and Palliative Care. Princess Margaret Hospital, University Health Network; 2010.
22.
go back to reference Nissim R, Freeman E, Lo C, Zimmermann C, Gagliese L, Rydall A, et al. Managing Cancer and Living Meaningfully (CALM): a qualitative study of a brief individual psychotherapy for individuals with advanced cancer. Palliat Med. 2012;26:713–21.CrossRefPubMed Nissim R, Freeman E, Lo C, Zimmermann C, Gagliese L, Rydall A, et al. Managing Cancer and Living Meaningfully (CALM): a qualitative study of a brief individual psychotherapy for individuals with advanced cancer. Palliat Med. 2012;26:713–21.CrossRefPubMed
23.
go back to reference Lo C, Hales S, Jung J, Chiu A, Panday T, Rydall A, et al. Managing Cancer and Living Meaningfully (CALM): phase 2 trial of a brief individual psychotherapy for patients with advanced cancer. Palliat Med. 2013;28:234–42.CrossRefPubMed Lo C, Hales S, Jung J, Chiu A, Panday T, Rydall A, et al. Managing Cancer and Living Meaningfully (CALM): phase 2 trial of a brief individual psychotherapy for patients with advanced cancer. Palliat Med. 2013;28:234–42.CrossRefPubMed
24.
go back to reference Breitbart W, Poppito S, Rosenfeld B, Vickers AJ, Li Y, Abbey J, et al. Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. J Clin Oncol. 2012;30:1304–9.CrossRefPubMedPubMedCentral Breitbart W, Poppito S, Rosenfeld B, Vickers AJ, Li Y, Abbey J, et al. Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. J Clin Oncol. 2012;30:1304–9.CrossRefPubMedPubMedCentral
25.
go back to reference Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, et al. Meaning‐centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psychooncology. 2010;19:21–8.CrossRefPubMedPubMedCentral Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, et al. Meaning‐centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psychooncology. 2010;19:21–8.CrossRefPubMedPubMedCentral
26.
go back to reference Breitbart W, Rosenfeld B, Pessin H, Applebaum A, Kulikowski J, Lichtenthal WG. Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol. 2015;33:749–54.CrossRefPubMedPubMedCentral Breitbart W, Rosenfeld B, Pessin H, Applebaum A, Kulikowski J, Lichtenthal WG. Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol. 2015;33:749–54.CrossRefPubMedPubMedCentral
27.
go back to reference Chochinov H. Dignity therapy. Oxford: Oxford University Press; 2012. Chochinov H. Dignity therapy. Oxford: Oxford University Press; 2012.
28.
go back to reference Chochinov H, Hack T, Mcclement S, Kristjanson L, Harlos M. Dignity in the terminally ill: a developing empirical model. Soc Sci Med. 2002;54:433–43.CrossRefPubMed Chochinov H, Hack T, Mcclement S, Kristjanson L, Harlos M. Dignity in the terminally ill: a developing empirical model. Soc Sci Med. 2002;54:433–43.CrossRefPubMed
29.
go back to reference Chochinov HM, Kristjanson LJ, Breitbart W, Mcclement S, Hack TF, Hassard T, et al. Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial. Lancet Oncol. 2011;12:753–62.CrossRefPubMedPubMedCentral Chochinov HM, Kristjanson LJ, Breitbart W, Mcclement S, Hack TF, Hassard T, et al. Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial. Lancet Oncol. 2011;12:753–62.CrossRefPubMedPubMedCentral
30.
go back to reference Hopko DR, Bell JL, Armento M, Robertson S, Mullane C, Wolf N, et al. Cognitive-behavior therapy for depressed cancer patients in a medical care setting. Behav Ther. 2008;39:126–36.CrossRefPubMed Hopko DR, Bell JL, Armento M, Robertson S, Mullane C, Wolf N, et al. Cognitive-behavior therapy for depressed cancer patients in a medical care setting. Behav Ther. 2008;39:126–36.CrossRefPubMed
31.
go back to reference Greer JA, Traeger L, Bemis H, Solis J, Hendriksen ES, Park ER, et al. A pilot randomized controlled trial of brief cognitive-behavioral therapy for anxiety in patients with terminal cancer. Oncologist. 2012;17:1337–45.CrossRefPubMedPubMedCentral Greer JA, Traeger L, Bemis H, Solis J, Hendriksen ES, Park ER, et al. A pilot randomized controlled trial of brief cognitive-behavioral therapy for anxiety in patients with terminal cancer. Oncologist. 2012;17:1337–45.CrossRefPubMedPubMedCentral
32.
go back to reference Garland SN, Johnson JA, Savard J, Gehrman P, Perlis M, Carlson L, et al. Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients. Neuropsychiatr Dis Treat. 2014;10:1113–p1123.PubMedPubMedCentral Garland SN, Johnson JA, Savard J, Gehrman P, Perlis M, Carlson L, et al. Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients. Neuropsychiatr Dis Treat. 2014;10:1113–p1123.PubMedPubMedCentral
33.
go back to reference Kwekkeboom KL, Abbott-Anderson K, Cherwin C, Roiland R, Serlin RC, Ward SE. Pilot randomized controlled trial of a patient-controlled cognitive-behavioral intervention for the pain, fatigue, and sleep disturbance symptom cluster in cancer. J Pain Symptom Manage. 2012;44:810–22.CrossRefPubMedPubMedCentral Kwekkeboom KL, Abbott-Anderson K, Cherwin C, Roiland R, Serlin RC, Ward SE. Pilot randomized controlled trial of a patient-controlled cognitive-behavioral intervention for the pain, fatigue, and sleep disturbance symptom cluster in cancer. J Pain Symptom Manage. 2012;44:810–22.CrossRefPubMedPubMedCentral
