Tailoring Cognitive Behavioral Therapy for Depression and Anxiety Symptoms in Mexican Terminal Cancer Patients: A Multiple Baseline Study

Landa-Ramírez, Édgar; Greer, Joseph A.; Sánchez-Román, Sofía; Manolov, Rumen; Salado-Avila, Ma Magdalena; Templos-Estebán, Luz A; Riveros-Rosas, Angélica

doi:10.1007/s10880-019-09620-8

Cited by 11 publications

(9 citation statements)

References 64 publications

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“…An increasing number of studies have applied CBT-based interventions to manage chronic pain[ 48 ], hypertension[ 49 ], diabetes[ 50 ], and cancer[ 51 ] and have found CBT interventions have been effective in improving health outcomes in these patients. Similarly, our meta-analysis found a positive impact of CBT-based interventions on psychological and physiological factors and QOL in patients with CHD.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of cognitive behavioral therapy-based interventions on health outcomes in patients with coronary heart disease: A meta-analysis

Li¹,

Buys²,

Ferguson³

et al. 2021

WJP

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BACKGROUND Recently, the efficacy of cognitive behavioral therapy (CBT)-based intervention on health outcomes in patients with coronary heart disease (CHD) has been recognized in randomized controlled trials (RCTs), but no comprehensive systematic review has been conducted. To address this research gap, our study aimed to evaluate whether comprehensive CBT-based interventions positively affect health outcomes in CHD patients. It was hypothesized that CBT-based interventions are effective in: (1) Reducing depression, anxiety, and stress symptoms; (2) Reducing body mass index, blood pressure, and lipid levels; and (3) Improving quality of life, and exercise endurance. AIM To verify the effectiveness of CBT-based interventions on CHD patients through a meta-analysis of previous publications. METHODS Relevant RCTs published in English were obtained by searching electronic databases, including PubMed, Embase, Cochrane Central Register of Controlled Trials, Scopus, and Proquest, with the retrieval time from inception to August 2020. The primary outcomes were psychological factors (depression, anxiety, and stress symptoms), physiological factors (body mass index, blood pressure, blood lipids). The secondary outcomes included quality of life and exercise endurance. We used Review Manager 5.3 to conduct the meta-analysis and used the Physiotherapy Evidence Database tool to evaluate the quality of studies. RESULTS A total of 22 RCTs comprising 4991 patients with CHD were included in the systematic review and meta-analysis. The main analysis revealed that CBT-based intervention can reduce depression symptoms: -2.00 [95% confidence interval (CI): -2.83 to -1.16, P < 0.001]; anxiety symptoms: -2.07 (95%CI: -3.39 to -0.75, P = 0.002); stress symptoms: -3.33 (95%CI: -4.23 to -2.44, P < 0.001); body mass index: -0.47 (95%CI: -0.81 to -0.13, P = 0.006); and improve physical functioning: 3.36 (95%CI: 1.63 to 5.10, P = 0.000) and mental functioning: 6.91 (95%CI: 4.10 to 9.73, P < 0.001). Moreover, subgroup analysis results showed that CBT-based interventions were more effective for symptoms of depression and anxiety in CHD patients when individual, as opposed to group treatment, and psycho-education, behavioral and cognitive strategies were applied as the core treatment approaches. CONCLUSION CBT-based interventions are effective treatment strategies for CHD patients, significantly improving their symptoms of depression, anxiety and stress, body mass index, and health-related quality of life.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of cognitive behavioral therapy-based interventions on health outcomes in patients with coronary heart disease: A meta-analysis

Li¹,

Buys²,

Ferguson³

et al. 2021

WJP

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“…Unlike most didactic psychotherapies (e.g., cognitive behavioral therapy or problem-solving therapy), mindfulness-based interventions do not have a structured change process/mechanism but, instead, focus on attention to the present, acceptance, and emotion regulation [21,22]. This is particularly important for cancer patients because many didactic psychotherapies do not sufficiently address patients' cognitive structure and emotional response to a cancer diagnosis and its treatment [22][23][24]. When facing a cancer diagnosis, many cognitive patterns and emotional responses generally considered maladaptive are now normalized.…”

Section: Mindfulness-based Interventions For Breast Cancer Patientsmentioning

confidence: 99%

Mindfulness-based interventions for breast cancer patients in China across outcome domains: a systematic review and meta-analysis of the Chinese literature

