Psychoeducation for breast cancer: A systematic review and meta-analysis

Setyowibowo, Hari; Yudiana, Whisnu; Hunfeld, J. A. M.; Iskandarsyah, Aulia; Passchier, Jan; Arzomand, Homra; Sadarjoen, Sawitri S.; Vries, Ralph de; Sijbrandij, Marit

doi:10.1016/j.breast.2022.01.005

Cited by 29 publications

(25 citation statements)

References 63 publications

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“…Education, training, and behavioral changes that assist patients in acquiring a better knowledge of dialysis and adopting healthy living habits have been shown to increase patient conformity with the treatment [ 15 , 16 ]. Few studies have explicitly tested conformity and published the conformity rate [ 17 ]; however, the interdialytic weight gain (IDWG) and serum phosphorus level are the most often reported indicators for complete conformance. Conformity requirements have been published by the WHO [ 18 ].…”

Section: Pruritus Mechanisms and Associated Causesmentioning

confidence: 99%

[Retracted] Analysis of Nursing Effect of Comprehensive Nursing Intervention on Hemodialysis Patients with Uremia

Wang

et al. 2022

Contrast Media & Molecular Imaging

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Uremic pruritus affects 50–90% of hemodialysis patients, making it one of the most frequent medical issues among this group. Pruritus can lead to skin infections, desquamation, pathological skin changes, sleep problems, anxiety, depression, and social problems. The epidemic of uremia pneumonia has put a lot of stress on hemodialysis patients, resulting in negative feelings. As a result, during the prevention and control of uremia, rigorous management and improved nursing intervention are critical. During the uremia disease outbreak, this study will examine and assess the impact of clinically refined nurse intervention on patients receiving maintenance hemodialysis.

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Section: Pruritus Mechanisms and Associated Causesmentioning

confidence: 99%

[Retracted] Analysis of Nursing Effect of Comprehensive Nursing Intervention on Hemodialysis Patients with Uremia

Wang

et al. 2022

Contrast Media & Molecular Imaging

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“…Therefore, it is necessary to monitor the levels of psychological distress regularly and refer them to mental health experts, if necessary. In addition, since psychosocial intervention effectively alleviates psychological distress [ 35 ], it is desirable to include psychosocial interventions in the integrated treatment plan for cancer survivors, beginning at the end of primary treatment.…”

Section: Discussionmentioning

confidence: 99%

Trajectories of quality of life in breast cancer survivors during the first year after treatment: a longitudinal study

et al. 2023

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Background Although quality of life (QOL) improves over time for most breast cancer patients after their treatment, some patients may show different patterns of QOL. Beyond determining distinct QOL trajectories, identifying characteristics of patients who have different trajectories can help identify breast cancer patients who may benefit from intervention. We aimed to identify trajectories of QOL in breast cancer patients for one year after the end of primary treatment, to determine the factors influencing these changes. Methods This longitudinal study recruited 140 breast cancer patients. Patients' QOL, symptom experience, self-efficacy, and social support were assessed using the Functional Assessment of Cancer Therapy Scale-G, Memorial Symptom Assessment Scale-Short Form, Self-Efficacy Scale for Self-Management of Breast Cancer, and Interpersonal Support Evaluation List-12. Data were collected immediately after the end of primary treatment (T1) and at three (T2), six (T3), and 12 months (T4) after primary treatment. Group-based trajectory modeling was used to identify distinct subgroups of patients with similar patterns of QOL change after treatment. A one-way analysis of variance was used to determine which variables were associated with trajectory membership. A multinomial logistic regression was performed to identify factors associated with trajectory group membership. Results We analyzed 124 patients (mean age: 48.75 years). Latent class analysis of the QOL identified three trajectory groups: the low QOL group (n = 27; 21.1%), moderate QOL group (n = 57; 45.3%), and high QOL group (n = 40; 33.6%). The low QOL group showed consistently low QOL after the end of primary treatment, and the moderate QOL group showed a slight decrease in QOL from T1 to T3, which returned to the T1 level at T4. The high QOL group maintained a consistently high QOL. By multinomial logistic regression, psychological symptoms (odds ratio [OR] 0.46, 95% confidence interval [CI] 0.22–0.99) predicted a moderate QOL, and both psychological symptoms (OR 0.19, 95% CI 0.07–0.51) and belonging support (OR 1.60, 95% CI 1.06–2.39) predicted a high QOL. Conclusion Identifying high-risk groups for reduced QOL after the end of primary treatment is necessary. Moreover, psychosocial interventions should be provided to alleviate psychological symptoms and increase belonging support to enhance patients' QOL. Trial registration Not registered.

