The effect of a supportive program on coping strategies and stress in women diagnosed with breast cancer: A randomized controlled clinical trial

Samami, Elahe; Elyasi, Forouzan; Mousavinasab, Seyed Nouraddin; Shojaee, Leila; Zaboli, Ehsan; Shahhosseini, Zohreh

doi:10.1002/nop2.728

Cited by 7 publications

(3 citation statements)

References 43 publications

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“…Compared to non‐active control conditions at post treatment, two studies were identified as unusual cases with very large, positive effect sizes ( g = 4.86, 95% CI [3.64; 6.09], 53 and g = 2.34, 95% CI [1.67; 3.01] 64 ; Supplementary Figure 3). After exclusion of these two studies, we found significantly small effects in favor of group treatment ( n = 19, 3203 patients, g = 0.42, 95% CI [0.29; 0.56]).…”

Section: Resultsmentioning

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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Section: Resultsmentioning

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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“…Statistics indicate that less than a third of Eastern Mediterranean breast cancer patients have a good quality of life, an integrated and multidimensional educational program is necessary to improve the quality of life of breast cancer patients 42 . There is evidence that breast cancer patients who have stronger social support have a higher resilience to stress and better quality of life 43,44 . This study explored how psychological distress impacts the quality of life in breast cancer patients, providing evidence that psychological intervention can enhance their happiness in life.…”

Section: Discussionmentioning

confidence: 99%

“… 42 There is evidence that breast cancer patients who have stronger social support have a higher resilience to stress and better quality of life. 43 , 44 This study explored how psychological distress impacts the quality of life in breast cancer patients, providing evidence that psychological intervention can enhance their happiness in life.…”

Section: Discussionmentioning

confidence: 99%

Psychological distress is involved in CRCI in breast cancer survivors via mediating cytokine levels

Pang

Yao

et al. 2023

Cancer Medicine

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Background Cancer‐related cognitive impairment (CRCI) is a frequent consequence in breast cancer survivors after chemotherapy and lowers their quality of life (QOL). Psychological distress is frequently experienced by breast cancer survivors. There are currently few studies investigating the role of psychological distress in the genesis of CRCI. Methods In total, 122 breast cancer survivors after standard chemotherapy within a year were recruited and assessed using the Psychological Distress Thermometer (DT). Sixty breast cancer survivors had non‐psychological distress (NPD group) and sixty‐two breast cancer survivors with psychological distress (PD group). The scores of the Mini‐Mental State Examination (MMSE), prospective and retrospective memory (PM and RM) Questionnaire (PRMQ), and Functional Assessment of Cancer Therapy‐General (FACT‐G) and the levels of cytokines including interleukin‐1 beta (IL‐1β), tumor necrosis factor‐alpha (TNF‐α), and interleukin‐4 (IL‐4) were compared between the two groups. Using PROCESS, we investigated whether psychological distress predicted cognitive function based on MMSE through IL‐1β, TNF‐α, and IL‐4. Results The PD group had higher scores on RM, PM, and FACT‐G and lower scores on MMSE than the NPD group (t = −11.357, t = −10.720, t = −15.419, t = 10.162, respectively; p < 0.05). Meanwhile, a higher level of IL‐1β, TNF‐α, and IL‐4 was observed in the PD group than in the NPD group (t = −3.961, t = −3.396, t = −3.269, respectively; p < 0.05). The link between psychological distress and cognitive function as measured by the MMSE was also mediated by IL‐1β, TNF‐α, and IL‐4 (effect size: 26%, 25%, and 24%). Conclusion Breast cancer patients with psychological distress displayed poor cognitive function, poor memory, and inferior quality of life, which was accompanied by higher cytokine levels of IL‐1β, TNF‐α, and IL‐4. This study demonstrated IL‐1β, TNF‐α, and IL‐4 as potential pathways to CRCI in response to ongoing psychological distress, which provided evidence for the involvement of psychological distress in CRCI in breast cancer survivors.

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Psychometric Properties of the Persian Version of the Personal Meaning Profile in Iran

et al. 2022

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The effect of a supportive program on coping strategies and stress in women diagnosed with breast cancer: A randomized controlled clinical trial

Cited by 7 publications

References 43 publications

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

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

Psychological distress is involved in CRCI in breast cancer survivors via mediating cytokine levels

Psychometric Properties of the Persian Version of the Personal Meaning Profile in Iran

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