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Effectiveness of cognitive behavioral therapy in improving functional health in cancer survivors: A systematic review and meta-analysis. | LitMetric

Effectiveness of cognitive behavioral therapy in improving functional health in cancer survivors: A systematic review and meta-analysis.

Crit Rev Oncol Hematol

University of Michigan School of Social Work, United States; Adolescent and Young Adult Oncology Program, University of Michigan Health, United States.

Published: July 2022

AI Article Synopsis

  • - The study reviews the impact of cognitive-behavioral therapy (CBT) on the functional health outcomes of cancer survivors, addressing health issues stemming from their illness and treatments.
  • - An analysis of 95 studies revealed a significant positive effect of CBT on functional health, with an effect size of d = 0.391, showing that specific factors like treatment phase influenced its effectiveness.
  • - Results indicate that CBT can improve health outcomes for cancer survivors, although it is less effective for newly diagnosed patients or those involved in active treatment programs.

Article Abstract

Background: Cancer survivors suffer from health deficits caused by their disease and treatment. This study conducted a systematic review and meta-analysis on how, and to what extent, cognitive-behavioral therapy (CBT) impacts functional health outcomes in cancer survivors.

Methods: We searched 7 electronic databases, 91 published review articles, and 4 professional websites for eligible randomized and non-randomized controlled trials focusing on cancer survivors.

Results: We included 95 studies published between 1986 and 2021. Risk of bias across studies was low overall. We identified an overall statistically significant treatment effect size across functional health categories, d = 0.391, p < 0.001, and significant moderators associated with CBT's treatment effect, i.e., treatment phase and type of comparison.

Conclusions: CBT was effective at improving functional health outcomes of cancer survivors, regardless of therapy delivery modality or number of cancer diagnoses patients had, but not for newly diagnosed patients or those currently benefiting from an active comparator intervention.

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Source
http://dx.doi.org/10.1016/j.critrevonc.2022.103709DOI Listing

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