治疗癌症患者癌症复发恐惧的非药物干预措施：随机对照试验的网络荟萃分析。

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2024-11-10 DOI:10.1016/j.jpsychores.2024.111970

Fei Dong , Di Yang , Na Dong , Yujing Li , Hongjuan Wan , Jiangxia Gao

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引用次数: 0

摘要

研究目的本研究旨在通过使用净荟萃分析（NMA）方法综合各项研究的证据，评估非药物干预对癌症患者癌症复发恐惧的影响。此外，该研究还试图对这些干预措施的疗效进行排序：两名研究人员独立检索了 PubMed、Cochrane Library、Embase 和 Web of Science 数据库，以确定符合纳入标准的随机对照试验（RCT）。检索时间从数据库建立之初到 2023 年 12 月。然后对纳入的研究进行了质量评估，并进行了网络荟萃分析，以评估和比较干预措施的有效性：本研究纳入了 27 项研究性临床试验，涉及 3009 名患者，考察了七种非药物干预措施。NMA结果表明，根据累积排名曲线下表面，癌症与有意义地生活（CALM）是最有效的干预措施（100%），其次是正念疗法（MT）（76.5%）和夫妻技能培训（CST）（60.6%）。然而，列表结果显示，与候补名单组相比，正念疗法[SMD = -4.83，95 % CI (-5.93, -3.73)]和夫妻技巧训练[SMD = -0.86，95 % CI (-1.65, -0.07)]的效果显著，而MT[SMD = -1.52, 95 % CI (-3.46, 0.43)]没有达到统计学意义。此外，CST 比认知行为疗法[SMD = -2.98，95 % CI (-5.40，-0.56)]更有效：本研究结果表明，CALM 是解决心理健康问题最有效的干预措施。

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Non-pharmacologic interventions for treating fear of cancer recurrence in patients with cancer: A network meta-analysis of randomized controlled trials

Objective

This study aimed to evaluate the impact of non-pharmacological interventions on fear of cancer recurrence in patients with cancer by synthesizing evidence from various studies using the net meta-analysis (NMA) approach. Additionally, the study sought to rank the efficacy of these interventions.

Methods

Two investigators independently searched the PubMed, Cochrane Library, Embase, and Web of Science databases to identify randomized controlled trials(RCTs) that met the inclusion criteria. The search encompassed the period from the inception of the database to December 2023. The included studies were then subjected to a quality assessment, and a network meta-analysis was performed to evaluate and compare the effectiveness of the interventions.

Results

This study included 27 RCTs involving 3009 patients and examined seven types of non-pharmacological interventions. The NMA results indicated that, based on the Surface Under the Cumulative Ranking curve, Cancer and Living Meaningfully (CALM) was the most effective intervention (100 %), followed by Mindfulness Therapy (MT) at 76.5 % and Couples' Skills Training (CST) at 60.6 %. However, the league table results showed that, compared to the waitlist group, the effects of CALM [SMD = −4.83, 95 % CI (−5.93, −3.73)] and CST [SMD = −0.86, 95 % CI (−1.65, −0.07)] were significant, while MT [SMD = −1.52, 95 % CI (−3.46, 0.43)] did not reach statistical significance. Furthermore, CST was more effective than Cognitive Behavioral Therapy [SMD = −2.98, 95 % CI (−5.40, −0.56)].

Conclusion

The results of this study indicate that CALM is the most effective intervention for addressing mental health issues.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.