Volume 7, Issue 4, December 2019, Page: 108-118
A Review of Psychosocial Interventions in Patients with Advanced Cancer in Latin America and the Value of CALM Therapy in This Setting
Paulina Troncoso, Department of Supportive Care, University Health Network, Toronto, Canada
Anne Rydall, Department of Supportive Care, University Health Network, Toronto, Canada
Sarah Hales, Department of Supportive Care, University Health Network, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Princess Margaret Cancer Research Institute, University Health Network, Toronto, Canada
Gary Rodin, Department of Supportive Care, University Health Network, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Princess Margaret Cancer Research Institute, University Health Network, Toronto, Canada
Received: May 13, 2019;       Accepted: Nov. 6, 2019;       Published: Nov. 21, 2019
DOI: 10.11648/j.ajpn.20190704.15      View  38      Downloads  13
Abstract
Background: Advanced cancer is associated with multiple profound and practical challenges, including physical suffering and support needs. Depressive symptoms and other manifestations of distress are common in this population. At present, little professional support is available to help to alleviate the psychological distress of patients and families living with the burden of advanced cancer. Effective interventions and their integration into local health systems are needed to meet this challenge. Managing Cancer and Living Meaningfully (CALM), a brief psychotherapy intervention for patients with advanced cancer. Research conducted in Canada has demonstrated its feasibility, acceptability and effectiveness in reducing and preventing depressive symptoms, in managing distress related to death and dying, and in preparing for the end of life. Research is needed to demonstrate the feasibility and acceptability of CALM in Latin America, a developing region comprised of 35 different low- and middle-income countries in South and Central America, where more than one million people are presently in need of end-of-life care. Aim: Review evidence for psychosocial oncology interventions in Latin America and the potential applicability and implementation of CALM therapy in patients with advanced Cancer in this setting. Methods: We used an iterative search process to locate information about psychological interventions for patients with advanced cancer in South/Central/Latin America. Multiple searches were performed in Medline, Google Scholar, National Guidelines Clearinghouse, Trip Database, Redalyc, Scielo, and Latindex for terminology describing cancer, end-of-life, psychology, and psychological interventions. In the larger resources, we added either limits or search terms for Latin America. Results: The literature identified describes psychological interventions for patients with cancer, including psychoeducation, support therapies, group therapies, cognitive behavior therapy, spirituality and hypnosis. However, very few of these interventions were specifically designed for patients with advanced cancer. The majority of articles describe psychological/ psychotherapeutic interventions being implemented in Europe, North America, and Australian settings and we could identify only two papers describing psychological interventions being applied in an advanced cancer setting in Latin America. Conclusion: The availability and practice of psychological interventions in advanced cancer in Latin America are scarce. However, interest in applying such interventions appears to be growing. The application of the CALM intervention in multiple cultures and international settings suggests that it may be feasible and acceptable and effective in Latin America. Research is needed to demonstrate this and to support advocacy for its implementation in this region.
Keywords
Psychotherapy, Advanced Cancer, End of Life, Palliative Care, Distress, Dying and Death, Death Anxiety, Latin America
To cite this article
Paulina Troncoso, Anne Rydall, Sarah Hales, Gary Rodin, A Review of Psychosocial Interventions in Patients with Advanced Cancer in Latin America and the Value of CALM Therapy in This Setting, American Journal of Psychiatry and Neuroscience. Vol. 7, No. 4, 2019, pp. 108-118. doi: 10.11648/j.ajpn.20190704.15
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Kissane DW, Clarke DM, Street AF. Demoralization syndrome--a relevant psychiatric diagnosis for palliative care. J Palliat Care. 2001; 17 (1): 12-21.
[2]
Rodin G, Zimmermann C. Psychoanalytic reflections on mortality: a reconsideration. J Am Acad Psychoanal Dyn Psychiatry. 2008; 36 (1): 181-96.