Shi-jie

Zhang

Chen

et al. 2021

Support Care Cancer

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Objective This study aims to evaluate the treatment effect of a mindfulness-based intervention for Chinese breast cancer patients across outcome domains, including symptom-related, psychosocial, and quality of life outcomes. Methods Following the Cochrane Systematic Review guideline, we searched across five electronic databases, reference lists of eligible studies, professional websites, and major academic journals in Chinese. Publication bias was assessed using funnel plot and Vevea and Woods sensitivity analysis, and risk of bias was evaluated using the revised Cochrane risk of bias tool for randomized trials and risk of bias in non-randomized studies of interventions. A meta-analysis of Hedges' g was conducted using meta-regression with robust variance estimation. Results Final analysis included a total of 45 controlled trials containing 286 effect size estimates. Across outcome domains, studies reported an overall large and statistically significant treatment effect, d = 0.921, 95% CI (0.805, 1.040), p < 0.001. Subgroup analyses of specific domains of outcome reported overall significant treatment effects for (1) symptom-related outcomes, d = 0.885, 95% CI (0.657, 1.110), p < 0.001; (2) psychosocial wellness outcomes, d = 0.984, 95% CI (0.879, 1.090), p < 0.001; and (3) quality of life, d = 0.990, 95% CI (0.776, 1.200), p < 0.001. Moderator analysis did not identify any significant moderator. Conclusion Chinese literature reported an overall statistically significant and large treatment effect of a mindfulness-based intervention for breast cancer patients in China. Except for physical symptom outcomes, e.g., nausea/vomiting and pain, a mindfulness-based intervention was effective across outcome domains among Chinese breast cancer patients. Keywords Breast cancer . Mindfulness-based intervention . Systematic review and meta-analysis Breast cancer is the most common cancer and cause of cancerrelated death among women internationally [1]. There were over 2 million newly diagnosed breast cancer patients worldwide in 2018, including 626,679 associated deaths [2].

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“…Mimo że pacjenci z guzami mózgu doświadczają wielu problemów psychologicznych, obejmujących funkcjonowanie poznawcze, emocjonalne, behawioralne czy społeczne, bardzo niewiele jest badań, szczególnie RCT, oceniających wpływ psychoterapii CBT i nowszych podejść na poprawę szeroko rozumianego funkcjonowania i doświadczanej jakości życia. Dostępne są wyniki badań wskazujące na skuteczność CBT w odniesieniu do zaburzeń snu (Aricò et al, 2016;Garland et al, 2014), przeżywanego bólu lub zaburzeń emocjonalnych (Greer et al, 2019;Landa-Ramírez et al, 2020) w przebiegu choroby nowotworowej, natomiast niewiele prac dotyczy pacjentów z guzami mózgu. Rezultaty badań z udziałem osób leczonych z powodu guzów mózgu i wyniki RCT z udziałem pacjentów onkologicznych (Chang et al, 2020;Cillessen et al, 2019;Compen et al, 2019;Serfaty et al, 2019) pozwalają przypuszczać, że zastosowanie CBT, zarówno w klasycznej formie, jak i w nowszych podejściach, może być skuteczne w radzeniu sobie z trudnościami emocjonalnymi, poznawczymi i behawioralnymi w analizowanej grupie chorych.…”

Section: Guzy Mózguunclassified

Could neurosurgical patients benefit from psychotherapy? A few words on the use of cognitive-behavioural therapy in brain injured patients

Pawełczyk¹,

Błaszczyk²,

Pawełczyk³

et al. 2020

Aktualn Neurol

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Numerous studies have shown the effectiveness of cognitive-behavioural therapy in the treatment of various mental disorders. The present study reviews the available literature on the use and effectiveness of this therapy, both its classic form and more recent approaches (the so called “third wave”), among patients with brain injuries and those treated with surgical methods. We present a number of studies describing the use of cognitive-behavioural therapy in the treatment of patients with craniocerebral injuries, brain tumours, intracranial bleeding and vascular malformations. The obtained results are promising for the treatment of depression and anxiety disorders, post-traumatic stress disorder as well as sleep disorders, impulsivity and aggressive behaviour. The findings suggest that cognitive-behavioural therapy techniques may be effective in both these groups of patients and their families or caregivers. Currently, due to the small number of randomised controlled trials, high heterogeneity of study groups and a variety of research protocols, these findings do not allow for drawing final conclusions and proposing recommendations. Nevertheless, they demonstrate that the strategy offers promise when treating patients with brain damage. It is suggested that psychotherapy should be initiated after the end of the acute phase of the disease as it requires a certain level of self-awareness and an ability to test hypotheses, so it may be inadequate for patients with profound cognitive impairment. It requires the cooperation of a multidisciplinary team: doctors, physiotherapist, neuropsychologist and psychotherapist who, in addition to therapeutic skills, should have knowledge of the brain–behaviour relationship.

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Tailoring Cognitive Behavioral Therapy for Depression and Anxiety Symptoms in Mexican Terminal Cancer Patients: A Multiple Baseline Study

Cited by 11 publications

References 64 publications

Effectiveness of cognitive behavioral therapy-based interventions on health outcomes in patients with coronary heart disease: A meta-analysis

Effectiveness of cognitive behavioral therapy-based interventions on health outcomes in patients with coronary heart disease: A meta-analysis

Mindfulness-based interventions for breast cancer patients in China across outcome domains: a systematic review and meta-analysis of the Chinese literature

Could neurosurgical patients benefit from psychotherapy? A few words on the use of cognitive-behavioural therapy in brain injured patients

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