A meta-analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients

2018 ◽  
Vol 27 (7) ◽  
pp. 1695-1703 ◽  
Author(s):  
Mengfei Ye ◽  
Kanghui Du ◽  
Jingying Zhou ◽  
Quanqian Zhou ◽  
Mengna Shou ◽  
...  
Cancers ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 706 ◽  
Author(s):  
Feng Hong ◽  
Weibing Ye ◽  
Chia-Hua Kuo ◽  
Yong Zhang ◽  
Yongdong Qian ◽  
...  

This study examined the effects of exercise intervention on the quality of life (QoL), social functioning (SF), and physical functioning (PF) of breast cancer survivors, and identified the responsible and optimal exercise characteristics for amelioration of outcomes. Randomized controlled trials (RCTs) that adopted exercise intervention and measured the QoL, SF, and PF of breast cancer patients were included. We used meta-analysis to calculate the pooled effect, and meta-regression to identify the responsible exercise characteristics (type, frequency, duration, and time). Subgroup analysis assessed the optimal “time of session” for an improved QoL. The Cochrane risk-of-bias tool was used to determine the quality of studies. In the systematic review, we included 26 RCTs with a total of 1892 breast cancer patients, whilst 18 trials were considered for meta-analysis (exercise = 602; control = 603). The pooled effect showed that exercise intervention substantially improved the QoL (standardized mean difference (SMD) = 0.35; I2 = 61%; 95% confidence internal (CI): 0.15–0.54; p = 0.0004), SF (SMD = 0.20; I2 = 16%; 95% CI:0.08–0.32; p = 0.001), and PF (SMD = 0.32; I2 = 32%; 95% CI:0.20–0.44; p < 0.00001). Meta-regression analysis showed that improved QoL was associated (p = 0.041) with the “time of session”. More specifically, sessions conducted for medium-time (>45 to ≤60 min; p = 0.03) and longer-time (>60 to 90 min; p = 0.005) considerably improved the QoL, whilst shorter-time (≤45 min; p = 0.15) did not. To summarize, exercise interventions improved the QoL, SF, and PF of breast cancer survivors, where the “time of session” appeared to be crucial for an effective improvement in the QoL.


2019 ◽  
Vol 28 (4) ◽  
pp. 1587-1596 ◽  
Author(s):  
Geling Lu ◽  
Jin Zheng ◽  
Lei Zhang

Abstract Background Evidence is mixed regarding the effect of exercise programs on improving musculoskeletal symptoms and quality of life. Previous meta-analyses have not focused specifically on the musculoskeletal symptoms. Therefore, this meta-analysis aimed to evaluate the effect of exercise on these outcomes in breast cancer survivors taking aromatase inhibitors. Methods PubMed, CINAHL, EMBASE, Web of Science, Wan Fang, CNKI, VIP, and CBM were searched for randomized control trials or quasi-experimental studies from the establishment of the database to May 2019. Studies comparing exercise programs with usual care among breast cancer survivors taking aromatase inhibitors were included. The primary outcome was the degree of musculoskeletal symptoms, as assessed by scores of pain, stiffness, and grip strength. The secondary outcome was the total quality of life score. Results A total of 9 studies involving 743 participants were included. Exercise programs were more effective than usual care in improving musculoskeletal symptoms among breast cancer patients taking AIs. The subgroup scores of pain (SMD = -0.46, 95% CI -0.79 to -0.13, P = 0.006), stiffness (SMD = -0.40, 95% CI -0.71 to -0.08, P = 0.01), and grip strength (SMD = 0.43, 95% CI 0.16 to 0.71, P = 0.002) benefited from exercise interventions. Similar effects were found for the quality of life scores (SMD = 2.24, 95% CI 0.28 to 4.21, P = 0.03). Conclusions Results indicate that exercise relieves musculoskeletal symptoms and improves quality of life, which can be used to motivate patients to exercise actively under professional guidance. Due to a small sample size, further research is required to ensure the effectiveness of exercise on musculoskeletal symptoms and quality of life.


Breast Cancer ◽  
2014 ◽  
Vol 21 (3) ◽  
pp. 262-274 ◽  
Author(s):  
Yingchun Zeng ◽  
Meiling Huang ◽  
Andy S. K. Cheng ◽  
Ying Zhou ◽  
Winnie K. W. So

2019 ◽  
Vol 10 (12) ◽  
pp. 895-907
Author(s):  
Paulo Francisco de Almeida Neto ◽  
E.C. de Almeida Barbosa ◽  
K.Q.M.A. de Araújo ◽  
Tatianny de Macêdo Cesário ◽  
Brunna Rafaella do Carmo Silva ◽  
...  

2011 ◽  
Vol 26 (S2) ◽  
pp. 1690-1690 ◽  
Author(s):  
A. Torres ◽  
A. Pereira ◽  
S. Monteiro

IntroductionBreast Cancer is the most frequent cause of death by cancer in Women. Therefore Breast Cancer is a priority of the Portuguese Health Ministry. Mental illness, as Depression, is also a priority of that Ministry and breast cancer presents higher psychopathology comorbidity than general population. These both facts emphasize the relevance of the studies about interventions to promote mental health of Portuguese breast cancer women. Simultaneously, there are little studies about the applicability and efficiency of Cognitive Behavior Group Therapy in the European context and in Portugal in particular.ObjectivesWe purpose to develop a group cognitive behavior therapy (CBT) program to breast cancer survivors and implement it in a Portuguese group.MethodsAfter a proper review of cognitive behavior group therapy programs to oncologic patients, we will adapt them to the Portuguese population. Then, a study will be made with a group of breast cancer survivors. We intent to assess them before and after the therapy in respect to the following psychological variables: self-concept, optimism, coping, quality of life and psychopathology.ResultsWe expect to improve the knowledge about the applicability of Cognitive Behavior Group Therapy in Portuguese (and European) context.ConclusionsIn sum, we expect to contribute with efficient psychological interventions to Breast Cancer Women survivors, in respect to self-concept, optimism, coping, quality of life and psychopathology.


Sign in / Sign up

Export Citation Format

Share Document