Experiences of psycho-oncological counselling to support mental health in South Australians diagnosed with cancer

Abstract

AbstractBackgroundEffective delivery of psycho-oncological support requires understanding of client perceptions of counselling service effectiveness, psychosocial outcomes, and meeting of client support needs and expectations.ObjectiveThis study aimed to describe perceptions of clients accessing psycho-oncological counselling for people directly or indirectly affected by cancer, and describe perceived psychological distress, depression, and anxiety from pre-to post-counselling.MethodsSouth Australian psycho-oncological counselling service clients were recruited (n=28). Psychological distress, anxiety, and depression were assessed before and after counselling sessions. Client expectations, experiences, and counselling outcomes were examined via pre-post-tests, and thematic analysis.ResultsClients reported reduced anxiety (t=-2.31,p=.029), depression (t=-2.51,p=.018), distress (t=-4.19,p<.0001), and global mental health symptomology (t=-2.79,p=.009). Four themes were identified: having no expectations, needing help managing emotions, seeking coping strategies, and seeking better understanding of their experience. Client expectations were satisfied (92.8%), regardless of counselling reason.ConclusionBenefits of counselling included reduced symptomology, receipt of knowledge and skills, and increased ability to manage everyday life. Supportive counselling significantly reduces distress and symptoms of anxiety and depression while supporting client and family functioning during cancer treatment.ImplicationsIndividual supportive counselling plays an integral role in lives of cancer patients and family members. Clients face concerns relating to cancer prognosis (e.g., recurrence fear), and to broader related experiences (e.g., social dynamics). Complex needs across cancer experience as a patient, carer, or other family member, requires that psycho-oncological counselling targets major client expectations, promotes benefits of counselling, and strategies for managing daily life events.