Internet-based cognitive behavioral therapy for distress， depression， anxiety and quality of life in cancer patients： a Meta-analysis
BackgroundInternet-based cognitive behavioral therapy （ICBT） is progressively emerging as an efficacious alternative to alleviate anxiety and depression in cancer patients. To date， no Meta-analysis has been conducted specific to the effect of ICBT on anxiety， depression， distress and quality of lif...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Sichuan Mental Health
2023-08-01
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| Series: | Sichuan jingshen weisheng |
| Subjects: | |
| Online Access: | http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202304007&flag=1 |
| _version_ | 1797627555471163392 |
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| author | Liu Yixuan Guo Junwei Liu Chao |
| author_facet | Liu Yixuan Guo Junwei Liu Chao |
| author_sort | Liu Yixuan |
| collection | DOAJ |
| description | BackgroundInternet-based cognitive behavioral therapy （ICBT） is progressively emerging as an efficacious alternative to alleviate anxiety and depression in cancer patients. To date， no Meta-analysis has been conducted specific to the effect of ICBT on anxiety， depression， distress and quality of life in cancer patients.ObjectiveTo assess the effect of ICBT on distress， depression， anxiety and quality of life in cancer patients through a systematic review of the literature.MethodsOn March 28， 2022， PubMed， PsycINFO， Embase， Cochrane Library， Web of Science， CNKI， VIP， Wanfang Data and CBM were retrieved for the randomized controlled trials （RCTs） involving ICBT targeting either distress， depression， anxiety， quality of life or all in cancer patients. After the risk of bias assessment， Stata 17.0 software was used for Meta-analysis.ResultsA total of 12 RCTs with a total sample size of 1 686 patients were included. Meta-analysis revealed that the superiority of ICBT over controls was evident for interventions targeting distress in cancer patients （SMD=-0.547， 95% CI： -1.090~-0.145， P<0.01）， while appeared to be less evident for the interventions targeting depression （SMD=-0.652， 95% CI： -1.734~0.002， P=0.051）， anxiety （SMD=-1.045， 95% CI： -3.656~0.101， P=0.088） and quality of life （SMD=0.234， 95% CI： -0.064~0.449， P=0.112） in cancer patients，and dropout rate was higher in ICBT group than that in control group （OR=1.795， 95% CI：1.358~2.374， P<0.01）.ConclusionICBT is reported to be effective in alleviating distress in cancer patients， whereas results inconsiderable improvements over depression， anxiety and quality of life in cancer patients. |
| first_indexed | 2024-03-11T10:26:53Z |
| format | Article |
| id | doaj.art-b008805302cb4843b3db403387263520 |
| institution | Directory Open Access Journal |
| issn | 1007-3256 |
| language | zho |
| last_indexed | 2024-03-11T10:26:53Z |
| publishDate | 2023-08-01 |
| publisher | Editorial Office of Sichuan Mental Health |
| record_format | Article |
| series | Sichuan jingshen weisheng |
| spelling | doaj.art-b008805302cb4843b3db4033872635202023-11-15T12:30:10ZzhoEditorial Office of Sichuan Mental HealthSichuan jingshen weisheng1007-32562023-08-0136432633310.11886/scjsws202210210011007-3256（2023）04-0326-08Internet-based cognitive behavioral therapy for distress， depression， anxiety and quality of life in cancer patients： a Meta-analysisLiu Yixuan0Guo Junwei1Liu Chao2Chongqing Traditional Chinese Medicine Hospital， Chongqing 400021， ChinaChongqing Traditional Chinese Medicine Hospital， Chongqing 400021， ChinaSchool of Big Data & Software Engineering， Chongqing University， Chongqing 401331， ChinaBackgroundInternet-based cognitive behavioral therapy （ICBT） is progressively emerging as an efficacious alternative to alleviate anxiety and depression in cancer patients. To date， no Meta-analysis has been conducted specific to the effect of ICBT on anxiety， depression， distress and quality of life in cancer patients.ObjectiveTo assess the effect of ICBT on distress， depression， anxiety and quality of life in cancer patients through a systematic review of the literature.MethodsOn March 28， 2022， PubMed， PsycINFO， Embase， Cochrane Library， Web of Science， CNKI， VIP， Wanfang Data and CBM were retrieved for the randomized controlled trials （RCTs） involving ICBT targeting either distress， depression， anxiety， quality of life or all in cancer patients. After the risk of bias assessment， Stata 17.0 software was used for Meta-analysis.ResultsA total of 12 RCTs with a total sample size of 1 686 patients were included. Meta-analysis revealed that the superiority of ICBT over controls was evident for interventions targeting distress in cancer patients （SMD=-0.547， 95% CI： -1.090~-0.145， P<0.01）， while appeared to be less evident for the interventions targeting depression （SMD=-0.652， 95% CI： -1.734~0.002， P=0.051）， anxiety （SMD=-1.045， 95% CI： -3.656~0.101， P=0.088） and quality of life （SMD=0.234， 95% CI： -0.064~0.449， P=0.112） in cancer patients，and dropout rate was higher in ICBT group than that in control group （OR=1.795， 95% CI：1.358~2.374， P<0.01）.ConclusionICBT is reported to be effective in alleviating distress in cancer patients， whereas results inconsiderable improvements over depression， anxiety and quality of life in cancer patients.http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202304007&flag=1internetcognitive behavioral therapycancer patientsmeta-analysis |
| spellingShingle | Liu Yixuan Guo Junwei Liu Chao Internet-based cognitive behavioral therapy for distress， depression， anxiety and quality of life in cancer patients： a Meta-analysis Sichuan jingshen weisheng internet cognitive behavioral therapy cancer patients meta-analysis |
| title | Internet-based cognitive behavioral therapy for distress， depression， anxiety and quality of life in cancer patients： a Meta-analysis |
| title_full | Internet-based cognitive behavioral therapy for distress， depression， anxiety and quality of life in cancer patients： a Meta-analysis |
| title_fullStr | Internet-based cognitive behavioral therapy for distress， depression， anxiety and quality of life in cancer patients： a Meta-analysis |
| title_full_unstemmed | Internet-based cognitive behavioral therapy for distress， depression， anxiety and quality of life in cancer patients： a Meta-analysis |
| title_short | Internet-based cognitive behavioral therapy for distress， depression， anxiety and quality of life in cancer patients： a Meta-analysis |
| title_sort | internet based cognitive behavioral therapy for distress depression anxiety and quality of life in cancer patients a meta analysis |
| topic | internet cognitive behavioral therapy cancer patients meta-analysis |
| url | http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202304007&flag=1 |
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