Enhancing mental health in oncology: The role of psychiatric interventions and nurse-patient relationships

  • Jiangyou Yu Department of Sleep and Psychology, Women and Children’s Hospital of Chongqing Medical University, Chongqing 401147, China
  • Chenggang Jiang * Chongqing Health Center for Women and Children, Chongqing 401147, China
Article ID: 3641
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Keywords: psychiatric interventions; nurse-patient relationships; cancer patients; mental health support

Abstract

Cancer remains a significant global public health challenge, causing 7–8 million deaths annually. Advances in medical technology have significantly improved cancer survival rates; however, psychological issues such as anxiety and depression, alongside a reduced quality of life, continue to impact patients’ overall well-being and treatment outcomes. This review highlights psychiatric interventions and the critical role of the nurse-patient relationship as integral components of a comprehensive model for enhancing mental health in oncology patients. The aim of this research is to evaluate the effectiveness of various psychiatric interventions, including cognitive behavioral therapy (CBT), psychological counseling, and supportive therapies, while also identifying the benefits of the therapeutic relationship between nurses and patients. Data collection involved an extensive literature review (spanning over 10 databases) and a publication bias assessment through meta-analysis to evaluate the reproducibility of findings. The results demonstrate that psychological interventions can significantly reduce anxiety and depression in cancer patients, leading to improved quality of life. Moreover, the effectiveness of these interventions is further enhanced when supported by strong nurse-patient relationships, which foster greater trust and patient satisfaction. Despite the promising results, several limitations were identified, including variability in sample sizes and diversity in study designs. Future research should involve larger-scale and longitudinal studies to verify the long-term effects of these interventions. Additionally, the effectiveness of these interventions should be examined across different cultural contexts to ensure their generalizability. This study underscores the importance of robust nurse-patient relationships and psychiatric care tailored to the needs of cancer patients, providing a foundation for advancing clinical practice and future research.

Published
2025-11-20
How to Cite
Yu, J., & Jiang, C. (2025). Enhancing mental health in oncology: The role of psychiatric interventions and nurse-patient relationships. Psycho-Oncologie, 19(4). https://doi.org/10.18282/po3641
Section
Article

References

1. Hartley S, Raphael J, Lovell K, et al. Effective nurse–patient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance. International Journal of Nursing Studies. 2020; 102: 103490. doi: 10.1016/j.ijnurstu.2019.103490

2. Moreno‐Poyato AR, Rodríguez‐Nogueira Ó, Casanova‐Garrigos G, et al. The impact of a participatory intervention on the therapeutic relationship in mental health nurses: A multicentre study. Journal of Advanced Nursing. 2021; 77(7): 3104–3115. doi: 10.1111/jan.14835

3. Rodin G, An E, Shnall J, et al. Psychological Interventions for Patients With Advanced Disease: Implications for Oncology and Palliative Care. Journal of Clinical Oncology. 2020; 38(9): 885–904. doi: 10.1200/jco.19.00058

4. Trigo M. Psychiatric aspects of the end of life in oncologic patients. European Psychiatry. 2021; 64(S1): S748-S748. doi: 10.1192/j.eurpsy.2021.1982

5. Low S, Nakaji A, Irwin S, Van der Gaag J. Creating a proactive interdisciplinary approach to care: Embedding oncology care coordination within an oncology patient and family support program. Journal of Clinical Oncology. 2022; 40(28). doi: 10.1200/jco.2022.40.28_suppl.051

6. Rettig A, Moore K, Savona E, et al. Take-a-Break Intervention: Improving Oncology Nurse Wellness. Clinical Journal of Oncology Nursing. 2021; 25(2): 210–214. doi: 10.1188/21.cjon.210-214

7. Irwin KE, Park ER, Fields LE, et al. Bridge: Person-Centered Collaborative Care for Patients with Serious Mental Illness and Cancer. The Oncologist. 2019; 24(7): 901–910. doi: 10.1634/theoncologist.2018-0488

8. Frankenfield R, Thompson K, Lindsey A, et al. Caring for Staff: The Role of Psychiatric Mental Health Advanced Practice RNs in Supporting Oncology Nurses. Clinical Journal of Oncology Nursing. 2018; 22(5): 569–572. doi: 10.1188/18.cjon.569-572

