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Effectiveness of Cognitive Behavioral Therapy Techniques for Control of Pain in Lung Cancer Patients: An Integrated Review

  • Published : 2015.09.02

Abstract

Background: Experience of lung cancer includes negative impacts on both physical and psychological health. Pain is one of the negative experiences of lung cancer. Cognitive behavioral therapy techniques are often recommended as treatments for lung cancer pain. The objective of this review was to synthesize the evidence on the effectiveness of cognitive behavioral therapy techniques in treating lung cancer pain. This review considered studies that included lung cancer patients who were required to 1) be at least 18 years old; 2) speak and read English or Thai; 3) have a life expectancy of at least two months; 4) experience daily cancer pain requiring an opioid medication; 5) have a positive response to opioid medication; 6) have "average or usual" pain between 4 and 7 on a scale of 0-10 for the day before the clinic visit or for a typical day; and 7) able to participate in a pain evaluation and treatment program. This review considered studies to examine interventions for use in treatment of pain in lung cancer patients, including: biofeedback, cognitive/attentional distraction, imagery, hypnosis, and meditation. Any randomized controlled trials (RCTs) that examined cognitive behavioral therapy techniques for pain specifically in lung cancer patients were included. In the absence of RCTs, quasi-experimental designs were reviewed for possible conclusion in a narrative summary. Outcome measures were pain intensity before and after cognitive behavioural therapy techniques. The search strategy aimed to find both published and unpublished literature. A three-step search was utilised by using identified keywords and text term. An initial limited search of MEDLINE and CINAHL was undertaken followed by analysis of the text words contained in the title and abstract, and of the index terms used to describe the article. A second search using all the identified keywords and index terms was then undertaken across all included databases. Thirdly, the reference list of all identified reports and articles were searched for additional studies. Searches were conducted during January 1991- March 2014 limited to English and Thai languages with no date restriction. Materials and Methods: All studies that met the inclusion criteria were assessed for methodological quality by three reviewers using a standardized critical appraisal tool from the Joanna Briggs Institute (JBI). Three reviewers extracted data independently, using a standardized data extraction tool from the Joanna Briggs Institute (JBI). Ideally for quantitative data meta-analysis was to be conducted where all results were subject to double data entry. Odds ratios (for categorical data) and weighted mean differences (for continuous data) and their 95% confidence intervals were to be calculated for analysis and heterogeneity was to be assessed using the standard Chi-square. Where statistical pooling was not possible the finding were be presented in narrative form. Results: There were no studies located that met the inclusion requirements of this review. There were also no text and opinion pieces that were specific to cognitive behavioral therapy techniques pain and lung cancer patients.Conclusions: There is currently no evidence available to determine the effectiveness of cognitive behavioural therapy techniques for pain in lung cancer patients.

