MENTAL HEALTH Archives

When Art Meets Science: How CREATE Platform May Strengthen Emotional Regulation in Cancer Care

At Kapa3, we recognize that cancer affects far more than the body, challenging the emotions, sense of self, relationships, and quality of life of those suffering. Despite the high prevalence of co-occuring mental health issues such as anxiety and depression, access to mental health services remains limited. This gap between patient needs and healthcare provisions is precisely what motivated us to help develop CREATE, an innovative digital platform designed to support emotional resilience through a powerful combination of art, technology, and emotional engagement (Ladas et al., 2025).

The CREATE (Creative and Resilience through Arts, Technology, and Emotions) platform uses computerised cognitive training (CCT) designed to enhance emotional regulation by integrating working memory training, engagement with famous artwork, and creative emotional expression. Unlike other platforms, it only targets one cognitive function: working memory. Evidence suggests that focusing on a single cognitive function is more effective than targeting multiple ones. Working memory in particular has been found to influence emotional regulation, a skillset with established benefits for anxiety and depression.

CREATE therefore introduces a unified framework that addresses cognitive function, emotional expression, and biological influences such as sleep quality and dopamine activity. Such digital health solutions are increasingly recognized as promising alternatives to standard psychotherapy, offering greater accessibility and affordability while still capable of reducing symptoms of depression and anxiety.

Findings from the pilot study on CREATE were very promising; the participants found the platform easy to use and enjoyable, and showed increased emotional and creative engagement. Although this early research focused on feasibility and validity rather than therapeutic effectiveness, initial findings indicate improvements in emotional regulation. Importantly, the study demonstrated positive relationships between working memory, emotional regulation, and expression of emotion, while also suggesting that sleep and dopamine may mediate these effects.

These insights highlight the importance of lifestyle and biological data in developing personalized digital mental health tools. It is well established in neuroscience that working memory plays a central role in emotional regulation. A stronger working memory allows individuals to better cope with distressing thoughts, shift their attention, and respond more calmly to challenges. For people living with cancer, supporting these cognitive and emotional capacities makes daily life more manageable. Improved thinking skills can facilitate treatment adherence, informed decision-making, and a more effective management of the emotional turbulence that often accompanies illness.

The study relied on a convenience sample made up mostly of cancer-related healthcare professionals, and only one cancer survivor participated. To address this limitation, the next phase of research will focus entirely on cancer patients and survivors. Their unique challenges, including cancer-related fatigue and treatment-related cognitive changes, will be central to refining the platform and ensuring that CREATE is tailored to the needs of those it aims to benefit the most. This creates not only a more impactful intervention but also empowers patients to have a voice in shaping the future of supportive cancer care.

As we look ahead, CREATE offers a hopeful vision for digital mental-health support. It is scalable, affordable, and adaptable, making it especially valuable for people who lack access to mental health care. Intervening early and supporting emotional well-being throughout treatment and survivorship may reduce the long-term strain on healthcare services associated with mental health conditions. As cancer treatment continues to evolve, we must make sure that psychological care develops along with it. And CREATE does just that.

Read the full study

References

Ladas, A. I., Katsoridou, C., Gravalas, T., Klados, M. A., Stravoravdi, A. S., Tsompanidou, N., Fragkedaki, A., Bista, E., Chorafa, T., Petrovic, K., Vlotinou, P., Tsiakiri, A., Papazisis, G., & Frantzidis, C. A. (2025). Creativity and REsilience Through Arts, Technology and Emotions: A Pilot Study on the Feasibility and Validity of the CREATE Platform. Brain Sciences, 15(11), 1171.

‌Article by Despina Chrysostomidou, Psychologist, for Kapa3 Research Insights

4 November: International Stress Awareness Day

Stress is a natural response to life’s challenges and changes. It helps us respond, adapt, and stay motivated. But when it becomes prolonged, it can turn into an invisible, exhausting companion that affects every aspect of daily life — body, mind, relationships, and mood. International Stress Awareness Day (4 November) is a reminder to pause, take a deep breath, and acknowledge that mental health deserves the same care as physical health.

In Greece, the mental health burden remains significant. According to the OECD (2023, Country Health Profile), around 6% of the population experiences anxiety disorders, while 7% report symptoms of depression. At the same time, more recent studies in younger age groups show that stress affects a much larger proportion: in a 2020 survey of university students, high levels of moderate to severe stress and extreme anxiety were reported. Additionally, international daily stress measurements indicate that about 58% of Greeks felt stress the previous day, placing the country among the highest in Europe and globally. These figures highlight that anxiety touches a substantial part of the population and significantly impacts daily life, emphasizing the importance of awareness and support.

