Alleviation of Side Effects and Distress in Breast Cancer Patients by Cognitive-Behavioral Interventions: A Systematic Review and Meta-analysis

Cobeanu, Oana; David, D. F.

doi:10.1007/s10880-017-9526-7

Cited by 17 publications

(27 citation statements)

References 82 publications

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“…Given the fact that most research on cancer‐related fatigue so far has been conducted with breast cancer patients, the scope of the problem and potential therapies likely have not yet been fully explored. Likewise, randomized controlled trials considering the so‐far promising treatment approaches for fatigue, that is, physical exercise, yoga or other mind‐body exercise, and psychosocial interventions such as cognitive behavioral therapy or mindfulness‐based stress reduction, have predominantly included breast cancer patients 14‐19 . Overall, there is convincing evidence that physical activity and exercise is beneficial for breast cancer patients in the adjuvant setting.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and severity of long‐term physical, emotional, and cognitive fatigue across 15 different cancer entities

et al. 2020

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Background Fatigue prevalence and severity have been assessed in a variety of studies, yet, not in a standardized way, and predominantly in breast cancer patients. Systematic, comparative investigations across a broad range of cancer entities are lacking. Methods The FiX study systematically enrolled 2244 cancer patients across 15 entities approximately 2 years after diagnosis. Fatigue was assessed with the multidimensional EORTC QLQ‐FA12 questionnaire. Physical, emotional, cognitive, and total fatigue were compared across entities and with normative values of the general population. Differences in patients' characteristics and cancer therapy between entities were taken into account using analyses of covariance models. Results Across all entities, mean physical fatigue levels were significantly higher than age‐ and sex‐matched means of the general population for all cancer entities (all Bonferroni‐Holm adjusted P < .01). For most entities also emotional and cognitive fatigue levels were significantly higher than normative values. Age‐ and sex‐standardized physical fatigue prevalence ranged from 31.8% among prostate to 51.7% among liver cancer patients. Differences between entities could not be fully explained by sex, age, BMI, or cancer therapy. Adjusted for these factors, mean physical fatigue was higher for stomach (P = .0004), lung (P = .034), kidney (P = .0011), pancreas (P = .081), and endometrium (P = .022) compared to breast cancer patients. Adjusted means of emotional fatigue were also lowest in breast cancer patients and significantly higher in stomach (P = .0047), bladder (P = .0036), and rectal (P = .0020) cancer patients. Conclusions Physical, emotional, and cognitive fatigue is prevalent in all 15 investigated cancer entities even 2 years after diagnosis. Fatigue in breast cancer patients, the so‐far most studied group, is in the lowest range among all entities, suggesting that the extent of fatigue is still insufficiently determined. Entity‐specific problems might need to be considered in the treatment of fatigue.

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Section: Discussionmentioning

confidence: 99%

Prevalence and severity of long‐term physical, emotional, and cognitive fatigue across 15 different cancer entities

et al. 2020

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“…Among the different psychological approaches, cognitive behavioural therapy (CBT) is focused on improving the affective state and coping with the disease [20,21] through the modification of maladaptive cognitive schemas and the diminution of personal distress. CBT adopts different strategies (e.g., relaxation training), and it appears to be effective in reducing levels of anxiety and depression [22,23], restructuring negative automatic cognitive schemas [24], and increasing optimism and positive thought [3,25,26], which help to improve the quality of life of patients with breast cancer [6,7].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Psychological Treatments in Women with Breast Cancer: A Systematic Review and Meta-Analysis

Guarino

Polini

Forte

et al. 2020

JCM

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Breast cancer is the most prevalent oncological disease among women, and it represents the second oncological cause of death. Many studies have considered the quality of life in people with breast cancer because this condition has high comorbidity with mental distress, anxiety, affective disorders and depression. Psychological interventions can reduce the stressful consequences of both the diagnosis and the medical treatments of breast cancer. However, different methods (e.g., group or individual therapy) and focus (e.g., improving personal skills or increasing emotional well-being) do not help to identify which type of psychological therapy can be more effective in improving quality of life in patients with breast cancer. This study was aimed to systematically review and compare, by means of a meta-analysis, the efficacy of cognitive behavioural, supportive-expressive or psycho-educational treatments in women with breast cancer, focusing on anxiety, depression, mood and quality of life as outcomes. The PRISMA statement was adopted. MEDLINE, PsycINFO, PUBMED and PsycArticles databases were used, and reference lists were examined for additional publications. In the selection of the articles were included studies considering women between 18 and 65 years who were diagnosed with breast cancer at any stage and under any treatment, and who underwent psychological group interventions. At the end of the systematic review, 45 studies met all inclusion criteria and were analysed in the meta-analysis. The overall effect size was medium, especially considering cognitive behavioural therapy and psycho-educational treatments. However, the studies are characterised by high methodological heterogeneity. Despite some limitations, this review and meta-analysis partially confirm the efficiency of cognitive-behavioural and psycho-educational therapies in the improvement of well-being in women with breast cancer.

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“…Psychological intervention can facilitate the adaptation of patients to the diagnosis and treatment of breast cancer. Cognitive-behavioral techniques are effective in improving the control of symptoms, the affective state and coping with the disease (Cobeanu and David, 2018, Font and Rodríguez, 2007). This therapy is also effective in reducing levels of anxiety and depression and improving overall QL (Ye et al, 2018).…”

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confidence: 99%

Effectiveness of therapy group in women with localized breast cancer

Bellver-Pérez

Peris-Juan

Santaballa-Beltrán

2019

International Journal of Clinical and Health Psychology

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Background/Objective Breast cancer causes high levels of anxiety and depression, deteriorating quality of life of patients. Several studies have found that group therapy reduces depression and anxiety also improves the quality of life. The aim of this study is to analyze group therapy effectiveness in emotional state and quality of life in women with breast cancer after finalized medical treatments. Method Participants in this study were 100 adult women diagnosed of breast cancer non-mestastasic and were divided into two types of intervention groups (Self-esteem-Social Skills and Cognitive-Behavioral Therapy). Evaluation instruments were questionnaire Functional Assessment of Breast-cancer Therapy (FACT-B) and Hospital Anxiety and Depression Scale (HADS). Results A statistically significant effect of group therapy in reducing anxiety and depression were observed. Quality of life and emotional well-being significantly improved. These effects remain three months after intervention. Conclusions The results show that the psychological intervention group is efficient to improve emotional state and quality of life of women with breast cancer.

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Alleviation of Side Effects and Distress in Breast Cancer Patients by Cognitive-Behavioral Interventions: A Systematic Review and Meta-analysis

Cited by 17 publications

References 82 publications

Prevalence and severity of long‐term physical, emotional, and cognitive fatigue across 15 different cancer entities

Prevalence and severity of long‐term physical, emotional, and cognitive fatigue across 15 different cancer entities

The Effectiveness of Psychological Treatments in Women with Breast Cancer: A Systematic Review and Meta-Analysis

Effectiveness of therapy group in women with localized breast cancer

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