Effects of cognitive-behavioural therapy on psychological, physical and social outcomes of children with cancer: A systematic review and meta-analysis

Melesse, Tenaw Gualu; Chau, Janita Pak Chun; Nan, M.A.

doi:10.1016/j.jpsychores.2022.110805

Cited by 8 publications

(5 citation statements)

References 57 publications

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“…However, CBI strategies in these countries might not be acceptable for patients with diverse backgrounds and the effects of the interventions may differ when adopted and applied in different cultural contexts such as Ethiopia. In addition, most of these trials had methodological limitations and the authors recommended conducting further rigorous trials [66].…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of a culturally tailored cognitive-behavioural intervention for Ethiopian children with haematological malignancies: study protocol for randomised controlled trial

Melesse

Chau

2022

Trials

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Background Paediatric cancer patients often experience anxiety and depression. Evidence suggests that cognitive-behavioural interventions may help reduce anxiety and depression in children undergoing cancer treatment. However, only a few studies evaluated its impact on the psychological well-being and quality of life of paediatric cancer patients globally. In Ethiopia, there has been no published study to date. Thus, this trial aims to evaluate the efficacy of a culturally tailored cognitive-behavioural intervention for Ethiopian children with haematological malignancies receiving chemotherapy. Methods A single-blinded, parallel-group, two-arm, repeated measure randomised controlled trial will be conducted. Eighty children aged 8 − 18 years with haematological malignancy receiving chemotherapy will be recruited and randomly assigned to experimental or control groups. The experimental group will receive five sessions of introducing cognitive-behavioural intervention, identifying and modifying maladaptive thoughts and behaviour, behavioural activation, practising deep breathing exercises, reassessing goals or treatment plans, and encouraging participants to maintain changes. Each session will be conducted face-to-face for 30–35 min a week. The control group will receive usual care. The outcomes will be measured at baseline, post-intervention, and one month after the intervention using the Revised Child Anxiety and Depression Scale and Paediatric Quality of Life Inventory Generic Core Score 4.0. Discussion The findings of this study will provide evidence to support the integration of culturally effective cognitive-behavioural intervention strategies into paediatric oncology practice and thus, add new knowledge to the literature and help improve the care of children with haematological malignancies receiving chemotherapy. If the cognitive-behavioural intervention is shown to be effective and culturally acceptable, it will provide evidence to include the intervention as a standard of care in paediatric haematology/oncology. Trial registration ClinicalTrials.gov NCT05270655. Registered on March 8, 2022.

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Section: Discussionmentioning

confidence: 99%

“…Guided by Beck's cognitive model [50], the content and dose of CBI are determined by reviewing international guidelines on CBI [48,50,65], and the findings of the systematic review and meta-analysis [66]. Beck's model describes how thought, feeling, and behaviour interact.…”

Section: Intervention Proceduresmentioning

confidence: 99%

Efficacy of a culturally tailored cognitive-behavioural intervention for Ethiopian children with haematological malignancies: study protocol for randomised controlled trial

Melesse

Chau

2022

Trials

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“…However, there are some limitations in this study: (1) Only eight studies detailed the randomization method due to the study design limitations. While the other studies only mentioned randomization without specifying the method being used, and only four studies implemented blinding; (2) The difficulty of conducting more subgroup analyses under the limitation of the number of included studies may lead to some heterogeneity among studies; (3) Potential regulatory variables, such as subject characteristics, intervention types, control group . /fpubh.…”

Section: Limitationsmentioning

confidence: 99%

“…Menopause refers to the decline of ovarian function and the cessation of menstruation ( 1 ). During the menopause, women have a series of neuropsychological symptoms, mainly the dysfunction of the autonomic nervous system, which is caused by the fluctuation or decrease of sex hormones ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

The effects of mindfulness-based interventions on anxiety, depression, stress, and mindfulness in menopausal women: A systematic review and meta-analysis

