TY - JOUR
T1 - The Effects of Cognitive-Behavioral Stress Management for Breast Cancer Patients
T2 - A Systematic Review and Meta-analysis of Randomized Controlled Trials
AU - Tang, Maoting
AU - Liu, Xian - Liang
AU - Wu, Qian
AU - Shi, Yan
N1 - Funding Information:
This study was supported by the National Natural Science Foundation of China (no. 71373177). The authors have no conflicts of interest to disclose.
Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/5/6
Y1 - 2020/5/6
N2 - Background Treatment for breast cancer can be stressful for patients. Cognitive-behavioral stress management (CBSM) interventions aim to improve patients' skills in coping with stress and buffer against the negative effects of cancer.Objectives This meta-analysis aimed to demonstrate the impact of CBSM on breast cancer patients. Methods We searched PubMed, EMBASE, the Cochrane Database, ScienceDirect, MEDLINE, CENTRAL, CINAHL, and PsycNET for randomized controlled trials (RCTs) published up to November 21, 2017. We then performed a meta-analysis of RCTs that compared CBSM for patients with breast cancer with a 1-day psychoeducation seminar, wait-list controls, or standard care. Results Eighteen RCTs with 2564 participants were ultimately included. The results showed that CBSM can increase Measure of Current Status relaxation scores, benefit finding, and positive affect and decrease serum cortisol, anxiety, depression, thought avoidance and intrusion, and negative mood. However, it appears to have no effect on stress or mood disturbance. Conclusions Cognitive-behavioral stress management appears to be beneficial for breast cancer patients. Further high-quality RCTs are needed to clarify if any other factors are influenced by CBSM intervention. Implications for Practice Cognitive-behavioral stress management can help breast cancer patients develop skills to increase relaxation, benefit finding, and positive affect; CBSM may provide a buffer against the negative effects of cancer. Further, CBSM may help breast cancer patients replace negative thoughts, improve their thought processes and behaviors, and maintain social support using cognitive and interpersonal coping skills. Nurses should be aware of the benefits of CBSM in their day-to-day care of breast cancer patients.
AB - Background Treatment for breast cancer can be stressful for patients. Cognitive-behavioral stress management (CBSM) interventions aim to improve patients' skills in coping with stress and buffer against the negative effects of cancer.Objectives This meta-analysis aimed to demonstrate the impact of CBSM on breast cancer patients. Methods We searched PubMed, EMBASE, the Cochrane Database, ScienceDirect, MEDLINE, CENTRAL, CINAHL, and PsycNET for randomized controlled trials (RCTs) published up to November 21, 2017. We then performed a meta-analysis of RCTs that compared CBSM for patients with breast cancer with a 1-day psychoeducation seminar, wait-list controls, or standard care. Results Eighteen RCTs with 2564 participants were ultimately included. The results showed that CBSM can increase Measure of Current Status relaxation scores, benefit finding, and positive affect and decrease serum cortisol, anxiety, depression, thought avoidance and intrusion, and negative mood. However, it appears to have no effect on stress or mood disturbance. Conclusions Cognitive-behavioral stress management appears to be beneficial for breast cancer patients. Further high-quality RCTs are needed to clarify if any other factors are influenced by CBSM intervention. Implications for Practice Cognitive-behavioral stress management can help breast cancer patients develop skills to increase relaxation, benefit finding, and positive affect; CBSM may provide a buffer against the negative effects of cancer. Further, CBSM may help breast cancer patients replace negative thoughts, improve their thought processes and behaviors, and maintain social support using cognitive and interpersonal coping skills. Nurses should be aware of the benefits of CBSM in their day-to-day care of breast cancer patients.
KW - Breast cancer
KW - Cognitive behavioral stress management
KW - Meta-analysis
UR - http://www.scopus.com/inward/record.url?scp=85084024506&partnerID=8YFLogxK
U2 - 10.1097/NCC.0000000000000804
DO - 10.1097/NCC.0000000000000804
M3 - Review article
C2 - 32195709
AN - SCOPUS:85084024506
VL - 43
SP - 222
EP - 237
JO - Cancer Nursing
JF - Cancer Nursing
SN - 0162-220X
IS - 3
ER -