Enabling psychologists to address the psychological consequences of cancer

Abstract

ABSTRACT The number of people diagnosed with cancer in Australia continues to rise, with more than 1 in 22 Australians now living with a history of cancer. This increase is occurring in parallel with a growing body of evidence about the psychological problems faced by patients with cancer, and the beneficial effects of interventions specifically designed to address these needs. Despite this evidence, research suggests that many psychologists feel underequipped for the unique issues encountered in cancer settings. In light of the profound effects of the COVID−19 pandemic on people living with cancer, it is timely to reflect on the complex needs related to cancer, with the aim of ensuring that psychologists are equipped to enhance the wellbeing of patients. In this commentary we provide an overview of: (a) the key issues that can arise across the cancer continuum, and (b) the existing evidence-based resources and tools for the screening and management of these presenting concerns. This commentary concludes with a discussion of the emotional impact for psychologists working with cancer patients, and consideration of how access to professional training in this area might be enhanced. Key Points What is already known about the topic: Cancer is highly prevalent and rates of distress associated with cancer are high. People with cancer have clear psychological needs, but psychologists often report feeling underequipped and lacking in confidence to work with this population. Equipping psychologists to address these issues could improve quality of life and clinical outcomes for cancer patients and reduce health-system burden. What this topic adds: We outline some of the most commonly experienced issues, as reported by people with cancer. We summarise the evidence-based interventions that address the unique issues faced by this population. We describe how psychologists can manage their own emotional wellbeing in working with people with cancer.