Arthur Sutherland Memorial Award Lecture
Beyond the psychotherapy and survival debate: the challenge of social disparity, depression and treatment adherence in psychosocial cancer care
Article first published online: 18 DEC 2008
Copyright © 2008 John Wiley & Sons, Ltd.
Volume 18, Issue 1, pages 1–5, January 2009
How to Cite
Kissane, D. (2009), Beyond the psychotherapy and survival debate: the challenge of social disparity, depression and treatment adherence in psychosocial cancer care. Psycho-Oncology, 18: 1–5. doi: 10.1002/pon.1493
- Issue published online: 18 DEC 2008
- Article first published online: 18 DEC 2008
- Manuscript Accepted: 3 OCT 2008
- Manuscript Received: 2 OCT 2008
The psychotherapy and cancer survival debate generated great interest in the psychoneuroimmunological and bio-behavioral mechanisms that might mediate any gain in survival. Recent methodologically-improved cognitive-existential, supportive-expressive and psycho-educational group interventions for patients with breast cancer and melanoma have not extended survival times. Shorter survival has been associated with social disparity and untreated clinical depression, potentially mediated by poorer adherence to anti-cancer treatments. Group therapy both prevents and treats depression. Future research could address these bio-behavioral mechanisms. Copyright © 2008 John Wiley & Sons, Ltd.