Laing Ebba M, Heinen Jana M, Acebo de Arriba Rita, Schäffeler Norbert, Zipfel Stephan, Stengel Andreas, Graf Johanna
Department of Psychosomatic Medicine and Psychotherapy, Psychooncology Division, University Hospital Tübingen, Tübingen, Germany.
Comprehensive Cancer Center Tübingen-Stuttgart, University Hospital Tübingen, Tübingen, Germany.
Front Psychol. 2024 May 9;15:1367807. doi: 10.3389/fpsyg.2024.1367807. eCollection 2024.
Patients with cancer experience significant psychosocial distress. Stressors include interpersonal difficulties like loneliness, isolation, thwarted belongingness, communication impediments, and conflicts. Interventions are required that address their specific psychosocial needs. Interpersonal Psychotherapy (IPT) is a promising concept for the treatment of psychosocial distress associated with cancer because it addresses patients' interactions and role transformations. This review aims to provide an overview of the current evidence regarding interventions for patients with cancer based on IPT.
A systematic review following PRISM guidelines was conducted, including randomized controlled trials of IPT-based interventions in patients with cancer, assessing effects on distress, depression, and anxiety.
Eight studies were included, sampling 390 patients in total. Seven out of eight studies assessed exclusively women with breast cancer. Two studies described IPT interventions and showed stronger improvement in depression and anxiety compared to TAU and equal improvement in depression compared to other psychotherapy interventions. Six studies described remote Interpersonal Counselling (IPC). One found remote IPC to be superior to control conditions regarding depression, and one found remote IPC to be superior to attention control, but not active control conditions. No study found remote IPC to be superior to control conditions regarding distress.
There are few randomized controlled trials of IPT for patients with cancer. Results regarding depression and anxiety are promising for in-person IPT, but mixed for remote IPC.
The review suggests in-person IPT, but not remote IPC, may yield benefits for patients with cancer. Research on the subject is scarce, and to inform implementation of IPT interventions, research with diverse groups of patients with cancer is required.
PROSPERO, Identifier CRD42023410687.
癌症患者会经历严重的心理社会困扰。压力源包括人际困难，如孤独、孤立、归属感受挫、沟通障碍和冲突。需要有针对性地满足其特定心理社会需求的干预措施。人际心理治疗（IPT）是治疗与癌症相关的心理社会困扰的一个有前景的概念，因为它关注患者的互动和角色转变。本综述旨在概述目前关于基于IPT对癌症患者进行干预的证据。
按照PRISM指南进行系统综述，纳入针对癌症患者基于IPT干预的随机对照试验，评估对困扰、抑郁和焦虑的影响。
纳入八项研究，共抽取390名患者。八项研究中有七项专门评估了乳腺癌女性患者。两项研究描述了IPT干预，结果显示与常规治疗相比，抑郁和焦虑有更明显改善，与其他心理治疗干预相比，抑郁改善程度相当。六项研究描述了远程人际咨询（IPC）。一项研究发现远程IPC在抑郁方面优于对照条件，另一项研究发现远程IPC优于注意力控制组，但不优于积极对照组。没有研究发现远程IPC在困扰方面优于对照条件。
针对癌症患者的IPT随机对照试验较少。关于面对面IPT，抑郁和焦虑方面的结果很有前景，但远程IPC的结果不一。
该综述表明，面对面IPT可能对癌症患者有益，但远程IPC并非如此。关于这一主题的研究较少，为了为IPT干预的实施提供依据，需要对不同群体的癌症患者进行研究。
PROSPERO，标识符CRD42023410687。
