Satapathy Sujata, Kaushal Tanuja, Bakhshi Sameer, Chadda Rakesh Kumar
Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India. Correspondence to: Dr Sujata Satapathy, Associate Professor, Clinical Psychology, Department of Psychiatry, AIIMS, New Delhi 110 029, India.
Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
Indian Pediatr. 2018 Mar 15;55(3):225-232.
Evidence-based research on psycho-oncology in last three decades lays emphasis upon the critical role of psychological services for better illness adjustment, improved quality of life, reduced distress and cognitive problems among the rapidly increasing pediatric cancer population.
This review aims to summarize the evidence-based psychological interventions in childhood cancer over the two decades and addresses the wide gap that existed between intervention studies worldwide and India, thus highlighting the need for research and appropriate services.
We searched electronic databases such as MedLine, PubMed, PsycINFO, and Google Scholar. Key search terms were pediatric cancer, psycho-oncology, children with cancer + psychological intervention, or multimodal treatment, psychotherapy, cognitive training, behavioral, social skills+ feasibility study, pilot, randomized controlled trial, case study, systematic reviews.
28 full papers published between 1996 to 2016, including survivors and under-treatment children below 18 years, were reviewed. Various types of key interventions were psychosocial, physical, cognitive behavioral, cognitive, music art therapy and play therapy. Generally, intervention settings were either hospital or home, and were designed to promote psychological well-being. Psychological interventions were more in customised formats in these studies. A generic intervention module was not available for replication.
Development of culture-specific generic intervention module and using the same in randomized control studies with larger effect size are needed in India for larger coverage of patients.
过去三十年中，心理肿瘤学的循证研究强调了心理服务对于快速增长的儿童癌症患者群体在更好地适应疾病、提高生活质量、减轻痛苦和认知问题方面的关键作用。
本综述旨在总结过去二十年中儿童癌症循证心理干预措施，并解决全球干预研究与印度研究之间存在的巨大差距，从而凸显研究和适当服务的必要性。
我们检索了电子数据库，如医学在线数据库（MedLine）、医学期刊数据库（PubMed）、心理学文摘数据库（PsycINFO）和谷歌学术搜索。关键检索词为儿童癌症、心理肿瘤学、患癌儿童 + 心理干预、或多模式治疗、心理治疗、认知训练、行为、社交技能 + 可行性研究、试点研究、随机对照试验、案例研究、系统评价。
对1996年至2016年间发表的28篇完整论文进行了综述，包括18岁以下的幸存者和正在接受治疗的儿童。各种类型的关键干预措施包括心理社会干预、身体干预、认知行为干预、认知干预、音乐艺术治疗和游戏治疗。一般来说，干预环境要么是医院，要么是家庭，旨在促进心理健康。在这些研究中，心理干预更多采用定制形式。没有可复制的通用干预模块。
印度需要开发针对特定文化的通用干预模块，并在随机对照研究中使用，以获得更大的效应量，从而扩大患者覆盖范围。