Cai

Wang

et al. 2023

Front. Public Health

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BackgroundMindfulness-based interventions (MBIs) are psychological interventions widely used in menopausal women. Currently, there is no evidence summary on the effectiveness of MBIs on anxiety, depression, stress, and mindfulness in menopausal women. This meta-analysis examines the effectiveness of MBIs in improving anxiety, depression, stress, and mindfulness scores in menopausal women.MethodsA systematic search was conducted in PubMed, Embase, Web of Science, the Cochrane Library, CNKI (China National Knowledge Infrastructure), and Wanfang, using relevant terms such as MBIs as keywords and covering all studies published before March 13, 2022. The outcomes were anxiety, depression, stress, and mindfulness. The screening and extraction of data were conducted by two independent reviewers.ResultsA total of 1,138 menopausal women participated in 13 studies. Meta-analysis results showed that MBIs significantly reduced stress in menopausal women (SMD = −0.84, 95% CI: −1.64 to −0.05, p = 0.04), but no statistical differences were found in reducing anxiety (SMD = −0.40, 95% CI: −0.81 to 0.01, p = 0.06) and depression (SMD = −0.19, 95% CI: −0.45 to 0.07, p = 0.16) and in raising the scores of mindfulness (SMD = 0.37, 95% CI: −0.06 to 0.81, p = 0.09) in menopausal women.ConclusionMBIs may reduce stress in menopausal women, but their effect on improving anxiety, depression, and mindfulness needs further validation.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/#recordDetails.

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“…In recent years, several studies have demonstrated a positive effect of combining psychological interventions with pharmacological treatments to reduce pain ( 22 ). These methods aim to reduce negative consequences of neoplastic diseases on the mental state and quality of life of children and adolescents ( 23 ). Therefore, this systematic review with meta-analysis aimed to investigate the effects of VR and AVG on fear, physical functions, and quality of life.…”

Section: Introductionmentioning

confidence: 99%

Virtual reality in chemotherapy support for the treatment of physical functions, fear, and quality of life in pediatric cancer patients: A systematic review and meta-analysis

Czech

Rutkowski

Kowaluk

et al. 2023

Front. Public Health

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BackgroundAppropriately selected complementary therapies, such as virtual reality (VR) and active video games (AVG), provide support to young patients during the process of cancer treatment. Therefore, this systematic review with meta-analysis aimed to analyze the effects of VR and AVG on fear, physical functions, and quality of life.MethodsA systematic search was performed independently in Scopus, PubMed, Embase, Web of Science and Cochrane Library electronic databases for relevant randomized controlled and crossover studies. From a total of 5,963 records, 11 met the inclusion criteria. After full-text screening two publications were excluded, yet six studies were included in the quantitative analysis because three studies had a large discrepancy in their measured outcomes. For methodological quality assessments, the RoB2 software program was used, while RevMan 5.4.1 was used for statistical analysis and meta-analysis. Standard Mean Difference (SMD) outcome measures were used for the analysis. Statistical heterogeneity was assessed using the I2 statistic with a cut-off value of 50% considering intervention and outcome measures.ResultsOur systematic review includes six randomized controlled studies and three randomized crossover studies. The participants represented both sexes and were children and adolescents (<18 years old) with a diagnosis of cancer. The analysis of the results allows for a careful conclusion that VR has the potential to become an accessory tool in rehabilitation and oncologic treatment. All of the included studies noted a significant advantage of this intervention.ConclusionVR has the potential to be an effective and important tool in the oncologic treatment of children. VR immerses the patient, and as a result, produces a distraction that effectively reduces pain associated with standard oncologic care procedures in children. However, this systematic review and meta-analysis highlights the need for more research into the use of VR as support for pediatric oncologic care.Systematic review registrationPROSPERO database (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=319000), CRD42022319000.

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Effects of cognitive-behavioural therapy on psychological, physical and social outcomes of children with cancer: A systematic review and meta-analysis

Cited by 8 publications

References 57 publications

Efficacy of a culturally tailored cognitive-behavioural intervention for Ethiopian children with haematological malignancies: study protocol for randomised controlled trial

Efficacy of a culturally tailored cognitive-behavioural intervention for Ethiopian children with haematological malignancies: study protocol for randomised controlled trial

The effects of mindfulness-based interventions on anxiety, depression, stress, and mindfulness in menopausal women: A systematic review and meta-analysis

Virtual reality in chemotherapy support for the treatment of physical functions, fear, and quality of life in pediatric cancer patients: A systematic review and meta-analysis

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