对癌症复发恐惧的认知行为疗法的有效性:系统性审查和元分析
Fangxin Wei1, Ruiyao He1, Xin Yang1
1School of Nursing, Jinan University, Guangzhou, Guangdong, China.
BMJ supportive & palliative care
|May 24, 2024
概括
认知行为疗法显著减少了患者和幸存者对癌症复发的恐惧. 这一元分析支持其在临床实践中用于管理癌症治疗后的心理痛苦.
科学领域:
- 心理学 心理学 心理学
- 在瘤学瘤学.
- 基于证据的实践实践.
背景情况:
- 对癌症复发的恐惧 (FCR) 是癌症患者和癌症幸存者的一大心理压力.
- FCR对身体和心理构成重大威胁,影响生活质量.
- 有限的证据证明了对FCR的认知行为疗法 (CBT) 的疗效.
研究的目的:
- 系统地审查和元分析CBT在减少FRC方面的有效性.
- 提供证据,以告知临床实践关于FRC心理干预的信息.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 从创立到2023年3月31日,搜索了七个数据库,搜索FCR的CBT随机对照试验 (RCT).
- 使用柯克兰偏差风险工具评估方法质量2.使用柯克兰偏差风险工具评估方法质量2.
主要成果:
- 包括32个RCT,包括1515名癌症幸存者和1845名正在接受治疗的患者.
- 分析显示,CBT在降低FCR方面具有显著的影响,与对照组相比 (g=-0.65;95% CI=-0.86,-0.44;p<0.001).
- 在28项研究中发现了偏差的高风险,在4项研究中出现了一些担忧.
结论:
- 认知行为疗法是一种有效的干预措施,可以减少对癌症复发的恐惧.
- 研究结果支持将CBT纳入临床实践,用于在癌症患者和癌症幸存者中管理FCR.
- 可能需要进一步的研究来解决现有研究中偏差的高风险.
关键词:
癌症 癌症 癌症 癌症相关概念视频
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