PURPOSE The purpose of this study was to assess the effects of cognitive behavioral therapy (CBT) on depression, anxiety, self care behavior and quality of life in cancer patients. METHODS Two thousand and eighty three abstracts were identified through six electronic databases (1980 to June 2012) in Korea. Seventeen studies involving 679 participants met the inclusion criteria for meta analysis. Two authors independently assessed trial quality by Cochrane's Risk of Bias and Methodological Items for Non Randomized Studies and extracted data. The data were analyzed by the RevMan 5.2 program of Cochrane library. RESULTS Overall, study quality was moderate to high. CBT was conducted for a mean of 4.2 weeks, 7 sessions and an average of 36.1-minutes per session. CBT was effective for depression (d=-0.85; 95% CI=-1.09, -0.61), anxiety (d=-0.52; 95% CI=-0.75, -0.29), self care behavior (d=-1.34; 95% CI=-1.93, -0.74), and quality of life (d=-0.42; 95% CI=-0.80, -0.04). Publication bias was not detected as evaluated by funnel plot and Egger's test. CONCLUSION CBT has small to large effects on depression, anxiety, self care and quality of life. These finding suggests that various CBT interventions can assist cancer patients in reducing emotional distress and improving self care and quality of life.
Citations
Citations to this article as recorded by
The role of stigma and depression in the reduced adherence among young breast cancer patients in Hungary Gabriella Vizin, Tamás Szekeres, Anita Juhász, Lilla Márton, Magdolna Dank, Dóra Perczel-Forintos, Róbert Urbán BMC Psychology.2023;[Epub] CrossRef
Meta-analysis of psychosocial interventions on survival time in patients with cancer P.J. Oh, S.R. Shin, H.S. Ahn, H.J. Kim Psychology & Health.2016; 31(4): 396. CrossRef
Effects of Integrated Palliative Care Intervention on Quality of Life in Terminal Cancer Patients: A Meta-analysis Kae Hwa Jo, Ae Ran Park, Jin Ju Lee The Korean Journal of Hospice and Palliative Care.2015; 18(2): 136. CrossRef
The Effect of a Community-Based Self-Management Program for Patients at Thyroid Cancer-Diagnosis Stage : a Pilot Study Hyera Yoo, Sunjoo Boo, Mison Chun, Eun Mi Jo Journal of Korean Public Health Nursing.2015; 29(3): 582. CrossRef
Effects of Psychosocial Interventions on Cortisol and Immune Parameters in Patients with Cancer: A Meta-analysis Pok Ja Oh, Eun-su Jang Journal of Korean Academy of Nursing.2014; 44(4): 446. CrossRef
Effects of Dignity Interventions on Psychosocial and Existential Distress in Terminally ill Patients: A Meta-analysis Pok Ja Oh, Sung-Rae Shin Journal of Korean Academy of Nursing.2014; 44(5): 471. CrossRef