Stress can manifest in multiple ways: rapid heartbeat, difficulty concentrating, insomnia, irritability, or simply feeling like there’s “never enough time.” Too often we dismiss it as “part of life.” But caring for our mind and emotions is not a luxury — it is a responsibility to ourselves. Support from mental health professionals, physical activity, connection with nature, music, art, or even a simple conversation with someone we trust can become small breaths of balance.

People living with chronic illnesses, including cancer, often face heightened stress. Anxiety about treatment, uncertainty about the future, and the physical impact of disease can intensify tension and worry. Recognizing and validating this stress is essential, as support through networks, counseling, and accessible resources can make a meaningful difference.

At Kapa3, we believe no one should face stress or illness alone. Through our programs, initiatives, and community, we offer guidance, emotional support, and practical help, highlighting that mental well-being is a shared journey and empathy is key.

Today is more than a reminder of the risks of stress. It is an invitation to speak openly without fear or shame, to create space for understanding and acceptance. Let’s learn to listen to our bodies and minds, recognize the signs, and seek help when needed. Calmness is not a luxury — it is a right for everyone.

Read more in previous articles of Kapa3: Article1, Article2, Article3

Sources:

OECD (2023), Country Health Profile: Greece
Stress, Anxiety and Depression Prevalence among Greek University Students during the COVID-19 Pandemic (2023, PLOS ONE / PMC)
Gallup Global Emotions Report 2024 – Ελλάδα: Daily Stress Measurement (58%)

Text/adaptation: Ifiyenia Anastasiou for Kapa3

Parenting in Childhood Cancer: The Importance of Psychological Support

One of the hardest challenges for parents of children with cancer —emotionally and practically—is to see your child in pain and distress, especially when facing cancer. Unfortunately, according to the World Health Organization, around 400,000 children and adolescents are diagnosed with cancer every year, most commonly with leukemia, brain tumors, or lymphomas. Parents play a crucial role in improving their child’s quality of life, and their emotional well-being is the cornerstone for coping with this demanding situation. (World Health Organization, 2025)

Parenting and Childhood Cancer

Cancer can cause major upheavals and imbalances within a family. Parents in particular play a multifaceted and decisive role, often experiencing intense distress, stress, anxiety, depression, or even post-traumatic stress symptoms. According to the study by Kearney, Salley, and Muriel, parental distress negatively affects the child’s quality of life as well as family and marital relationships.
Because parents are the primary caregivers, they strive to support their children throughout all stages of treatment. Building psychological resilience against fear and stress is essential to achieving that goal. Without parental self-care, there can be no real care for the child. (Kearney et al., 2015)

The Importance of Psychological Support

Most parents develop resilience, creating a new sense of normalcy. However, additional support through psychotherapy—particularly cognitive-behavioral and family-based approaches (CBT)—can greatly help manage emotions and reduce anxiety.
Problem-Solving Skills Training (PSST), which helps individuals identify and correct unhelpful patterns of thinking and behavior, has proven effective: more than 800 mothers of children with cancer reported reduced negative emotions and distress.
Beyond professional psychological support, parents’ own outlook and access to emotional support play a significant role in how they cope. (Kearney et al., 2015)
In every case, childhood cancer places a heavy burden on parents, demanding enormous strength and dedication. Yet with self-care, they can create the foundation to better support their children.

At Kapa3, we strongly believe that psychological empowerment and emotional support for parents and caregivers of children with cancer are vital. Through awareness actions, support programs, and collaborations with mental health professionals, we aim to strengthen not only the patients but also those who stand by them every single day.

Sources: Kearney, J. A., Salley, C. G., & Muriel, A. C. (2015). Standards of psychosocial care for parents of children with cancer. Pediatric Blood & Cancer, 62(S5), S632–S683. Read more here

Scientific Seminar: Psychosocial Support after Cancer Treatment and Post-Traumatic Growth

The Psychology Laboratory of INEB/CEST (Institute of Applied Biosciences / CERTH), with the support of the Municipality of Thessaloniki, is organizing on Saturday, 1 November 2025 (10:00–15:00), at the “Manolis Anagnostakis” Hall of the Thessaloniki City Hall, the scientific seminar “Psychosocial Support after Cancer Treatment and Post-Traumatic Growth.”

