A systematic review on the effects of logotherapy and meaning-centered therapy on psychological and existential symptoms in women with breast and gynecological cancer.
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引用次数: 0
Abstract
Purpose: Women diagnosed with breast cancer (BC) and gynecological cancer (GC) face psychological and existential challenges common to all cancers, such as anxiety and depression, along with specific issues related to body image and sexuality. Logotherapy and meaning-centered therapy (MCT) have shown positive effects on the psychological well-being of cancer patients.
Methods: A systematic review was conducted following PRISMA guidelines to assess the impact of logotherapy and meaning-centered therapy (MCT) on women diagnosed with BC and GC from January 2014 to December 2024. Empirical research articles published in English were included, while literature reviews, meta-analyses, doctoral theses, preprints, books, and studies involving other cancer types or metastatic/comorbid conditions were excluded. The search was conducted across Web of Science, Scopus, and PubMed databases using terms like uterine cancer, ovarian cancer, breast cancer, mastectomy, logotherapy, and MCT. The Boolean operators AND and OR were used in the Title and Abstract search fields across all three databases, as well as in the Topic search field for the WoS database.
Results: Out of the 36 articles initially obtained, 29 remained after eliminating duplicates and, finally, six papers were selected. The included studies examined various psychological and existential issues in patients with breast and gynecological cancer, including anxiety, distress, depression, hopelessness, death anxiety, post-traumatic stress, perception of physical symptoms, quality of life, post-traumatic growth, spiritual well-being, and meaning in life.
Conclusion: Findings suggest that logotherapy decreases depressive symptoms, anxiety, and post-traumatic stress, whereas improves meaning in life, quality of life, physical symptom perception, and post-traumatic growth in women with BC and GC. Implementing logotherapy in cancer care units through a multidisciplinary approach could be valuable, considering biopsychosocial factors, and incorporating aspects of self-image and sexuality in treatment would also be beneficial.
目的：被诊断患有乳腺癌（BC）和妇科癌（GC）的女性面临着所有癌症共同的心理和生存挑战，如焦虑和抑郁，以及与身体形象和性相关的特定问题。意义治疗和意义中心治疗（MCT）对癌症患者的心理健康有积极的影响。方法：根据PRISMA指南进行系统评价，评估意义治疗和意义中心治疗（MCT）对2014年1月至2024年12月诊断为BC和GC的女性的影响。以英文发表的实证研究文章被纳入，而文献综述、荟萃分析、博士论文、预印本、书籍和涉及其他癌症类型或转移/合并症的研究被排除在外。搜索是在Web of Science、Scopus和PubMed数据库中进行的，使用的术语包括子宫癌、卵巢癌、乳腺癌、乳房切除术、意义疗法和MCT。布尔运算符AND和OR用于所有三个数据库的Title和Abstract搜索字段，以及WoS数据库的Topic搜索字段。结果：在最初获得的36篇文章中，剔除重复后剩下29篇，最终选择6篇。纳入的研究调查了乳腺癌和妇科癌症患者的各种心理和存在问题，包括焦虑、痛苦、抑郁、绝望、死亡焦虑、创伤后应激、对身体症状的感知、生活质量、创伤后成长、精神健康和生活意义。结论：研究结果表明，意义疗法减少了BC和GC女性的抑郁症状、焦虑和创伤后应激，同时改善了生活意义、生活质量、身体症状感知和创伤后生长。通过多学科方法在癌症护理单位实施意义疗法可能是有价值的，考虑到生物心理社会因素，并在治疗中纳入自我形象和性方面也将是有益的。
期刊介绍：
Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease.
Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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