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A comprehensive review of European clinical practice guidelines on psychological and cognitive assessment and support for cancer patients and their families.

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Τίτλος: A comprehensive review of European clinical practice guidelines on psychological and cognitive assessment and support for cancer patients and their families.
Συγγραφείς: Durosini I; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy. ilaria.durosini@ieo.it.; Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy. ilaria.durosini@ieo.it., Monzani D; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.; Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy., Coppini V; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.; Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy., Grigis A; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy., Mulè G; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy., Ferrari MV; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy., Bovolenta C; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy., Andritsch E; Division of Oncology, Medical University of Graz, Graz, Austria.; Division of Clinical Oncology, Department of Psychiatry, Psychosomatics and Psychotherapeutic Medicine, Division of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, University Clinic of Internal Medicine, Graz, Austria., Farkas C; Division of Oncology, Medical University of Graz, Graz, Austria.; Division of Clinical Oncology, Department of Psychiatry, Psychosomatics and Psychotherapeutic Medicine, Division of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, University Clinic of Internal Medicine, Graz, Austria., Meyerheim M; Department of Paediatric Oncology and Haematology, Faculty of Medicine, Saarland University, Homburg, Germany., Ciria-Suarez L; ICOnnecta't Digital Health Program, Catalan Institute of Oncology, Hospitalet de Llobregat, Catalonia, Spain.; The Bellvitge Biomedical Research Institute (IDIBELL), Psychooncology and Digital Health Group, Hospitalet del Llobregat, Catalonia, Spain., Brasiuniene B; National Cancer Center, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.; Faculty of Medicine, Vilnius University, Vilnius, Lithuania., Charalambous A; Cyprus University of Technology, Department of Nursing, School of Health Sciences, Limassol, Cyprus.; Department of Nursing, University of Turku, Turku, Finland., van der Weijst L; European Organisation for Research and Treatment of Cancer (EORTC) Headquarters, Brussels, Belgium., Dodlek N; Cyprus University of Technology, Department of Nursing, School of Health Sciences, Limassol, Cyprus., Grassi L; Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy., Graf N; Department of Paediatric Oncology and Haematology, Faculty of Medicine, Saarland University, Homburg, Germany., Heifez M; ICOnnecta't Digital Health Program, Catalan Institute of Oncology, Hospitalet de Llobregat, Catalonia, Spain.; The Bellvitge Biomedical Research Institute (IDIBELL), Psychooncology and Digital Health Group, Hospitalet del Llobregat, Catalonia, Spain., Arnedo CO; ICOnnecta't Digital Health Program, Catalan Institute of Oncology, Hospitalet de Llobregat, Catalonia, Spain.; The Bellvitge Biomedical Research Institute (IDIBELL), Psychooncology and Digital Health Group, Hospitalet del Llobregat, Catalonia, Spain.; Department of Clinical Psychology and Psychobiology, Universitat de Barcelona, Barcelona, Spain., Van Hemelrijck M; Transforming cancer OUtcomes through Research (TOUR), King's College London, London, UK., Rutenkröger M; Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Scholl I; Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Magnoni F; Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.; Division of Breast Surgery, IEO, European Institute of Oncology IRCCS, Milan, Italy., Lange M; Clinical Research Department, UNICANCER, Centre François Baclesse, Caen, France.; Equipe Labellisée Ligue Contre le Cancer, Services Unit PLATON, Cancer and Cognition Platform, Université de Caen Normandie, ANTICIPE U1086 INSERM-UCN, Centre François Baclesse, Caen, France., Pravettoni G; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.; Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Πηγή: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2026 Oct 14; Vol. 34 (11). Date of Electronic Publication: 2026 Oct 14.
Τύπος έκδοσης: Journal Article; Systematic Review; Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Springer International Country of Publication: Germany NLM ID: 9302957 Publication Model: Electronic Cited Medium: Internet ISSN: 1433-7339 (Electronic) Linking ISSN: 09414355 NLM ISO Abbreviation: Support Care Cancer Subsets: MEDLINE
Imprint Name(s): Original Publication: Berlin : Springer International, c1993-
Ιατρικοί όροι (MeSH): Neoplasms*/psychology , Neoplasms*/therapy , Family*/psychology , Practice Guidelines as Topic*, Stress, Psychological/diagnosis ; Stress, Psychological/therapy ; Depression/diagnosis ; Anxiety/diagnosis ; Humans ; Europe ; Social Support ; Cognition
Περίληψη: Purpose: Cancer remains a leading cause of mortality worldwide and, consequently, awareness of the psychological and cognitive challenges faced by patients and their families increases. To address these needs, psycho-oncological Clinical Practice Guidelines (CPGs) and recommendations have been progressively developed. This systematic review aimed to provide a comprehensive overview of existing European CPGs and recommendations regarding psychological and cognitive assessment and support for cancer patients and their families.
Methods: A literature search was conducted on PsycINFO, Scopus, and Medline (PubMed interface), supplemented by a secondary search strategy. Only CPGs published in the last 15 years were considered. Data extraction focused on guideline characteristics, target population, symptoms addressed, assessment tools, recommended interventions, and quality appraisal.
Results: After the screening phase, 38 publications were included. An increase in the publication of psycho-oncological guidelines emerges across European countries and the rise of a multidisciplinary approach. Most CPGs address adult cancer patients and prioritise distress, anxiety, and depression. Common screening tools are the Distress Thermometer and the Hospital Anxiety and Depression Scale. Concerning interventions, psychosocial support and counselling are the most recommended forms of support, while digital and family-centred interventions are scarcely mentioned. Looking at the level of evidence and strength of recommendations, heterogeneity was observed across CPGs.
Conclusion: The rise of CPGs represents an effort to integrate psycho-oncological assistance into cancer care in Europe, but gaps in inclusivity, protocols, and implementation remain. Future guidelines should address underserved groups, enhance methodological quality of the CPGs, and include digital and family-centred interventions to improve equitable access and holistic care.
(© 2026. The Author(s).)
Competing Interests: Declarations. Competing interests: The authors declare no competing interests.
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Contributed Indexing: Keywords: Cancer; Clinical practice guidelines; Cognition; Mental health; Psycho-oncology; Psychological intervention
Entry Date(s): Date Created: 20261014 Date Completed: 20261014 Latest Revision: 20261017
Update Code: 20261017
PubMed Central ID: PMC13669047
DOI: 10.1007/s00520-026-11071-5
PMID: 42873364
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1433-7339
DOI:10.1007/s00520-026-11071-5