[3]
Colosimo K, Nissim, R., Pos, A. E., Hales, S., Zimmermann, C., & Rodin, G. Double awareness” in psychotherapy for patients living with advanced cancer. Journal of Psychotherapy Integration, http://dxdoiorg/101037/int0000078. 2018; 28 (2): 125-40.
[4]
Li M BV, Lo C, et al.. Depression and anxiety in supportive oncology. In: Davis M Feyer P OP, editor. Supportive Oncology. first ed. Philadelphia, PA2011. p. 528-40.
[5]
Rodin G, Lo C, Mikulincer M, Donner A, Gagliese L, Zimmermann C. Pathways to distress: the multiple determinants of depression, hopelessness, and the desire for hastened death in metastatic cancer patients. Soc Sci Med. 2009; 68 (3): 562-9.
[6]
Kissane DW. The contribution of demoralization to end of life decisionmaking. Hastings Cent Rep. 2004; 34 (4): 21-31.
[7]
Morita T, Kawa M, Honke Y, Kohara H, Maeyama E, Kizawa Y, et al. Existential concerns of terminally ill cancer patients receiving specialized palliative care in Japan. Support Care Cancer. 2004; 12 (2): 137-40.
[8]
Chochinov HM, Hack T, Hassard T, Kristjanson LJ, McClement S, Harlos M. Understanding the will to live in patients nearing death. Psychosomatics. 2005; 46 (1): 7-10.
[9]
Hales S LC, Rodin G. Manging cancer and living meaningfully (CALM) Therapy In: Holland JC BW, Butow PN, Jacobsen PB, LoscalzoMJ, McCorkle R., editor. Psycho-onclogy, Third edition. third ed. oxford University Press: New York, NY2015. p. 487-91.
[10]
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 (5): 713-21.
[11]
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. 2014; 28 (3): 234-42.
[12]
Lo C, Hales S, Chiu A, Panday T, Malfitano C, Jung J, et al. Managing Cancer And Living Meaningfully (CALM): randomised feasibility trial in patients with advanced cancer. BMJ Support Palliat Care. 2016.
[13]
Lo C, Hales S, Rydall A, Panday T, Chiu A, Malfitano C, et al. Managing Cancer And Living Meaningfully: study protocol for a randomized controlled trial. Trials. 2015; 16: 391.
[14]
G RC, Lo; A, Rydall; J. Shnall; C, Malfitano; A, Chiu; T, Panday; S, Watt; E. An; R, Nissim; M, Li; C. Zimmermann; S. Hales. Managing Cancer And Living Meaningfully (CALM). A Randomized Controlled Trial of a Psychological Intervention for Patients with Advanced Cancer. Journal of Clinical Oncology 2019.
[15]
http.//www.whocancerpain.wisc.edu/eng/spring96/palliative.html. BE. Palliative care delivery in Latin America. obstaccles and solutions. 2007.
[16]
Terzic A, Waldman S. Chronic diseases: the emerging pandemic. Clin Transl Sci. 2011; 4 (3): 225-6.
[17]
http://www.eiuperspectives.economist.com/healthcare/2015-quality-death-index EIU. The 2015 Quality of Death Index. Country Profiles. Ranking paliative care across the world. 2015.
[18]
Bosma H, Apland L, Kazanjian A. Cultural conceptualizations of hospice palliative care: more similarities than differences. Palliat Med. 2010; 24 (5): 510-22.
[19]
Justo N, Wilking N, Jonsson B, Luciani S, Cazap E. A review of breast cancer care and outcomes in Latin America. Oncologist. 2013; 18 (3): 248-56.
[20]
Islam SM, Purnat TD, Phuong NT, Mwingira U, Schacht K, Froschl G. Non-communicable diseases (NCDs) in developing countries: a symposium report. Global Health. 2014; 10: 81.
[21]
Singer PA, Bowman KW. Quality end-of-life care: A global perspective. BMC Palliat Care. 2002; 1 (1): 4.
