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A meta‐analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients
Author(s) -
Ye Mengfei,
Du Kanghui,
Zhou Jingying,
Zhou Quanqian,
Shou Mengna,
Hu Baiqi,
Jiang Panruo,
Dong Nan,
He Luying,
Liang Shenglin,
Yu Chaoyang,
Zhang Jian,
Ding Zhinan,
Liu Zheng
Publication year - 2018
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.4687
Subject(s) - medicine , breast cancer , anxiety , quality of life (healthcare) , depression (economics) , randomized controlled trial , meta analysis , cinahl , cancer , cognitive behavioral therapy , psychological therapy , physical therapy , clinical psychology , psychological intervention , psychiatry , nursing , economics , macroeconomics
Objective The 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. Methods A 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. Results Among 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. Conclusions Cognitive 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.