The event, initiated by the Psychology Laboratory as part of the IC-GROWTH research project, focuses on the psychological and social dimensions of life after cancer treatment, highlighting good practices for care, empowerment, and post-traumatic growth.

The program includes expert presentations and an open discussion with the audience, featuring researchers, healthcare professionals, and representatives from patient associations.

Participation is free, but pre-registration is required through the following form:
Registration Form

This seminar offers a valuable opportunity for learning and sharing experiences on psychosocial support and care after cancer treatment.

Kapa3 supports initiatives that strengthen mental health and quality of life for individuals who have experienced cancer.

Date: Saturday, 1 November 2025
Time: 10:00–15:00
Location: “Manolis Anagnostakis” Hall, Thessaloniki City Hall

Depression and Cancer Mortality: A Critical Link Across Major Cancer Types

Depression is a common but often underrecognized condition among cancer patients, affecting up to 20–30% of individuals diagnosed with the disease. Beyond its impact on quality of life, mounting evidence suggests that depression can significantly influence cancer outcomes, including survival. A recent meta-analysis of 65 cohort studies spanning colorectal, breast, lung, prostate, and mixed cancers provides compelling evidence that depression diagnosed after a cancer diagnosis is associated with a substantially increased risk of mortality.

The analysis revealed that patients with depression faced an 83% higher risk of dying from colorectal cancer, a 59% higher risk in lung cancer, a 74% higher risk in prostate cancer, and a 23% higher risk in breast cancer compared to non-depressed patients. Across mixed cancer types, depression increased the risk of cancer mortality by 38%. These findings underscore that the psychological burden of cancer is not merely an emotional challenge but a critical factor affecting survival outcomes.

Mechanisms Linking Depression and Cancer Outcomes

Depression may influence cancer progression through multiple biological and behavioral pathways. Biologically, depression is associated with chronic systemic inflammation, dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, immune suppression, autonomic dysfunction, oxidative stress, and impaired DNA repair. Elevated pro-inflammatory cytokines, including interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α), can contribute to tumor growth and metastasis. In older patients, depression may exacerbate age-related immune dysfunction, creating an environment more permissive to cancer progression.

Behaviorally, depression affects health-related actions and treatment adherence. Depressed patients are more likely to delay seeking medical care, adhere poorly to chemotherapy, radiotherapy, and hormonal therapies, and engage in unhealthy habits such as smoking, poor nutrition, and physical inactivity. Social isolation and reduced support systems further increase vulnerability, compounding the negative impact on survival.

Clinical Implications and Interventions

The strong association between depression and cancer mortality highlights the urgent need to integrate mental health care into routine oncology practice. Psychological interventions, such as cognitive-behavioral therapy (CBT), supportive-expressive therapy, and mindfulness-based approaches, have shown promise in reducing distress and improving adherence to cancer treatment. Pharmacological management, including selective serotonin reuptake inhibitors (SSRIs), may also support mental health and potentially influence cancer outcomes, though more research is needed to understand their role fully. Early identification and treatment of depressive symptoms should be considered a priority for oncologists, mental health professionals, and healthcare policymakers alike.

Limitations and Future Directions

While this meta-analysis provides robust evidence, several limitations should be noted. The observational nature of the studies prevents establishing causality, and differences in study design, depression assessment methods, and patient populations contribute to heterogeneity. Future research should explore longitudinal and randomized studies to clarify causal pathways and identify the most effective interventions to reduce depression-related mortality. Investigating the interactions between depression, inflammation, and cancer biology may also reveal targets for novel supportive therapies.

Depression is not just a psychological burden for cancer patients—it is a significant predictor of mortality across multiple cancer types. These findings call for systematic depression screening and tailored interventions as integral components of oncology care.

Organizations like Kapa3 play a vital role in supporting the mental health of cancer patients, offering resources and guidance that can improve both quality of life and treatment outcomes. Integrating psychological support into cancer care ensures that mental well-being is recognized as an essential part of the healing process.
In line with this mission, Kapa3 participates in MELODIC, a new European initiative dedicated to supporting the mental health of young adults (18–30 years old) living with or beyond cancer.

Read the original article here

The Power of Social Support in Cancer Care

Why connection is as vital as treatment

Mental health professionals consistently emphasise the value of a strong social support network. Social support is among the strongest predictors of emotional well-being and overall quality of life. It refers to the extent to which our social and emotional needs are met through the people and communities around us, such as family, friends, colleagues, and groups that share our values and experiences.

