Effects of couple‐based dyadic interventions on breast cancer patients and their intimate partners: A systematic review and meta‐analysis

Li, Mingfang; Zhang, Lijuan; Li, Na; Luo, Xia; Chen, Jing; Zhang, Yue; Xiong, Chenxia; Zhao, Meng; Guo, Zijian; Yan, Jun

doi:10.1111/jan.15639

Cited by 11 publications

(23 citation statements)

References 49 publications

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“…Among the reviews conducted, eight employed the Cochrane criteria to evaluate quality (Brandão et al, 2014;Guan et al, 2023;Hu et al, 2019;Li et al, 2023;McDonnell et al, 2022;Pang et al, 2022;Wang et al, 2021), and six adopted the Effective Public Health Practice Project Li et al, 2020;Li & Loke, 2014;Luo et al, 2020;Regan et al, 2012;Zhou et al, 2023). , 2018;Li et al, 2020;Pang et al, 2022;Song et al, 2021).…”

Section: Description Of the Included Reviewsmentioning

confidence: 99%

“…, 2018;Li et al, 2020;Pang et al, 2022;Song et al, 2021). Six reviews investigated mindfulness intervention (Chen, Gong, & Li, 2022;Li et al, 2023;Luo et al, 2020;McDonnell et al, 2022;Pang et al, 2022;Song et al, 2021).…”

Section: Description Of the Included Reviewsmentioning

confidence: 99%

“…Sixteen reviews reported psychological outcomes (e.g. psychological distress, anxiety, depression), while 11 documented relationship functioning and quality of life (Badr & Krebs, 2013;Brandão et al, 2014;Chen, Gong, & Li, 2022;Hu et al, 2019;Jonsdottir et al, 2018;Li et al, 2023;Li & Loke, 2014;Luo et al, 2020;Regan et al, 2012;Song et al, 2021;Zhou et al, 2023).…”

Section: Description Of the Included Reviewsmentioning

confidence: 99%

“…Eleven reviews based on 87 studies reported on the occurrence of depression (Table 3). Five reviews, with low to moderate quality, disclosed a small positive effect of couple-based dyadic intervention on patients' depression (Table 3) (Badr & Krebs, 2013;Guan et al, 2023;Hu et al, 2019;Li et al, 2023;Regan et al, 2012).…”

Section: Depressionmentioning

confidence: 99%

“…However, evidence of low grade indicates that dyadic intervention focused on couples may not significantly reduce depression in intimate partners of breast cancer (Li et al, 2023)…”

Section: Depressionmentioning

confidence: 99%

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Effectiveness of dyadic interventions among cancer dyads: An overview of systematic reviews and meta‐analyses

Sun,

Wang,

Chen

et al. 2023

Journal of Clinical Nursing

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Aims and ObjectiveTo summarize evidence from systematic reviews (SRs)/meta‐analyses (MAs) regarding the impact of dyadic interventions delivered to both members of a cancer dyad, including a cancer patient and caregiver (e.g. family caregiver, intimate partner).DesignThis overview of SRs was conducted in accordance with the preferred reporting items for overviews of reviews statement.MethodsA comprehensive search of multiple databases, including PubMed, Cochrane Library, Embase, CINAHL, Web of Science, China National Knowledge Infrastructure and Wan Fang. The methodological and reporting quality of SRs and MAs was assessed using the Assessing the Methodological Quality of Systematic Reviews 2. The quality of the included SRs/MAs was evaluated using the Grades of Recommendations, Assessment, Development and Evaluation approach.ResultsEighteen SRs/MAs undertook quantitative synthesis to assess the impact of dyadic interventions on cancer dyads. Both the credibility of the SRs/MAs and the evidence quality of the outcome measures were below satisfactory standards. Prior SRs/MAs revealed several limitations such as lack of pre‐published protocols or research objectives, failure to report excluded studies and insufficient details on funding sources for individual studies.ConclusionsDyadic interventions may prove advantageous for the physical health and dyadic adjustment of cancer dyads. Nevertheless, the reported results of dyadic interventions on the psychological health of patient–caregiver dyads affected by cancer are inconsistent. Thus, rigorous and comprehensive studies are requisite to establish reliable evidence for conclusive determinations.Relevance to Clinical PracticeThe findings of this overview can guide healthcare practitioners when considering the use of dyadic interventions for cancer dyads. Moreover, these findings have the potential to enhance the integration of these approaches into clinical practice.Patient or Public ContributionOur paper presents an overview of systematic reviews, and therefore, such specific details may not be relevant to our study.

