AI Article Synopsis
- The scoping review aimed to evaluate psychosocial interventions for managing personality and behavior changes in individuals with brain tumors, such as aggression and emotional instability.
- The review followed established methodologies and included literature from 1996 to 2022, screening over 3,500 records to identify relevant studies, ultimately finding 5 interventions that met the inclusion criteria.
- While these interventions showed effectiveness in improving symptoms for patients, they also positively impacted carers by enhancing their knowledge and reducing distress, though most studies had small sample sizes and limited follow-up data.
Article Abstract
Background: The objective of this scoping review was to describe the intervention characteristics and effectiveness of psychosocial interventions aimed at managing personality and behavior changes in people with brain tumors. A secondary objective was to explore if these interventions had an impact on outcomes for carers. Personality and behavior changes considered included aggression, apathy, paranoia, disinhibition, and emotional lability.
Methods: This review was conducted following the Joanna Briggs Institute methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews. Searches were conducted in PsycINFO, CINAHL, Medline (Ovid), and Scopus. We synthesized studies published from 1996 to 2022 that evaluated interventions to manage brain tumor related personality and behavioral changes in adults. A data extraction tool were used based on the Joanna Briggs Institute template. Results are presented in a summary table and a narrative synthesis was conducted.
Results: Three thousand and five hundred and ninety-four records were screened. Title and abstract screening resulted in 29 potentially eligible studies. Full screening excluded 24 articles and 5 interventions met the inclusion criteria. The interventions were diverse in duration, delivery modality, setting, and participation (eg, the patient individually or patient and carer). The interventions reported improvements in the targeted personality and behavior change symptoms for patients with primary brain tumors. Four studies included a measure of personality and behavior change symptoms and two studies included a measure of outcomes for carers and reported improvements in carer knowledge and a reduction in carer distress. All studies sampled fewer than 100 participants. Studies had limited follow-up data and different tools were used to assess the presence and nature of personality and behavior changes.
Conclusions: There is a dearth of psychosocial interventions to support patients and their carers to manage brain tumor related personality and behavior changes.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10502785 | PMC |
| http://dx.doi.org/10.1093/nop/npad031 | DOI Listing |
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