Group interventions, for example, have been shown to reduce psychological stress by providing individuals with chronic illnesses the opportunity to connect and share experiences (Jackson et al., 2019). Studies have found that cancer patients who felt more supported by family, friends, or their community experienced less distress, coped more effectively, and had a greater sense of control during treatment. Tangible support, in particular, was more significant for older patients, who may face greater physical challenges due to age or disability (Ahmad et al., 2013).

Furthermore, social support fosters optimism and resilience, which are key factors that help patients adapt to illness. By strengthening hope and inner confidence, social connections help protect against anxiety and depression, acting as a buffer against the emotional impact of stress (Ruiz-Rodríguez et al., 2022).

But what comes first — support or coping? The systematic review by Bottaro and colleagues (2023) suggests the relationship is bidirectional: people who receive strong support cope better, and those who cope better are more likely to seek and maintain strong relationships. It’s a cycle of connection that reinforces recovery.

The source of support also plays a crucial role. Patients often view family, friends, and partners as the most important sources of support for coping with diagnosis and treatment. However, when the type of support offered doesn’t align with the patient’s needs, it can feel less meaningful or even unhelpful.

While loved ones form the core of emotional care, healthcare professionals are often the first and most consistent source of reassurance. According to the literature, patients who feel heard, respected, and well-informed by their medical team cope more effectively and experience less anxiety. Ruiz-Rodríguez and colleagues highlight that optimism and resilience grow when medical staff communicate openly and offer encouragement. Compassionate communication from healthcare providers strengthens patients’ ability to manage their illness, creating a positive feedback loop between support and wellbeing (Bottaro et al., 2023).

At Kapa3, we witness this truth daily. Through our community programs, research, and advocacy, we work to create environments where no one faces cancer alone. Social support is not only emotional, it’s practical, cultural, and profoundly human. Healing doesn’t happen only in hospitals; it happens in homes, workplaces, and communities.

References

Ahmad, M., Khan, M. A., & Shirazi, M. (2013). Perception of Social Support by Cancer Patients. International Journal of Psychology and Behavioral Sciences, 3(5), 115–122. https://doi.org/10.5923/j.ijpbs.20130305.01

Bottaro, R., Craparo, G., & Faraci, P. (2023). What is the direction of the association between social support and coping in cancer patients? A systematic review. Journal of Health Psychology, 28(6), 135910532211311. https://doi.org/10.1177/13591053221131180

Jackson, M., Jones, D., Dyson, J., & Macleod, U. (2019). Facilitated group work for people with long-term conditions: A systematic review of benefits from studies of group-work interventions. British Journal of General Practice, 69(682), 363–372. https://doi.org/10.3399/bjgp19x702233

Ruiz-Rodríguez, I., Hombrados-Mendieta, I., Melguizo-Garín, A., & Martos-Méndez, M. J. (2022). The importance of social support, optimism and resilience on the quality of life of cancer patients. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.833176

Article by: Despina Chrysostomidou, Psychologist for Kapa3 Research Insights

Continuing the Journey: Holistic Body and Mind Care with Kapa3 and the University of the Peloponnese

After the first round of meetings held in April (see the related article here), focusing on Nutritional Guidance and Experiential Psychological Support, Kapa3 and the University of the Peloponnese continue their collaboration with a new series of experiential workshops dedicated to the holistic care of body and mind.

The meetings are open to people living with cancer, caregivers, and healthcare professionals — to anyone seeking a space for genuine communication, understanding, and empowerment.

In this new cycle, mental health and nutrition are approached as two sides of the same care.

In the mental health sessions, participants learn to recognize and manage challenging emotions such as anxiety or fear, strengthen their resilience, and cultivate a deeper connection with themselves and others.

At the same time, the nutrition sessions explore how balanced and mindful eating can support the body, enhance energy and mood, and become an act of self-care and self-respect. Food is not only a necessity but also a way to show love — to the body, the soul, and to life itself.

The meetings are held online and are based on dialogue, experiential learning, and the sharing of personal experiences. Everyone participates at their own pace, in a warm environment of acceptance and trust.

To express your interest: Registration Form for the Support Group for People with Cancer

Text/adaptation: Ifiyenia for Kapa3

Kapa3 Highlights the Psychosocial Dimension of Cancer at the Oichalia Event “The Optimistic Side of Cancer”

On Saturday, October 4, 2025, Kapa3 – the Cancer Guidance Centre – took part in the event “The Optimistic Side of Cancer”, held at the Maria Callas Cultural Centre in Oichalia, organized by the Municipality of Oichalia and the Region of Peloponnese.

