A cancer diagnosis negatively affects mood and quality of life (QoL), but these adverse effects can be limited by appropriate psychological treatments. Aim of this study was to evaluate the effectiveness of cognitive-behavioral, supportive-expressive and psycho-educational groups interventions on women with breast cancer, at any stage of the disease and at any stage of treatment. To assess the effectiveness of these treatments, changes in QoL, depression, anxiety, mood and emotional functioning were considered as outcome variables. A systematic review of literature was carried out from 2003 to 2017 on the following databases: PsycINFO, CINAHL, PsycARTICLES, PubMED, MEDLINE e Cochrane Library. In order to perform a meta-analysis, the data used to calculate the Cohen index (d) were selected, classified and extracted, and then the average effects per group of treatment and type of variable were compared. In order to evaluate the heterogeneity of individual studies and the presence of a specific influence on treatment groups on each dependent variable, multiple linear regression, ANOVA and Beta coefficients were calculated. The results were also organized by type of psychological treatment. Twenty-six studies were included. The analysis of the average effects showed that cognitive-behavioral treatment allows a strong effect on mood, a medium-effect on QoL and a slight effect on anxiety. For supportive-expressive treatment, results revealed a mild effect on depression and mood, a very mild effect on both QoL and emotional functioning. Psycho-educational treatment was only slightly effective on QoL and depression. Results show a greater effectiveness of cognitive-behavioral treatments than both supportive-expressive and psycho-educational treatments. These findings suggest the usefulness to address women with breast cancer diagnosis to cognitive-behavioral treatments that can actually lead to an improvement of their well-being.
SYSTEMATIC REVIEW AND META‐ANALYSIS ON THE EFFECTIVENESS OF GROUP PSYCHOTHERAPY FOR WOMEN WITH BREAST CANCER / Guarino, Angela; Polini, Cristina; Serantoni, Grazia. - In: MEDITERRANEAN JOURNAL OF CLINICAL PSYCHOLOGY. - ISSN 2282-1619. - 5:2(2017), pp. 120-121. [10.6092/2282-1619/2017.5.1638]
SYSTEMATIC REVIEW AND META‐ANALYSIS ON THE EFFECTIVENESS OF GROUP PSYCHOTHERAPY FOR WOMEN WITH BREAST CANCER
Guarino Angela;Serantoni Grazia
2017
Abstract
A cancer diagnosis negatively affects mood and quality of life (QoL), but these adverse effects can be limited by appropriate psychological treatments. Aim of this study was to evaluate the effectiveness of cognitive-behavioral, supportive-expressive and psycho-educational groups interventions on women with breast cancer, at any stage of the disease and at any stage of treatment. To assess the effectiveness of these treatments, changes in QoL, depression, anxiety, mood and emotional functioning were considered as outcome variables. A systematic review of literature was carried out from 2003 to 2017 on the following databases: PsycINFO, CINAHL, PsycARTICLES, PubMED, MEDLINE e Cochrane Library. In order to perform a meta-analysis, the data used to calculate the Cohen index (d) were selected, classified and extracted, and then the average effects per group of treatment and type of variable were compared. In order to evaluate the heterogeneity of individual studies and the presence of a specific influence on treatment groups on each dependent variable, multiple linear regression, ANOVA and Beta coefficients were calculated. The results were also organized by type of psychological treatment. Twenty-six studies were included. The analysis of the average effects showed that cognitive-behavioral treatment allows a strong effect on mood, a medium-effect on QoL and a slight effect on anxiety. For supportive-expressive treatment, results revealed a mild effect on depression and mood, a very mild effect on both QoL and emotional functioning. Psycho-educational treatment was only slightly effective on QoL and depression. Results show a greater effectiveness of cognitive-behavioral treatments than both supportive-expressive and psycho-educational treatments. These findings suggest the usefulness to address women with breast cancer diagnosis to cognitive-behavioral treatments that can actually lead to an improvement of their well-being.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