References

  1. Ahles TA, Blanchard EB, Ruck (1983). Cognitive behavioral therapy techniques for pain in lung cancer patients deschel JC. The multidimensional nature of cancer-related pain. Pain, 17, 277-288. https://doi.org/10.1016/0304-3959(83)90100-8
  2. Anderson KO, Cohen MZ, Mendoza TR, et al (2006). Brief cognitive-behavioral audiotape interventions for cancerrelated pain. Cancer, 107, 207-214. https://doi.org/10.1002/cncr.21964
  3. Benedetti C, Brock C, Cleeland C, et al (2000). NCCN practice guidelines for cancer pain. Oncol (Huntingt), 14, 135-150.
  4. Bottomley A (1996). Group cognitive behavioral therapy interventions with cancer patients: A review of the literature. Eur J Cancer Care, 5, 143-6.
  5. Cindy S (2011). The appropriateness of canine-assisted interventions (CAIs) on the health and social care of older people residing in long term care: a systematic review. JBI Libr Syst Rev, 9, 1357-92.
  6. Compas BE, Haaga DAF, Keefe FJ, et al (1998). Sampling of empirically supported psychological treatments from health psychology: Smoking, chronic pain, cancer, and bulimia nervosa. J Consult Clin Psychol, 66, 89-112. https://doi.org/10.1037/0022-006X.66.1.89
  7. Dalton JA, Keefe FJ, Youngblood R (2004). Tailoring cognitivebehavioral treatment for cancer pain. Pain Management Nursing, 5, 3-18.
  8. Darba J, Kaskens L, Rosa RS (2014). Budget impact analysis of the fentanyl buccal tablet for treatment of breakthrough cancer pain. Clinicoecon Outcomes Res, 6, 1-9.
  9. Dobson K, Dozios DJA (2001). Historical and philosophical bases of the cognitive behavioral therapy. In: Dobson KS, editor. Handbook of cognitive behavioral therapies (2nd ed.). New York: Guilford Press.
  10. Folkman S, Greer S (2000). Promoting psychological well-being in the face of serious illness: when theory, research and practice inform each other. Psychooncol, 9, 11. https://doi.org/10.1002/(SICI)1099-1611(200001/02)9:1<11::AID-PON424>3.0.CO;2-Z
  11. Gauvin FP, Lavis JN (2013). Improving end-of-life communication, decision-making and care in ontario. McMaster Health Forum, 11, 1.
  12. Golden RN (2004). Making advances where it matters: Improving outcomes in mood and anxiety disorders. CNS Spectr, 9, 14-22.
  13. Hsu TH, Lu MS, Tsou TS, et al (2003). The relationship of pain, uncertainty, and hope in taiwanese lung cancer patients. J Pain Symptom Manage, 26, 835-842. https://doi.org/10.1016/S0885-3924(03)00257-4
  14. Jacox A, Carr DB, Payne R (1994). New clinical-practice guidelines for the management of pain in patients with cancer. N Engl J Med, 330, 651-5.
  15. Jean P, Irene JH (2004). Pain experienced by lung cancer patients: a review of prevalence, causes and pathophysiology. http://www.elsevier.com/locate/lungcan, 43, 247-57. https://doi.org/10.1016/j.lungcan.2003.08.030
  16. Karen LS, Gary WD, Martha, WD, et al (1995). Relaxation and imagery and ognitive-behavioral training reduce pain during cancer treatment: a controlled clinical trial. Pain, 63, 189-98. https://doi.org/10.1016/0304-3959(95)00039-U
  17. Kwekkeboom KL, Abbott-Anderson K, Cherwin C (2012). 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 Management, 44, 810-22. https://doi.org/10.1016/j.jpainsymman.2011.12.281
  18. Kwekkeboom KL (1993). A model for cognitive-behavioral interventions in cancer pain management. J NurScholarship, 31, 151-6.
  19. Li F, Feng Y, Fang R, et al (2012). Identification of RET gene fusion by exon array analyses in pan-negative lung cancer from never smokers. Cell Res, 22, 928-931. https://doi.org/10.1038/cr.2012.27
  20. McGinn L, Sanderson W (2001). What allows cognitive behavioral therapy to be brief: overview, efficacy and crucial factors facilitating brief treatment. Psychol Sci Pract, 8, 23-73. https://doi.org/10.1093/clipsy.8.1.23
  21. Mundy EA, DuHamel KN, Montgomery GH (2003). The efficacy of behavioral interventions for cancer treatment related side effects. Semin Clin Neuropsychiatry, 8, 253-75.
  22. Noyes R (1981). Treatment of cancer pain. Psychosom Med, 43, 57-70. https://doi.org/10.1097/00006842-198102000-00007
  23. Porter LS, Keefe FJ, Garst J, et al (2012). Caregiver-assisted coping skills training for lung cancer: results of a randomized clinical trial. J Pain Symptom Manage, 1, 1-19.
  24. Sansom-Daly UM, Wakefield CE, Bryant RA, et al (2012). Online group-based cognitive-behavioural therapy for adolescents and young adults after cancer treatment: A multicenter randomised controlled trial of Recapture Life-AYA. BMC Cancer, 12, 1-6. https://doi.org/10.1186/1471-2407-12-1
  25. Sherwood P, Given BA, Given CW, et al (2005). A cognitive behavioral intervention for symptom management in patients with advanced cancer. Oncol Nurs Forum, 32, 1190-1198. https://doi.org/10.1188/05.ONF.1190-1198
  26. Simmons CPL, MacLeod N, Laird BJA (2012). Clinical management of pain in advance lung cancer. Clinical Med Insights Oncol, 6, 331-46.
  27. Spiegel D, Bloom JR (1983). Group therapy and hypnosis reduce metastatic breast carcinoma pain. Psychosom Med, 45, 333-9. https://doi.org/10.1097/00006842-198308000-00007
  28. Susan MP, Ruth R, Angela N, et al (2013). Patient Outcomes and Satisfaction with Care Following Palliative Care Consultation. J Hospice Palliative Nursing, 15, 225-32. https://doi.org/10.1097/NJH.0b013e318279f4ce
  29. Tatrow K, Montgomery GH (2006). Cognitive Behavioral Therapy Techniques for Distress and Pain in Breast Cancer Patients: A Meta-Analysis. J Behav Med, 29, 17-27. https://doi.org/10.1007/s10865-005-9036-1
  30. The Joanna Briggs Institute (2008). Joanna briggs institute reviewers' manual. 2008 edition.
  31. Trijsburg RW, van Knippenberg FCE, Rijpma SE (1992). Effects of psychological treatment on cancer patients: A critical review. Psychosom Med, 54, 489-517. https://doi.org/10.1097/00006842-199207000-00011
  32. Wildiers H, Heeren P, Puts M, et al (2015). International society of geriatric oncology consensus on geriatric assessment in older patients with cancer. J Clin Oncol, 33, 1-6. https://doi.org/10.1200/JCO.2014.57.7890
  33. Yoder LH (2006). An overview of lung cancer symptoms, pathophysiology, and treatment. Med Nur, 15, 231-234.

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