Technology-Based Cognitive Behavioral Therapy for Adolescent and Young Cancer Survivors

Paper Summary

Adolescent and young adult (AYA) cancer survivors often face long-term psychological challenges, including anxiety and depression. This literature review explores how technology-based Cognitive Behavioral Therapy (tCBT) such as coach-assisted programs, chatbots, and mobile messaging can support their mental health. Customized interventions like EMPOWER and coach-assisted tCBT significantly reduced anxiety and depression symptoms and improved psychosocial outcomes. Key factors that influenced the success of these digital tools included engagement, feasibility, and user acceptability. However, most studies had limitations such as small sample sizes, lack of diversity, and restricted access to technology among participants from lower socioeconomic backgrounds. As most participants were women with greater access to digital devices, results may not generalize to broader populations. The literature emphasizes the need for future research involving more diverse, larger, and randomized study groups, with longer follow-up periods. Tailored digital interventions hold strong potential for enhancing quality of life and mental health support for AYA cancer survivors.