The event brought together health professionals, patient organizations, and representatives of local authorities to discuss new perspectives on cancer treatment and survivorship.

Representing Kapa3, Evageli Bista, Head of Development and Operations, participated in the thematic panel “Psychosocial impacts on patients and their close environment” (19:15), delivering a talk on “Psychosocial challenges for patients and caregivers.”

Alongside Ms. Bista, the panel included insightful contributions from Dr. Maria Chaniotou, oncologist, and Ms. Eleni Papadopoulou, psychologist, who shared their professional experience and emphasized the importance of coordinated care and emotional support for people living with cancer.

Through her presentation, Ms. Bista underlined the crucial role of psychosocial support in empowering both patients and caregivers to navigate the emotional and practical challenges of cancer.

By participating in this inspiring event, Kapa3 reaffirmed its commitment to promoting solidarity, evidence-based knowledge, and holistic care as key pillars in the journey toward well-being and recovery.

Shining the light on medical gaslighting and its impact on patient safety

This descriptive review, published in the Archives of Hellenic Medicine (Volume 42, Issue 5, Sept–Oct 2025), explores the concept of medical “gaslighting” and its potential impact on patient safety, such as missed, delayed, or inadequate diagnoses, delayed treatment, and suboptimal health outcomes, resulting from healthcare professionals’ failure to interact effectively with their patients.

“Gaslighting” is recognized as a form of emotional and psychological abuse that does not involve physical harm but can instill feelings of fear, isolation, or loss of control in the victim.

What is Medical Gaslighting

In medical gaslighting, persistent distortions, misunderstandings, manipulation of reality, treating patients as scapegoats, and coercion are key techniques used by “gaslighters,” creating confusion and distress in patients.

Medical gaslighting is a covert form of manipulation with serious consequences, where gaslighters often display narcissistic or antisocial personality traits to reinforce their authority.

Certain groups may be particularly vulnerable to this behavior, including individuals who are overweight, elderly, or living with mental or physical health conditions, women, LGBTQIA+ individuals, Black, Indigenous, or other people of color.

Profiles of Gaslighters and Gaslightees

Gaslighters use manipulation to assert and maintain power, often undermining the confidence of their victims.

Patients who experience medical gaslighting may face delayed diagnosis and treatment, as well as negative effects on both mental and physical health.

Signs of Medical Gaslighting

Ignoring or downplaying patients’ symptoms and concerns
Refusal to engage in meaningful dialogue or paying insufficient attention to the patient
Misleading the patient into believing that their symptoms are psychological (e.g., “it’s all in your head”)
Failing to provide referrals or necessary tests
Imposing a single treatment option, typically the one they recommend

How Patients Can Protect Themselves

Empowering patients and encouraging active participation in their care are central to avoiding gaslighting.

Strategies include:

Requesting sufficient time for discussion with the healthcare provider
Preparing questions before the appointment
Recording details and taking notes
Being accompanied by a trusted person
Open and honest communication

Awareness of medical gaslighting is crucial for preventing misdiagnosis and improving health outcomes. The more patients know about their rights and have self-care tools, the better they are equipped to handle instances of gaslighting.

You can read the review here

World Animal Day: The Healing Presence of Animals

World Animal Day reminds us that we share the planet with all living beings.

Animals are not just companions in our lives; they are an essential part of the balance of nature and our daily world. For many patients, having a pet provides comfort, affection, and a unique bond that eases life’s challenges.

The idea of World Animal Day began in 1925 with Heinrich Zimmermann, who organized the first celebration in Berlin. By 1931, October 4th became officially recognized as a day for all animals. The date is also connected to the feast of Saint Francis of Assisi, the patron saint of animals, symbolizing care and respect for all creatures.

For those fighting cancer, the presence of an animal can be therapeutic. Pet companionship reduces anxiety, brings smiles, and strengthens emotional resilience. Many hospitals abroad use “pet therapy” programs where interaction with animals helps patients feel less alone and more empowered.

At the Kapa3 Cancer Guidance Center, we understand that patient care goes beyond treatment. Mental and emotional well-being is equally important. The power of love—even from a cat or dog—reminds us that no one should walk the path of cancer alone.

World Animal Day calls us to respect all creatures and remember that kindness and affection, wherever we find them, are forms of healing.

You can read more here:

https://nationaltoday.com/world-animal-day/

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