9. Rait DS. Including Family Members in Caring for the Patient with Cancer. In: Butow PN (editor). Psycho-Oncology. 2021: 723-728. doi: 10.1093/med/9780190097653.003.0090

10. Rawl SM, Given BA, Given CW, et al. Intervention to Improve Psychological Functioning for Newly Diagnosed Patients With Cancer. Oncology Nursing Forum. 2002; 29(6): 967–975. doi: 10.1188/02.onf.967-975

11. Zhao L, Ma L, Chen X, et al. Psychological nursing intervention improve the mental health status of young patients with lung cancer surgery during the perioperative period. Medicine. 2021; 100(31): e26736. doi: 10.1097/md.0000000000026736

12. Arving C, Sjode´n PO, Bergh J, et al. Individual Psychosocial Support for Breast Cancer Patients. Cancer Nursing. 2007; 30(3): E10–E19. doi: 10.1097/01.ncc.0000270709.64790.05

13. Kleine AK, Hallensleben N, Mehnert A, et al. Psychological interventions targeting partners of cancer patients: A systematic review. Critical Reviews in Oncology/Hematology. 2019; 140: 52–66. doi: 10.1016/j.critrevonc.2019.05.008

14. Bonetti L, Tolotti A, Valcarenghi D, et al. Nurses’ interventions to promote cancer patient engagement and related outcomes: a systematic review and meta-analysis protocol. Acta Bio Medica Atenei Parmensis. 2020; 91(6-S): 65–70. doi: 10.23750/abm.v91i6-S.9658

15. Schenker Y, Althouse AD, Rosenzweig M, et al. Effect of an Oncology Nurse–Led Primary Palliative Care Intervention on Patients With Advanced Cancer. JAMA Internal Medicine. 2021; 181(11): 1451. doi: 10.1001/jamainternmed.2021.5185

16. Casanovas F, Castro JI, Masferrer C, et al. Paving the way for the oncological process in patients with schizophrenia. European Psychiatry. 2021; 64(S1): S746–S747. doi: 10.1192/j.eurpsy.2021.1978

17. Pasek M, Goździalska A, Jochymek M, et al. Social Support in a Cancer Patient-Informal Caregiver Dyad: A Scoping Review. Cancers. 2023; 15(6): 1754. doi: 10.3390/cancers15061754

18. Mehdipoorkorani L, Bahrami M, Mosavizade R. Impact of a Spiritual Care Program on Spiritual Wellbeing of Oncology Nurses: A Randomized Clinical Trial. Iranian Journal of Nursing and Midwifery Research. 2019; 24: 38–43. doi: 10.4103/ijnmr.IJNMR_33_18

19. Henoch I, Danielson E, Strang S, et al. Training Intervention for Health Care Staff in the Provision of Existential Support to Patients With Cancer: A Randomized, Controlled Study. Journal of Pain and Symptom Management. 2013; 46(6): 785–794. doi: 10.1016/j.jpainsymman.2013.01.013

20. Parajuli J, Hupcey J. A Systematic Review on Oncology Nurses’ Knowledge on Palliative Care. Cancer Nursing. 2020; 44(5): E311–E322. doi: 10.1097/ncc.0000000000000817

21. Rosa WE, Hinds PS, Burnett C. Cancer Nurses, Relational Care, and Science to Achieve Social Justice in Oncology. Cancer Nursing. 2021; 44(3): 178–179. doi: 10.1097/ncc.0000000000000955

22. Ren Y. Effect Evaluation of Mental Nursing in Nursing of Young Cancer Patients Based on Big Data. Frontiers in Public Health. 2022; 10. doi: 10.3389/fpubh.2022.888183

23. Pavić K, Vešić M. Nursing interventions in treatment of emergencies in oncology. Sestrinska rec. 2020; 23(81): 30–33. doi: 10.5937/sestrec2081030p

24. Belza MA, Man D, Veronca TM, et al. Wading Through Misery, Hope and Beauty in Caring For Cancer Patients: Experiences of Oncology Nurses. South Asian Research Journal of Nursing and Healthcare. 2019; 01(01): 18–25. doi: 10.36346/sarjnhc.2019.v01i01.003

25. Moosavi S, Rohani C, Borhani F, Akbari M. Consequences of Spiritual Care for Cancer Patients and Oncology Nurses: a Qualitative Study. Asia-Pacific Journal of Oncology Nursing. 2019; 6: 137–144. doi: 10.4103/apjon.apjon_37_18

