认知行为治疗对癌症患者疲劳的影响:系统性审查和元分析
Parisa Hosseini Koukamari1, Mahmood Karimy1, Mohtasham Ghaffari2
1Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran.
Frontiers in psychology
|January 27, 2025
概括
认知行为疗法 (CBT) 显著减少与癌症相关的疲劳. 这项对10项RCT的元分析证实了CBT的证实.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 基于证据的医学基于证据的医学.
背景情况:
- 与癌症相关的疲劳是一种常见的,使人衰弱的症状.
- 认知行为疗法 (CBT) 是一种干预策略,涉及患者和护理人员.
- 以前的研究已经探索了CBT在治疗癌症疲劳方面的有效性.
研究的目的:
- 系统地审查和元分析随机临床试验 (RCT) 关于CBT对癌症相关疲劳的影响.
- 量化CBT在减少癌症患者疲劳方面的效果大小.
主要方法:
- 在Scopus,PubMed和Web of Science的系统文献搜索到2023年4月.
- 包括所有评估癌症疲劳的CBT的RCT.
- 使用Stata v14的元分析,在p<0.05.05时具有意义.
主要成果:
- 该元分析包括10个RCT.
- 在癌症患者中,CBT显著降低了疲劳得分 (WMD: -2.50,95% CI: -3.43至 -1.56).
- 观察到的疲劳减少在各个子组分析中是一致的 (I2=95.8%,p<0.001).
结论:
- 认知认知疗法是一种有效的干预措施,可以缓解癌症患者的疲劳.
- 建议进行进一步的RCT,以探索CBT在各种癌症类型中的影响.
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