Living with mesothelioma: A systematic review of patient and caregiver psychosocial support needs

Lauren J Breen; Taha Huseini; Anne Same; Carolyn J Peddle-McIntyre; Y C Gary Lee

doi:10.1016/j.pec.2022.02.017

Living with mesothelioma: A systematic review of patient and caregiver psychosocial support needs

Patient Educ Couns. 2022 Jul;105(7):1904-1916. doi: 10.1016/j.pec.2022.02.017. Epub 2022 Feb 26.

Authors

Lauren J Breen¹, Taha Huseini², Anne Same³, Carolyn J Peddle-McIntyre⁴, Y C Gary Lee⁵

Affiliations

¹ Curtin School of Population Health, Curtin University, Perth, Western Australia, Australia; Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia. Electronic address: lauren.breen@curtin.edu.au.
² Curtin School of Population Health, Curtin University, Perth, Western Australia, Australia; Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
³ Curtin School of Population Health, Curtin University, Perth, Western Australia, Australia.
⁴ Exercise Medicine Research Institute, Edith Cowan University, Perth, Western Australia, Australia; School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia.
⁵ Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia; Centre for Respiratory Health, University of Western Australia, Perth, Western Australia, Australia.

PMID: 35260259
DOI: 10.1016/j.pec.2022.02.017

Abstract

Objective: Practice guidelines emphasize the importance of investigating psychosocial distress in mesothelioma patients and family caregivers. We aimed to synthesize research on the psychosocial support needs of mesothelioma patients and their family caregivers.

Methods: We conducted a systematic review with a narrative synthesis and quality assessment. The review process adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Results: MEDLINE, EMBASE, Scopus, PsychArticles, and PsycINFO were searched until December 2020 and 37 studies in English met inclusion criteria. Most (n = 24) included mesothelioma patients as a very small proportion of their cancer samples. A narrative synthesis was conducted on the 13 studies including only mesothelioma patients (n = 297) and/or caregivers (n = 82). Patients and caregivers want improvements in the diagnosis delivery and access to palliative care. Patients want emotional support, patient-centered treatment, improved information about illness progression and death, and to meet others with mesothelioma. Caregivers want one-on-one practical and emotional support. Study quality varied.

Conclusions: Few studies focus on the psychosocial support needs relevant to mesothelioma. Mesothelioma patients and family caregivers highlight targeted psychosocial care as an unmet need.

Practice implications: Efforts are required to design and test psychosocial interventions for this vulnerable and overlooked group.

Protocol registration: PROSPERO (registration number CRD42020167852).

Keywords: Cancer; Caregivers; Mesothelioma; Oncology; Patients; Psychosocial aspects; Quality of life; Systematic review.

Publication types

Review
Systematic Review
Research Support, Non-U.S. Gov't

MeSH terms

Caregivers* / psychology
Humans
Mesothelioma* / therapy
Palliative Care / methods
Psychosocial Support Systems
Quality of Life / psychology