26. Duberstein PR, Maciejewski PK, Epstein RM, et al. Effects of the Values and Options in Cancer Care Communication Intervention on Personal Caregiver Experiences of Cancer Care and Bereavement Outcomes. Journal of Palliative Medicine. 2019; 22(11): 1394–1400. doi: 10.1089/jpm.2019.0078

27. Ellen ME, Perlman S, Shach R. Too Much Cancer Care? Cancer Nursing. 2020; 44(4): E236–E243. doi: 10.1097/ncc.0000000000000814

28. Shaw J, Allison K, Cuddy J, et al. Identifying and Responding To Anxiety and Depression in Adult Cancer Patients: Development, Acceptability and Uptake of An On-Line Communication Skills Education Program Targeting Challenging Conversations for Oncology Health Professionals. 2021. doi: 10.21203/rs.3.rs-731726/v1

29. Thomas SP. Introduction of Veronica Decker, Guest Editor of Special Issue on Technology in Psychiatric-Mental Health Clinical Practice, Research, and Education. Issues in Mental Health Nursing. 2019; 40(3): 199. doi: 10.1080/01612840.2019.1548848

30. Schuster MA. Creating the Hematology/Oncology/Stem Cell Transplant Advancing Resiliency Team: A Nurse-Led Support Program for Hematology/Oncology/Stem Cell Transplant Staff. Journal of Pediatric Oncology Nursing. 2021; 38(5): 331–341. doi: 10.1177/10434542211011046

31. Lin CC, Xu X. A Leap From Evidence to Practice: Implementation Science in Cancer Nursing. Cancer Nursing. 2019; 42(4): 259–260. doi: 10.1097/ncc.0000000000000714

32. Radwin LE, Cabral HJ, Wilkes G. Relationships between patient‐centered cancer nursing interventions and desired health outcomes in the context of the health care system. Research in Nursing & Health. 2008; 32(1): 4–17. doi: 10.1002/nur.20302

33. Ding H, Jiang Y. Effect of High-Quality Nursing Intervention on the Quality of Life and Psychological State of Tumor Patients Undergoing First Chemotherapy. Dong Z, ed. Evidence-Based Complementary and Alternative Medicine. 2022; 2022: 1–6. doi: 10.1155/2022/9466665

34. Galassi A, Anwarali S, Challinor J. Global challenges and initiatives in oncology nursing education. Annals of Palliative Medicine. 2023; 12(3): 633–645. doi: 10.21037/apm-22-1120

35. Molin J, Hällgren Graneheim U, Ringnér A, et al. Time Together as an arena for mental health nursing – staff experiences of introducing and participating in a nursing intervention in psychiatric inpatient care. International Journal of Mental Health Nursing. 2020; 29(6): 1192–1201. doi: 10.1111/inm.12759

36. Vintilă M, Ştefănuţ AM, Sârbescu P. Effectiveness of couple psycho-oncological interventions in increasing patients and their partners’ adaptation to disease: A systematic review and a meta-analysis. Current Psychology. 2019; 41(1): 216–238. doi: 10.1007/s12144-019-00543-z

37. Bernburg M, Groneberg DA, Mache S. Mental Health Promotion Intervention for Nurses Working in German Psychiatric Hospital Departments: A Pilot Study. Issues in Mental Health Nursing. 2019; 40(8): 706–711. doi: 10.1080/01612840.2019.1565878

38. Epstein AS, Desai AV, Bernal C, et al. Giving Voice to Patient Values Throughout Cancer: A Novel Nurse-Led Intervention. Journal of Pain and Symptom Management. 2019; 58(1): 72–79.e2. doi: 10.1016/j.jpainsymman.2019.04.028

39. Fitch MI, Barton-Burke M, Fong W, et al. Oncology nursing research: a global perspective. Annals of Palliative Medicine. 2024; 13(1): 112–125. doi: 10.21037/apm-23-382

40. Feng L, Yang D. Observation on the Effect of High-Quality Nursing Intervention plus Health Education in Chemotherapy for Non-Small Cell Lung Cancer and Its Influence on the Physical and Mental Health of Patients. Evidence-based Complementary and Alternative Medicine. 2022. doi: 10.1155/2022/2459013