34.
go back to reference Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behav Ther. 2004;35:639–65.CrossRef Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behav Ther. 2004;35:639–65.CrossRef
35.
go back to reference Strosahl KD, Hayes SC, Wilson KG, Gifford EV. An ACT primer. In a practical guide to acceptance and commitment therapy. US: Springer; 2004. p. 31–58.CrossRef Strosahl KD, Hayes SC, Wilson KG, Gifford EV. An ACT primer. In a practical guide to acceptance and commitment therapy. US: Springer; 2004. p. 31–58.CrossRef
36.
go back to reference Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44:1–25.CrossRefPubMed Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44:1–25.CrossRefPubMed
37.
go back to reference Feros DL, Lane L, Ciarrochi J, Blackledge JT. Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients: a preliminary study. Psychooncology. 2013;22:459–64.PubMed Feros DL, Lane L, Ciarrochi J, Blackledge JT. Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients: a preliminary study. Psychooncology. 2013;22:459–64.PubMed
38.
go back to reference Rost AD, Wilson KG, Buchanan E, Hildebrandt MJ, Mutch D. Improving psychological adjustment among late-stage ovarian cancer patients: examining the role of avoidance in treatment. Cogn Behav Pract. 2012;19:508–17.CrossRef Rost AD, Wilson KG, Buchanan E, Hildebrandt MJ, Mutch D. Improving psychological adjustment among late-stage ovarian cancer patients: examining the role of avoidance in treatment. Cogn Behav Pract. 2012;19:508–17.CrossRef
39.
go back to reference Montesinos F, Hernandez B, Luciano MC. Aplicacion de la Terapia de Aceptacion y Compromiso en pacientes enfermos de cancer (Application of ACT in cancer patients). Analisis y Modificacion de Conducta. 2001;27:503–23. Montesinos F, Hernandez B, Luciano MC. Aplicacion de la Terapia de Aceptacion y Compromiso en pacientes enfermos de cancer (Application of ACT in cancer patients). Analisis y Modificacion de Conducta. 2001;27:503–23.
40.•
go back to reference Hulbert‐Williams NJ, Storey L, Wilson KG. Psychological interventions for patients with cancer: psychological flexibility and the potential utility of acceptance and commitment therapy. Eur J Cancer Care. 2015;24:15–27. Selected articles provide an in-depth overview of psychosocial dimensions to consider in the delivery of psychological interventions with onco-geriatric patients. Hulbert‐Williams NJ, Storey L, Wilson KG. Psychological interventions for patients with cancer: psychological flexibility and the potential utility of acceptance and commitment therapy. Eur J Cancer Care. 2015;24:15–27. Selected articles provide an in-depth overview of psychosocial dimensions to consider in the delivery of psychological interventions with onco-geriatric patients.
41.
go back to reference Palos GR, Mendoza TR, Liao KP, Anderson KO, Garcia‐Gonzalez A, Hahn K, et al. Caregiver symptom burden: the risk of caring for an underserved patient with advanced cancer. Cancer. 2011;117:1070–9.CrossRefPubMed Palos GR, Mendoza TR, Liao KP, Anderson KO, Garcia‐Gonzalez A, Hahn K, et al. Caregiver symptom burden: the risk of caring for an underserved patient with advanced cancer. Cancer. 2011;117:1070–9.CrossRefPubMed
42.
go back to reference Applebaum AJ, Kulikowski JR, Breitbart W. Meaning-centered psychotherapy for cancer caregivers (MCP-C): rationale and overview. Palliat Support Care. 2015;13:1631–41.CrossRefPubMed Applebaum AJ, Kulikowski JR, Breitbart W. Meaning-centered psychotherapy for cancer caregivers (MCP-C): rationale and overview. Palliat Support Care. 2015;13:1631–41.CrossRefPubMed
Metadata
Title
Psychosocial Health of Older Adults with Cancer: Clinical Interventions Promoting Meaning and Value-Driven Behavior
Author
Katherine Ramos
Publication date
01-09-2016
Publisher
Springer US
Published in
Current Geriatrics Reports / Issue 3/2016
Electronic ISSN: 2196-7865
DOI
https://doi.org/10.1007/s13670-016-0180-y

Other articles of this Issue 3/2016

Current Geriatrics Reports 3/2016 Go to the issue

Physical Therapy and Rehabilitation (O Addison, Section Editor)

Applying the Evidence for Exercise Prescription in Older Adults with Knee Osteoarthritis

Hematology and Oncology (T Wildes, Section Editor)

Care of the Elderly Patient on Oral Oncolytics for Advanced Disease

Physical Therapy and Rehabilitation (O Addison, Section Editor)

Exercise in Type 2 Diabetic Peripheral Neuropathy

Hematology and Oncology (T Wildes, Section Editor)

Cognition and Cognitive Impairment in Older Adults with Cancer

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine