Psychosocial interventions for adolescents and young adult cancer patients: A systematic review and meta-analysis
A partir d'une revue systématique de la littérature publiée jusqu'en février 2014 (12 études), cette méta-analyse évalue l'effet d'interventions psychosociales (interventions pédagogiques, conseils, exercices physiques, ...) sur la santé psychique des adolescents et jeunes adultes atteints d'un cancer
Adolescent and young adult (AYA) cancer patients experience unique psychosocial needs and developmental challenges. A cancer diagnosis can stress this development and disrupt AYAs in their normal life. The aim of this systematic review and meta-analysis was to assess the impact of psychosocial interventions on mental health in AYAs. A literature research was conducted, which resulted in twelve eligible studies. The standardized mean difference between intervention and control conditions was 0.13 (95% CI: -0.16 to 0.42) for quality of life, 0.27 (95% CI: −0.22 to 0.76) for cancer-related knowledge and −0.16 (95% CI: −0.73 to 0.42) on psychological distress indicating, small and non-significant effects for interventions improving mental health. This work strengthens the need for age-appropriated interventions in psycho-oncology. Future research should develop interventions more graduated by age. Randomized intervention studies with larger samples and focusing psychosocial outcomes are needed to establish evidence-based psycho-oncological interventions for AYAs.
http://www.sciencedirect.com/science/article/pii/S1040842815000694 2015