基于互联网的认知行为治疗对乳腺癌患者的有效性:系统性审查和元分析
Lihong Yang1, Shujie Hao2, Dongying Tu1
1The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu, China.
Integrative cancer therapies
|October 23, 2024
概括
基于互联网的认知行为疗法 (ICBT) 有效地改善了抑郁症,并减少了乳腺癌患者的失眠. 然而,它并没有显著影响焦虑,疲劳,睡眠或生活质量,因此需要进一步研究.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 乳腺癌幸存者经常经历心理困扰和睡眠障碍.
- 基于互联网的认知行为疗法 (ICBT) 为心理健康问题提供了可访问的干预措施.
研究的目的:
- 系统地审查和分析ICBT对乳腺癌患者身体,心理和日常生活结果的影响.
主要方法:
- 在多个数据库中进行了全面的文献搜索,截至2023年12月.
- 11个随机对照试验被纳入了元分析.
- 使用Cochrane工具评估偏差风险;使用Stata进行数据分析.
主要成果:
- 通过ICBT显著降低了抑郁症 (SMD = -0.38,P = .019) 和失眠严重程度 (SMD = -0.71,P = .008).
- 在焦虑,疲劳,睡眠质量或生活质量方面没有观察到统计学意义上的影响.
结论:
- 在乳腺癌患者中,ICBT有望改善抑郁症和失眠.
- 需要进一步进行高质量的随机受控试验,采用更大的样本大小来确认这些发现并探索更广泛的影响.
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