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“…While several meta-analyses have summarized the efficacy of psychological interventions in breast cancer patients, [27][28][29][30][31][32][33][34] our study is the first focusing particularly on various therapeutic approaches for women with non-metastatic breast cancer that are applied in a group setting. Therefore, we adopted a broad approach to comprehensively review the evidence on existing interventions in the field.…”

Section: Implications and Conclusionmentioning

confidence: 99%

“…In addition, mindfulness‐based therapy which is usually conducted in groups showed significantly positive effects on anxiety, depression, fatigue, and various other outcomes (7 studies) in comparison to standard care/waitlist conditions 32 . Evidence on psychoeducational groups (14 studies) showed significantly positive, but considerably heterogeneous effects of on depression, anxiety, and quality of life in comparison to standard care and other treatments 33 . In a review of psychosocial interventions for pain in breast cancer patients and survivors, supportive group therapy showed a homogeneous, very small yet significant effect on pain reduction (11 studies) 34 …”

Section: Introductionmentioning

confidence: 99%

Efficacy of group therapy to reduce mental distress in women with non‐metastatic breast cancer: A systematic review and meta‐analysis of randomized controlled trials

Rosendahl

Gawlytta

Ressel³

et al. 2023

Psycho-Oncology

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Objective: Group treatments have proven to be effective for many mental disorders and showed beneficial effects in patients with medical illness. Aim of this systematic review and meta-analysis is to summarize the efficacy of group therapy for women with non-metastatic breast cancer. Methods:We included studies comparing group therapy for women with nonmetastatic breast cancer to non-active control groups, active control conditions, and individual psychotherapy. The primary outcome was mental distress, secondary outcomes were quality of life, coping, existential outcomes, fatigue, pain, and side effects. A comprehensive search was conducted in Medline, Web of Science, CENTRAL, PsycINFO, and DARE complemented by a manual search.Random-effects meta-analyses were run separately for different types of control groups.Results: Thirty-seven studies (5902 patients) were included. Small effects on mental distress in favor of group treatment were found (non-active control groups: n = 19, g = 0.42, 95% CI [0.29; 0.56], I 2 = 61.6%; active control conditions: n = 6, g = 0.20, 95% CI [0.06; 0.35], I 2 = 0%). Cognitive-behavioral therapy (CBT) and third wave CBT group approaches proved to be most effective. Group treatments also showed beneficial effects on secondary outcomes, with most profound evidence on quality of life and coping.Conclusions: Results suggest that group interventions have the potential to reduce mental distress in women facing breast cancer. In the light of the considerable heterogeneity of most study effects, there is a need for more rigorous studies to strengthen the promising evidence and for trials examining the impact of patient and intervention characteristics on outcomes.Registration: PROSPERO international prospective register of systematic reviews, CRD42020184357.

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Psychoeducation for breast cancer: A systematic review and meta-analysis

Cited by 29 publications

References 63 publications

[Retracted] Analysis of Nursing Effect of Comprehensive Nursing Intervention on Hemodialysis Patients with Uremia

[Retracted] Analysis of Nursing Effect of Comprehensive Nursing Intervention on Hemodialysis Patients with Uremia

Trajectories of quality of life in breast cancer survivors during the first year after treatment: a longitudinal study

Efficacy of group therapy to reduce mental distress in women with non‐metastatic breast cancer: A systematic review and meta‐analysis of randomized controlled trials

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