Qin Wang, Qiuying Wu, Yanyan Wang, Tao Yang, Qiaoling Chen, Kaidi Yang
{"title":"基于PERMA模型的积极心理干预在癌症患者中的有效性：系统回顾和meta分析","authors":"Qin Wang, Qiuying Wu, Yanyan Wang, Tao Yang, Qiaoling Chen, Kaidi Yang","doi":"10.1111/jep.70175","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Happiness is a fundamental goal for all individuals. However, cancer patients often find themselves at risk of happiness deprivation owing to the psychological and physical challenges posed by their condition.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>This systematic review aimed to evaluate the effectiveness of positive psychological interventions based on the PERMA model in enhancing happiness/well-being in cancer patients. A secondary objective was to assess their effects on anxiety, depression, fatigue, and fear of cancer recurrence.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A systematic review and meta-analysis were performed according to PRISMA guidelines. PubMed, EMBASE, CINAHL, Cochrane Library, PsycINFO, Scopus, and Web of Science databases were searched for experimental studies on PERMA-based positive psychological interventions for cancer patients (from inception to 15 May 2024). Two researchers independently performed data screening, extraction, and risk of bias assessments using Cochrane's Risk of Bias Tool (RoB 2). Meta-analysis techniques were applied, and evidence certainty was evaluated using the GRADE system.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Fourteen studies involving 1200 cancer patients met the inclusion criteria, with thirteen included in the meta-analysis. PERMA model-based positive psychological interventions significantly improved happiness/well-being (standardized mean difference [SMD]: 1.19; 95% confidence interval [CI]: 0.68–1.70) and were associated with reductions in anxiety (MD: −2.98; 95% CI: −3.29 to −2.67), depression (MD: −2.08; 95% CI: −2.20 to −1.96), fatigue (MD: −2.14; 95% CI: −2.20 to −2.08) and fear of cancer recurrence (MD: −5.10; 95% CI: −6.27 to −3.94). The certainty of evidence for all outcomes was rated as low or very low.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>This meta-analysis provides preliminary evidence that PERMA-based positive psychological interventions have the potential to enhance happiness/well-being in cancer patients while alleviating psychological distress. However, substantial heterogeneity and methodological limitations preclude definitive recommendations, highlighting the need for further high-quality research.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effectiveness of Positive Psychological Intervention Based on PERMA Model in Cancer Patients: A Systematic Review and Meta-Analysis\",\"authors\":\"Qin Wang, Qiuying Wu, Yanyan Wang, Tao Yang, Qiaoling Chen, Kaidi Yang\",\"doi\":\"10.1111/jep.70175\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Happiness is a fundamental goal for all individuals. However, cancer patients often find themselves at risk of happiness deprivation owing to the psychological and physical challenges posed by their condition.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>This systematic review aimed to evaluate the effectiveness of positive psychological interventions based on the PERMA model in enhancing happiness/well-being in cancer patients. A secondary objective was to assess their effects on anxiety, depression, fatigue, and fear of cancer recurrence.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A systematic review and meta-analysis were performed according to PRISMA guidelines. PubMed, EMBASE, CINAHL, Cochrane Library, PsycINFO, Scopus, and Web of Science databases were searched for experimental studies on PERMA-based positive psychological interventions for cancer patients (from inception to 15 May 2024). 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The Effectiveness of Positive Psychological Intervention Based on PERMA Model in Cancer Patients: A Systematic Review and Meta-Analysis
Background
Happiness is a fundamental goal for all individuals. However, cancer patients often find themselves at risk of happiness deprivation owing to the psychological and physical challenges posed by their condition.
Objectives
This systematic review aimed to evaluate the effectiveness of positive psychological interventions based on the PERMA model in enhancing happiness/well-being in cancer patients. A secondary objective was to assess their effects on anxiety, depression, fatigue, and fear of cancer recurrence.
Methods
A systematic review and meta-analysis were performed according to PRISMA guidelines. PubMed, EMBASE, CINAHL, Cochrane Library, PsycINFO, Scopus, and Web of Science databases were searched for experimental studies on PERMA-based positive psychological interventions for cancer patients (from inception to 15 May 2024). Two researchers independently performed data screening, extraction, and risk of bias assessments using Cochrane's Risk of Bias Tool (RoB 2). Meta-analysis techniques were applied, and evidence certainty was evaluated using the GRADE system.
Results
Fourteen studies involving 1200 cancer patients met the inclusion criteria, with thirteen included in the meta-analysis. PERMA model-based positive psychological interventions significantly improved happiness/well-being (standardized mean difference [SMD]: 1.19; 95% confidence interval [CI]: 0.68–1.70) and were associated with reductions in anxiety (MD: −2.98; 95% CI: −3.29 to −2.67), depression (MD: −2.08; 95% CI: −2.20 to −1.96), fatigue (MD: −2.14; 95% CI: −2.20 to −2.08) and fear of cancer recurrence (MD: −5.10; 95% CI: −6.27 to −3.94). The certainty of evidence for all outcomes was rated as low or very low.
Conclusions
This meta-analysis provides preliminary evidence that PERMA-based positive psychological interventions have the potential to enhance happiness/well-being in cancer patients while alleviating psychological distress. However, substantial heterogeneity and methodological limitations preclude definitive recommendations, highlighting the need for further high-quality research.
期刊介绍：
The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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