Health professionals' perspectives on the nature of distress and low mood in young people with cancer

Abstract

Purpose: Young people with cancer are at increased risk of depression, yet evidence-based psychological interventions that are tailored to the specific needs of young people with cancer are scarce, and depression in this group may be particularly challenging to recognize and treat. The aims of this study were to (1) explore the views of health professionals in recognizing and treating low mood in young people with cancer and (2) identify the key components of an effective online treatment package for depression in this population. Methods: Eighteen NHS health professionals with a range of professional backgrounds working directly with young people with cancer were interviewed using a semi-structured interview schedule. Responses were analyzed using thematic analysis. Results: Five themes emerged: (1) one size doesn't fit all - the nature of depression is complex and varied, and symptoms fluctuate greatly in relation to physical health; (2) distress is completely understandable - it is important not to pathologize a normal reaction; (3) a stepping stone intervention - online interventions may promote engagement with face-to-face therapy; (4) connecting with others - the intervention should promote sharing experiences with others to reduce isolation; and (5) ownership and empowerment - lack of independence may be a cause of distress, and young people should have control of the intervention. Conclusion: The nature of depression in young people with cancer is complex and multifaceted. Online guided self-help may be useful when added as a component or first step of a treatment package including face-to-face talking therapies.