[22]
World Palliative Care Alliance WHO. Global atlas of Palliative Care at the End of Life. http://www.who.int/cancer/publications7palliative-care-atlas/en/ houston2012 [Primera]
[23]
Pastrana T, De Lima L, Eisenchlas J, Wenk R. Palliative care research in Latin America and the Caribbean: from the beginning to the Declaration of Venice and beyond. J Palliat Med. 2012; 15 (3): 352-8.
[24]
Pastrana T, Centeno C, De Lima L. Palliative Care in Latin America from the Professional Perspective: A SWOT Analysis. J Palliat Med. 2015; 18 (5): 429-37.
[25]
Gwyther L KEhwtorcw-p-s. WPCA policy statement on defining palliative care. Worldwide Paliative Care Alliance.
[26]
Soto-Perez-de-Celis E, Chavarri-Guerra Y, Pastrana T, Ruiz-Mendoza R, Bukowski A, Goss PE. End-of-Life Care in Latin America. J Glob Oncol. 2017; 3 (3): 261-70.
[27]
Born W, Greiner KA, Sylvia E, Butler J, Ahluwalia JS. Knowledge, attitudes, and beliefs about end-of-life care among inner-city African Americans and Latinos. J Palliat Med. 2004; 7 (2): 247-56.
[28]
Yennurajalingam S, Noguera A, Parsons HA, Torres-Vigil I, Duarte ER, Palma A, et al. A multicenter survey of Hispanic caregiver preferences for patient decision control in the United States and Latin America. Palliat Med. 2013; 27 (7): 692-8.
[29]
Baile WF, Lenzi R, Parker PA, Buckman R, Cohen L. Oncologists' attitudes toward and practices in giving bad news: an exploratory study. J Clin Oncol. 2002; 20 (8): 2189-96.
[30]
Adames HY, Chavez-Duenas NY, Fuentes MA, Salas SP, Perez-Chavez JG. Integration of Latino/a cultural values into palliative health care: a culture centered model. Palliat Support Care. 2014; 12 (2): 149-57.
[31]
Kelley AS, Wenger NS, Sarkisian CA. Opiniones: end-of-life care preferences and planning of older Latinos. J Am Geriatr Soc. 2010; 58 (6): 1109-16.
[32]
Region RiLAWCiaHC. http://www.pewforum.org/2014/11/13/religion-in-latin-america/ 2014
[33]
Ko E, Cho S, Perez RL, Yeo Y, Palomino H. Good and bad death: exploring the perspectives of older Mexican Americans. J Gerontol Soc Work. 2013; 56 (1): 6-25.
[34]
Wenk R, Bertolino M. Palliative care development in South America: a focus on Argentina. J Pain Symptom Manage. 2007; 33 (5): 645-50.
[35]
Saha U RA, Shnall J, Rodin G. Cost-effectiveness analysis of the CALM psychosocial intervention for patients with advanced cancer. [Oral presentation at The Canadian Association for Health Services and Policy Research, Montreal, Quebec, Canada.]. In press 2018.
[36]
Caycho T, Ventura, J., Barboza, M., et al. La investigacion psicoonclogica en el Peru: Un estudio bibliometrico de articulos publicados en revistas cientificas peruanas (2006-2016). In: Rojas C, Gutierrez, Y., editor. Psicoonclogia enfoques, avances e investigacion. Nueva mirada ed. Talca, Chile 2017. p. 109-31.
[37]
Villoria E, Fernandez, C., Padierna, C., Gonzalez, S. La intervencion psicologica en pacientes oncologicos: Una revision de la literatura (2000-2014). Psicoonclogia. 2015; 12 (2-3): 2017-236.
[38]
Landa-Ramirez E, Greer, A., Vite-Sierra, A., et al. Descripcion de la terapia cognitivo- conductual para la ansiedad en pacientes con cancer terminal. Psicooncologia. 2014; 11 (1): 151-62.
