Psychosocial aspects of adult cancer patients: A scoping review of sub-Saharan Africa.

Journal: Psycho-oncology

Volume: 32

Issue: 1

Year of Publication: 2023

Affiliated Institutions:  Department of Anaesthesia/Pain and Palliative Care Unit, College of Medicine, University of Nigeria Ituku-Ozalla Campus, Enugu, Enugu State, Nigeria. Center for Translation and Implementation Research (CTAIR), College of Medicine, University of Nigeria, Enugu, Nigeria.

Abstract summary 

Psychosocial aspects of adult cancer patients in sub-Saharan Africa (SSA) have been described in silos of research articles. Integrative analysis of regional evidence is lacking. This review aimed to describe the scope of existing research on mental health problems, identify research gaps and make informed research, policy and practice recommendations.Search was conducted for original peer-reviewed research articles, irrespective of their quality, on psychosocial aspects of cancer in all SSA countries using PubMed, Google Scholar, Google search, African Index Medicus and direct searches of reference list of pertinent journal articles. Publications in English or translated to English were included. Case reports, dissertations, abstracts, publications without primary focus on psychosocial issues, psychosocial issues in children and studies conducted with SSA populations living outside the sub-region were excluded. The methodological framework described by Arksey and O'Malley was used to synthesize and present the results. Inductive approach was used to arrive at the thematic areas. Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guideline was used to describe the review.Eighty-three studies conducted across 15 countries were identified. Six thematic areas emerged namely; psychosocial needs, psychiatric disorders, coping strategies, suicidality, psychometrics and psychosocial interventions. Fifteen of 46 countries had at least one study with the majority of articles emanating from Nigeria. Research articles on psychosocial needs, psychiatric morbidities and coping strategies appears adequate for systematic review in SSA region. Despite the overwhelming evidence of high unmet psychosocial needs, a huge gap exists regarding psychosocial interventions.Further research is needed into identified gaps in the region and quality of evidence of these studies need to be improved upon. Comprehensive policies and action plan development are sin qua non for addressing psychosocial problems of adults with cancer in SSA.

Authors & Co-authors:  Onyeka Tonia C TC Onu Justus U JU Agom David A DA

Study Outcome 

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Statistics
Citations :  Walker ZJ, Xue S, Jones MP, Ravindran AV. Depression, anxiety, and other mental disorders in patients with cancer in low- and lower-middle-income countries: a systematic review and meta-analysis. JCO Glob Oncol. 2021;7(7):1233-1250. https://doi.org/10.1200/go.21.00056
Authors :  3
Identifiers
Doi : 10.1002/pon.6052
SSN : 1099-1611
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
anxiety;cancer;coping strategies;depression;mental health;psycho-oncology;psychosocial;psychosocial interventions;sub-Saharan Africa;suicidality
Study Design
Case Study,Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Niger
Publication Country
England