Assessing the efficacy of psychological interventions in enhancing the quality of life of patients diagnosed with cancer and psychiatric disorders: An umbrella analysis.
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引用次数: 0
Abstract
Background: Psychosocial interventions encompass psychotherapy and psychological education that explicitly target psychosocial adaptation. These interventions have been shown to have a substantial positive effect on reducing anxiety and depression, as well as improving overall quality of life (QoL). Nevertheless, there is still no consensus concerning the therapeutic effectiveness of these interventions.
Objectives: An umbrella review of systematic reviews and meta-analyses was conducted to determine the efficacy of psychological interventions in improving the QoL and psychological wellbeing of patients with cancer and mental illness.
Material and methods: A comprehensive literature search was conducted across multiple databases, namely PubMed, Embase, Scopus, and Cochrane Library. Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR-2) was used to evaluate research methodological rigor.
Results: The 12 papers analyzed in this umbrella review explored psychological therapy for cancer and psychiatric patients. The included reviews covered in total 8,198 studies. The AMSTAR-2 rated 8 of 12 studies as high-quality and 4 as intermediate. A total of 369 studies examined cancer, 166 schizophrenia and 165 psychoses. Psychological therapy improved the QoL for cancer, schizophrenia and psychosis by 1.87, 1.48 and 1.61, respectively. Psychiatric and cancer patients have anxiety, sleep issues and a lower QoL. This umbrella study showed that psychological interventions improved QoL in both groups of patients.
Conclusion: Psychological therapy appears to improve cancer and mental illness patients' QoL and wellbeing. Most evidence is from highand middle-income nations. Therefore, further high-quality research that covers a larger geographical area and rigorous systematic reviews with complete meta-analyses is needed to gain useful insights in this field.
期刊介绍：
Advances in Clinical and Experimental Medicine has been published by the Wroclaw Medical University since 1992. Establishing the medical journal was the idea of Prof. Bogumił Halawa, Chair of the Department of Cardiology, and was fully supported by the Rector of Wroclaw Medical University, Prof. Zbigniew Knapik. Prof. Halawa was also the first editor-in-chief, between 1992-1997. The journal, then entitled "Postępy Medycyny Klinicznej i Doświadczalnej", appeared quarterly.
Prof. Leszek Paradowski was editor-in-chief from 1997-1999. In 1998 he initiated alterations in the profile and cover design of the journal which were accepted by the Editorial Board. The title was changed to Advances in Clinical and Experimental Medicine. Articles in English were welcomed. A number of outstanding representatives of medical science from Poland and abroad were invited to participate in the newly established International Editorial Staff.
Prof. Antonina Harłozińska-Szmyrka was editor-in-chief in years 2000-2005, in years 2006-2007 once again prof. Leszek Paradowski and prof. Maria Podolak-Dawidziak was editor-in-chief in years 2008-2016. Since 2017 the editor-in chief is prof. Maciej Bagłaj.
Since July 2005, original papers have been published only in English. Case reports are no longer accepted. The manuscripts are reviewed by two independent reviewers and a statistical reviewer, and English texts are proofread by a native speaker.
The journal has been indexed in several databases: Scopus, Ulrich’sTM International Periodicals Directory, Index Copernicus and since 2007 in Thomson Reuters databases: Science Citation Index Expanded i Journal Citation Reports/Science Edition.
In 2010 the journal obtained Impact Factor which is now 1.179 pts. Articles published in the journal are worth 15 points among Polish journals according to the Polish Committee for Scientific Research and 169.43 points according to the Index Copernicus.
Since November 7, 2012, Advances in Clinical and Experimental Medicine has been indexed and included in National Library of Medicine’s MEDLINE database. English abstracts printed in the journal are included and searchable using PubMed http://www.ncbi.nlm.nih.gov/pubmed.
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