Effectiveness of cognitive-based interventions for improving body image of patients having breast cancer: A systematic review and meta-analysis
Objective: Breast cancer patients often suffer from body image disturbance due to impairment of their body/appearance resulting from surgeries, other cancer treatments, and/or their complications. Cognitive-based interventions (CBIs) have recently been adopted for patients having breast cancer but t...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | Asia-Pacific Journal of Oncology Nursing |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2347562523000318 |
| _version_ | 1797842432545521664 |
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| author | Wenqian Zhao Yuen Yu Chong Wai Tong Chien |
| author_facet | Wenqian Zhao Yuen Yu Chong Wai Tong Chien |
| author_sort | Wenqian Zhao |
| collection | DOAJ |
| description | Objective: Breast cancer patients often suffer from body image disturbance due to impairment of their body/appearance resulting from surgeries, other cancer treatments, and/or their complications. Cognitive-based interventions (CBIs) have recently been adopted for patients having breast cancer but their effects on improving body image are uncertain. This systematic review aimed to examine the effects of CBIs on body image in these patients, identify the optimal dose, characteristics, and/or component(s) of an effective intervention for these patients to inform future research and practice. Methods: According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, ten online databases and five search engines were used to search for eligible studies. Quality appraisal of included studies and meta-analysis results were conducted using Rob 2 and Grading of Recommendations Assessment, Development and Evaluation profiler Guideline Development Tool, respectively. RevMan and comprehensive meta-analysis software were used to perform data analysis and synthesis. Results: Eleven eligible randomized controlled trials (RCTs) examining the effects of cognitive behavioral, acceptance and commitment, mindfulness, and self-compassion therapies were reviewed. Results of the meta-analysis showed that CBIs significantly reduced negative body image perception (Standardised Mean Difference, SMD = −0.49, 95% confidence interval [CI], [−0.87, −0.11], I2 = 81%, 6 RCTs, 758 participants), when compared to the control groups (mainly usual care) at immediately post-intervention; in which, CBT-based (SMD = −0.37, 95% CI (−0.60, −0.13), I2 = 0%) and group-based (SMD = −0.38, 95% CI (−0.62, −0.13), I2 = 0%) programs had more consistent and significant effects. Conclusions: In view of the highly heterogeneous and limited RCTs identified, high-quality controlled trials of CBIs for improving the body image of patients having breast cancer are suggested. Systematic review registration: PROSPERO, CRD42021259173. |
| first_indexed | 2024-04-09T16:47:48Z |
| format | Article |
| id | doaj.art-3fd3292580494ec29b99574b2ccec8b7 |
| institution | Directory Open Access Journal |
| issn | 2347-5625 |
| language | English |
| last_indexed | 2024-04-09T16:47:48Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asia-Pacific Journal of Oncology Nursing |
| spelling | doaj.art-3fd3292580494ec29b99574b2ccec8b72023-04-22T06:21:03ZengElsevierAsia-Pacific Journal of Oncology Nursing2347-56252023-04-01104100213Effectiveness of cognitive-based interventions for improving body image of patients having breast cancer: A systematic review and meta-analysisWenqian Zhao0Yuen Yu Chong1Wai Tong Chien2The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, ChinaThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, ChinaCorresponding author.; The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, ChinaObjective: Breast cancer patients often suffer from body image disturbance due to impairment of their body/appearance resulting from surgeries, other cancer treatments, and/or their complications. Cognitive-based interventions (CBIs) have recently been adopted for patients having breast cancer but their effects on improving body image are uncertain. This systematic review aimed to examine the effects of CBIs on body image in these patients, identify the optimal dose, characteristics, and/or component(s) of an effective intervention for these patients to inform future research and practice. Methods: According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, ten online databases and five search engines were used to search for eligible studies. Quality appraisal of included studies and meta-analysis results were conducted using Rob 2 and Grading of Recommendations Assessment, Development and Evaluation profiler Guideline Development Tool, respectively. RevMan and comprehensive meta-analysis software were used to perform data analysis and synthesis. Results: Eleven eligible randomized controlled trials (RCTs) examining the effects of cognitive behavioral, acceptance and commitment, mindfulness, and self-compassion therapies were reviewed. Results of the meta-analysis showed that CBIs significantly reduced negative body image perception (Standardised Mean Difference, SMD = −0.49, 95% confidence interval [CI], [−0.87, −0.11], I2 = 81%, 6 RCTs, 758 participants), when compared to the control groups (mainly usual care) at immediately post-intervention; in which, CBT-based (SMD = −0.37, 95% CI (−0.60, −0.13), I2 = 0%) and group-based (SMD = −0.38, 95% CI (−0.62, −0.13), I2 = 0%) programs had more consistent and significant effects. Conclusions: In view of the highly heterogeneous and limited RCTs identified, high-quality controlled trials of CBIs for improving the body image of patients having breast cancer are suggested. Systematic review registration: PROSPERO, CRD42021259173.http://www.sciencedirect.com/science/article/pii/S2347562523000318Breast cancerBody imageCognitive-based interventionsSystematic reviewMeta-analysis |
| spellingShingle | Wenqian Zhao Yuen Yu Chong Wai Tong Chien Effectiveness of cognitive-based interventions for improving body image of patients having breast cancer: A systematic review and meta-analysis Asia-Pacific Journal of Oncology Nursing Breast cancer Body image Cognitive-based interventions Systematic review Meta-analysis |
| title | Effectiveness of cognitive-based interventions for improving body image of patients having breast cancer: A systematic review and meta-analysis |
| title_full | Effectiveness of cognitive-based interventions for improving body image of patients having breast cancer: A systematic review and meta-analysis |
| title_fullStr | Effectiveness of cognitive-based interventions for improving body image of patients having breast cancer: A systematic review and meta-analysis |
| title_full_unstemmed | Effectiveness of cognitive-based interventions for improving body image of patients having breast cancer: A systematic review and meta-analysis |
| title_short | Effectiveness of cognitive-based interventions for improving body image of patients having breast cancer: A systematic review and meta-analysis |
| title_sort | effectiveness of cognitive based interventions for improving body image of patients having breast cancer a systematic review and meta analysis |
| topic | Breast cancer Body image Cognitive-based interventions Systematic review Meta-analysis |
| url | http://www.sciencedirect.com/science/article/pii/S2347562523000318 |
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