Boghosian Talin, McCuaig Jeanna M, Carlsson Lindsay, Metcalfe Kelly A
Women's College Research Institute, Women's College Hospital, Toronto, ON M5G 1N8, Canada.
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON M5T 1P8, Canada.
Cancers (Basel). 2021 Mar 24;13(7):1486. doi: 10.3390/cancers13071486.
This scoping review aimed to explore the effectiveness of psychological and psychoeducational interventions for mutation carriers. Four electronic bibliographic databases were searched. After review, 23 articles that described or assessed forms of an additional psychosocial intervention for individuals with a mutation were identified and included. Intervention types discussed in the articles were telephone-based peer-to-peer counselling (5), online communities (4), in-person group counselling (8), and one-day sessions (6). Outcomes investigated within the articles included psychosocial outcomes (18), satisfaction (8), health behaviours (7), and knowledge (5). The included studies suggested that telephone-based peer-to-peer counselling and online communities improve patient knowledge and psychosocial functioning and can overcome challenges such as scheduling and travel associated with in-person support groups, but may have challenges with recruitment and retainment of participants. Group in-person education sessions satisfied the need amongst carriers in terms of accessing necessary information regarding cancer risk assessment and management; however, the impact of group education sessions on psychological outcomes was variable across the included studies. Overall, all the forms of intervention described in this scoping review were well-received by participants; some have been shown to reduce distress, depression, and anxiety.
本综述旨在探讨心理和心理教育干预对突变携带者的有效性。检索了四个电子文献数据库。经过筛选，确定并纳入了23篇描述或评估针对突变个体的额外心理社会干预形式的文章。文章中讨论的干预类型包括电话同伴咨询（5篇）、在线社区（4篇）、面对面团体咨询（8篇）和一日课程（6篇）。文章中研究的结果包括心理社会结果（18篇）、满意度（8篇）、健康行为（7篇）和知识（5篇）。纳入的研究表明，电话同伴咨询和在线社区可以提高患者的知识水平和心理社会功能，并且可以克服与面对面支持小组相关的诸如安排时间和出行等挑战，但在招募和留住参与者方面可能存在困难。面对面团体教育课程满足了携带者获取有关癌症风险评估和管理的必要信息的需求；然而，在纳入的研究中，团体教育课程对心理结果的影响各不相同。总体而言，本综述中描述的所有干预形式都受到了参与者的好评；其中一些干预已被证明可以减轻痛苦、抑郁和焦虑。