[39]
Murillo M, Alarcon, A.,. Tratamientos psicosomaticos en el paciente con cancer. Revista colombiana de psiquiatria. 2006; XXXV: 92-111.
[40]
O´Brien M, O´Brien, T., Yasky, J. Un novedoso grupo terapeutico para mujeres con cancer de mama avanzado. Revista Argentina de Clínica Psicológica. 2011; XX (3): 247-53.
[41]
Santana J, Bernal, G., Rodriguez, L. et al Asuntos conceptuales, metodologicos y eticos de la hipnosis como terapia psicologica adjunta al tratamiento del cancer. Salud y sociedad. 2012; 3 (2): 212-36.
[42]
Barquero A. Abordaje psiquiatrico del paciente oncologico. Revista medica de la universidad de Costa Rica. 2017; 10 (2): 63-71.
[43]
Cabrera YL, E., Cabrera, E., et al. la Psicologia y la Oncologia una unidad impresindible. Revista Finlay. 2017; 7 (2): 116-27.
[44]
Castillo Z, Diaz, I., Navarro, M., et al Efectividad de la intervencion psicoterapeutica en mujeres en tratamiento por cancer de mama para la adecuacion de la autovaloracion. Revista Argentina de Clínica Psicológica. 2013; XXII (3): 287-98.
[45]
Garduño C, Riveros, A., Sanchez, J. Calidad de vida y cancer de mama: Efectos de una intervencion cognitivo-conductual. Revista Latino Americana de medicina conductual. 2010; 1 (1): 69-80.
[46]
Gercovich F, Torrente, F., Lopez, P. et al. Psicoterapia focalizada en pacientes oncologicos. resultado del tratamiento en un contexto naturalistico. Revista Argentina de Clínica Psicológica. 2011; XX (3): 239-46.
[47]
Do Carmo TM, Paiva BSR, de Oliveira CZ, Nascimento MSA, Paiva CE. The feasibility and benefit of a brief psychosocial intervention in addition to early palliative care in patients with advanced cancer to reduce depressive symptoms: a pilot randomized controlled clinical trial. BMC Cancer. 2017; 17 (1): 564.
[48]
Ramirez M, Rojas, M., Landa, E. Efecto de una intervencion Cognitivo Conductual breve sobre el afrontamiento y las sintomatologias ansiosa y depresiva de paceinets con cancer de mama sometidas a mastectomia. Revista Latino Americana de medicina conductual. 2017; 7 (1): 1-8.
[49]
Ascencio-Huertas L, Rangel-Dominguez, N., Allende, A. Proceso de atencion psicologica en el programa de atencion y cuidados en oncologia del instituto nacional de cancerologia. Psicooncologia. 2013; 10 (3): 393-406.
[50]
Zambrano Z. Estrategias de afrontamiento en pacientes con cancer de mama tipo carcinoma ductal en solca machala (2016-2017) [Maestria en psicologia clinica]. Ecuador: Universidad de Guayaquil.; 2016.
[51]
Alessandri C, Portilla, D., Koppmann, A. Psico-oncologia: una aproximacion Interdiciplinaria al paciente oncologico y su familia. Revista Contacto Cientifico. 2015; 5 (6): 63-7.
[52]
Robert VA, C. Valdiviezo, F. Psicoonclogia: un medelo de intervencion y apoyo psicosocial. Revista medica clinica las condes. 2013; 24 (4): 677-84.
[53]
Flores H. Psicoterapia de grupo en pacientes de cancer. Revista LatinoAmericana de Psicologa. 1979; II (1): 47-63.
[54]
Orrego SS, F., Sanchez, R. Desarrollo de una intervencion centrada en espiritualidad en paceinets con cancer. Revista Universitas Psychologica. 2014; 14 (1): 15-27.
[55]
Rodin G AE, Shnall J, Malfitano C.. Psychological interventions for patients with advanced disease: Implications for oncology and palliative care. Journal of Clinical Oncology Revision submitted. 2019.
Browse journals by subject