{"title":"The impact of psychosocial interventions on women with gynaecological cancers: a systematic review and meta-analysis.","authors":"Sonia Tomescu-Stachie, Andrew Merwood, Katy Sivyer, Snezana Nikolin Caisley, Miznah Al-Abbadey","doi":"10.1080/17437199.2025.2525409","DOIUrl":null,"url":null,"abstract":"<p><p>Women affected by gynaecological cancers are at an increased risk of psychological distress, diminished psychological wellbeing and quality of life (QoL). This systematic review and meta-analysis synthesised the impact of psychosocial interventions on these three outcomes. A total of 23 studies (<i>N</i> = 3345 participants), including 19 randomised controlled trials (RCTs) and 4 non-randomised studies of interventions (NRSIs) were assessed using Cochrane RoB2 and ROBINS-I tools. Meta-regression random effect modelling analyses revealed reductions in psychological distress (<i>p</i> < .001) and improvements in psychological wellbeing (<i>p</i> = .003) and QoL (<i>p</i> < .001). Findings highlight the potential of interventions such as cognitive behavioural therapy (CBT) and psychoeducation to complement multidisciplinary approaches addressing patients' biopsychosocial needs. Psychoeducation's integration with other interventions enhanced patient self-management and coping. Multidisciplinary interventions demonstrated effects on outcomes related to body image and sexual health concerns. However, variability in study designs, intervention delivery, follow-up periods and high risk of bias underscore the need for robust research and standardised measures. Overall, the review reinforces the value of holistic, tailored interventions to meet the diverse needs of women affected by gynaecological cancers. Future research may consider refining intervention timing, delivery methods and cost-effectiveness while addressing disparities in access to ensure equitable care.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-39"},"PeriodicalIF":9.7000,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Psychology Review","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/17437199.2025.2525409","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0
Abstract
Women affected by gynaecological cancers are at an increased risk of psychological distress, diminished psychological wellbeing and quality of life (QoL). This systematic review and meta-analysis synthesised the impact of psychosocial interventions on these three outcomes. A total of 23 studies (N = 3345 participants), including 19 randomised controlled trials (RCTs) and 4 non-randomised studies of interventions (NRSIs) were assessed using Cochrane RoB2 and ROBINS-I tools. Meta-regression random effect modelling analyses revealed reductions in psychological distress (p < .001) and improvements in psychological wellbeing (p = .003) and QoL (p < .001). Findings highlight the potential of interventions such as cognitive behavioural therapy (CBT) and psychoeducation to complement multidisciplinary approaches addressing patients' biopsychosocial needs. Psychoeducation's integration with other interventions enhanced patient self-management and coping. Multidisciplinary interventions demonstrated effects on outcomes related to body image and sexual health concerns. However, variability in study designs, intervention delivery, follow-up periods and high risk of bias underscore the need for robust research and standardised measures. Overall, the review reinforces the value of holistic, tailored interventions to meet the diverse needs of women affected by gynaecological cancers. Future research may consider refining intervention timing, delivery methods and cost-effectiveness while addressing disparities in access to ensure equitable care.
期刊介绍:
The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.