文献类型：期刊文献

英文题名：A meta-analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients

作者：Ye, Mengfei[1,2];Du, Kanghui[1];Zhou, Jingying[1];Zhou, Quanqian[1];Shou, Mengna[3];Hu, Baiqi[1];Jiang, Panruo[1];Dong, Nan[1];He, Luying[1];Liang, Shenglin[2];Yu, Chaoyang[1];Zhang, Jian[1];Ding, Zhinan[1,4];Liu, Zheng[1,4]

机构：[1]Shaoxing Univ, Med Coll, Dept Clin Med, Shaoxing, Zhejiang, Peoples R China;[2]Shaoxing Seventh Peoples Hosp, Dept Psychiat, Shaoxing, Zhejiang, Peoples R China;[3]Shaoxing Women & Childrens Hosp, Dept Gynecol & Obstet, Shaoxing, Zhejiang, Peoples R China;[4]Shaoxing Univ, Judicial Identificat Ctr, Lab Forens Toxicol, Shaoxing, Zhejiang, Peoples R China

年份：2018

卷号：27

期号：7

起止页码：1695

外文期刊名：PSYCHO-ONCOLOGY

收录：SSCI(收录号：WOS:000438361200002)、SCI-EXPANDED(收录号：WOS:000438361200002)、、Scopus(收录号：2-s2.0-85044428917)、WOS

基金：Science and Technology Planning Project of Shangxing City, China, Grant/Award Number: 2014B70052; Zhejiang Provincial Natural Science Foundation of China, Grant/Award Number: LY16C090003; Scientific Research Fund of Shaoxing University, Grant/Award Number: 20125025; Public Welfare Technology Applied Research Projects in Zhejiang Province, Grant/Award Number: 2016C33191; Chinese National Science Foundation, Grant/Award Number: 81000879/H1602

语种：英文

外文关键词：breast cancer; cognitive behavior therapy; depression; intervention; meta-analysis; oncology; psychological; quality of life; randomized controlled trial; survivors

外文摘要：ObjectiveThe aim of this study was to examine the effect of cognitive behavior therapy (CBT) on quality of life (QOL) and psychological health of breast cancer survivors and patients. MethodsA total of 1289 references were examined from an overall literature search in PubMed, Embase, CINAHL, and the Cochrane Database of Systematic Reviews. Randomized controlled trials assessing the efficacy of CBT compared with a range of comparators in cancer survivors. We assessed the effect of CBT by using the standardized mean difference as effect size. ResultsAmong 1289 abstracts and 292 full-text articles reviewed, 10 studies were included. At the posttreatment period, the pooled effect size for CBT on QOL was 0.57 (95% CI, 0.44 to 0.69; P<.001), on depression was -1.11 (95% CI, -1.28 to -0.94; P<.001), on stress was -0.40 (95% CI, -0.53 to -0.26; P<.001), on anxiety was -1.10 (95% CI, -1.27 to -0.93; P<.001), and on hyperarousal cluster of symptoms was -0.18 (95% CI, -0.30 to -0.05; P<.001). The QOL was considered statistically medium effect sizes. The depression and anxiety were considered statistically large effect sizes. ConclusionsCognitive behavior therapy is an effective therapy for psychological symptoms of cancer survivors and patients, with meaningfully clinical effect sizes. These findings suggested that CBT should be used as the intervention for breast cancer survivors and patients when possible.