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Section: Description Of the Included Reviewsmentioning

confidence: 99%

Section: Description Of the Included Reviewsmentioning

confidence: 99%

Section: Description Of the Included Reviewsmentioning

confidence: 99%

Section: Depressionmentioning

confidence: 99%

“…However, evidence of low grade indicates that dyadic intervention focused on couples may not significantly reduce depression in intimate partners of breast cancer (Li et al, 2023)…”

Section: Depressionmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of dyadic interventions among cancer dyads: An overview of systematic reviews and meta‐analyses

Sun,

Wang,

Chen

et al. 2023

Journal of Clinical Nursing

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Efficacy of a couple‐based intervention addressing sexual concerns for breast cancer survivors: Results of a randomized controlled trial

Reese,

Lepore,

Sorice

et al. 2024

Cancer

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BackgroundSexual concerns are common and problematic for breast cancer survivors. Partner and relationship factors often play a key role in determining survivors' sexual adjustment, making it likely that couple‐based interventions that integrate survivors' partners could be especially promising for addressing survivors' sexual concerns. Yet few such interventions have been tested. The objective of this study was to evaluate the efficacy of the Intimacy Enhancement (IE) intervention, a four‐session, couple‐based intervention addressing breast cancer survivors' sexual concerns by telephone in a randomized controlled trial.MethodsFemale posttreatment breast cancer survivors reporting sexual concerns and their intimate partners (N = 120 couples; 240 participants) were randomized either to the IE intervention or to Living Healthy Together (LHT), an active control intervention of equivalent length. Outcomes (measured at baseline, postintervention, and at 3 and 6 months postintervention) included breast cancer survivors' sexual function (primary), partners' sexual function (secondary), and survivors' and partners' psychosocial and relationship outcomes (secondary). Mixed linear regression models examined intervention effects on outcomes at all follow‐ups.ResultsModel‐based estimates of intervention effects showed greater improvements in survivors' overall sexual function, sexual satisfaction, arousal, lubrication, and orgasm at postintervention (p < .05). Effects on survivors' 3‐month and 6‐month sexual functioning or other secondary outcomes were minimal. Most couples completed all IE sessions (97%) and LHT (92%), and satisfaction ratings were high.ConclusionsCompared with an active control intervention, the IE intervention had significant short‐term benefits for survivors' sexual function. Efforts may be needed to increase the longevity of the positive effects, such as more frequent or adjunctive treatments.

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Are couple‐based psychological interventions beneficial for the mental health of prostate cancer patients and their spouses? A systematic review and meta‐analysis

Shen,

Sun,

et al. 2023

Clin Psychology and Psychoth

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As the survival rates for prostate cancer (PCa) have improved, there has been an increasing focus on the mental health of couples affected by this condition. There have been several couple‐based psychological interventions, and yet the impact of this treatment modality on the mental health of PCa patients and their spouses is unclear. Consequently, a systematic search was conducted in PubMed, Embase, Cochrane, LILACS, and Web of Science up to March 2023 for randomized controlled trials (RCTs) addressing the impacts of couple‐based psychological interventions on both PCa patients and their spouses. Besides, the Cochrane Risk of Bias Assessment Tool was employed to evaluate the methodological quality and potential bias of the included studies. Moreover, statistical analysis and meta‐analysis were performed utilizing Revman 5.4, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was employed to assess the certainty of evidence. A total of nine RCTs were included, utilizing anxiety, depression, distress, communication, and self‐efficacy as outcome indicators to assess mental health. Results demonstrated that couple‐based psychological interventions increased spouses' self‐efficacy (WMD, 0.21; 95% CI: −0.00 ~ 0.42; P = 0.05) and communication (SMD, 0.34; 95% CI: 0.09 ~ 0.59; P = 0.009), while reducing their distress (SMD, −0.21; 95% CI: −0.40 ~ −0.02; P = 0.03). Nonetheless, there is a need for additional research on the effect of couple‐based psychological interventions on the mental health of PCa‐affected couples given the limited evidence supporting this conclusion.

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Effects of couple‐based dyadic interventions on breast cancer patients and their intimate partners: A systematic review and meta‐analysis

Cited by 11 publications

References 49 publications

Effectiveness of dyadic interventions among cancer dyads: An overview of systematic reviews and meta‐analyses

Effectiveness of dyadic interventions among cancer dyads: An overview of systematic reviews and meta‐analyses

Efficacy of a couple‐based intervention addressing sexual concerns for breast cancer survivors: Results of a randomized controlled trial

Are couple‐based psychological interventions beneficial for the mental health of prostate cancer patients and their spouses? A systematic review and meta‐analysis

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