Effects of tandem cognitive behavioral therapy and healthy lifestyle interventions on health-related outcomes in cancer survivors: a systematic review.

Effects of tandem cognitive behavioral therapy and healthy lifestyle interventions on health-related outcomes in cancer survivors: a systematic review.
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串联认知行为疗法和健康生活方式干预对癌症幸存者与健康相关的结果的影响:系统评价。

DOI:
10.1007/s11764-021-01094-8
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发表时间:
2022-10
期刊:
Journal of cancer survivorship : research and practice
影响因子:
--
通讯作者:
Nolan TS
Nolan TS
中科院分区:
其他
文献类型:
--
作者:
Addison S;Shirima D;Aboagye-Mensah EB;Dunovan SG;Pascal EY;Lustberg MB;Arthur EK;Nolan TS

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健康生活方式(HL)行为和认知行为疗法(CBT)已被单独证明可以改善癌症治疗的副作用。人们对这些项目如何协同影响健康相关结果知之甚少。本综述评估了关于串联 CBT/HL 干预措施对癌症幸存者健康相关结果的现有文献。对 PubMed、PsychINFO、CINAHL 和 Embase 数据库的全面搜索揭示了过去 20 年中涉及癌症幸存者 CBT 和 HL 串联干预的大量研究。作者对符合纳入标准的研究进行了检查和评估。这 36 项研究包括 5199 名参与者。干预措施包括将 CBT 与 HL 病症结合使用(减轻压力、增加体力活动等)。将这些串联条件与无干预、常规护理和/或单独 CBT 或单独 HL 进行比较。干预措施由不同的干预专家实施,持续时间不同。最常见的 HL 目标结果是压力和失眠。大多数研究(36 项中的 31 项)报告称不良治疗和/或癌症相关影响有所减少。研究结果存在偏差,因为乳腺癌幸存者的代表性过高,而少数群体和晚期癌症患者的代表性不足。因此,本综述强调需要进一步研究来测试单独 CBT 和单独 HL 的串联干预措施,并确定最有效的干预措施,以便在不同癌症幸存者群体中传播和实施。对癌症幸存者的影响 与常规护理相比,串联 CBT/HL 干预措施可以改善癌症幸存者的健康相关结果,但缺乏知识表明与单独 CBT 或 HL 相比,结果存在差异。
Healthy lifestyle (HL) behaviors and cognitive behavioral therapy (CBT) have been individually shown to improve adverse effects of cancer treatment. Little is known about how such programs in tandem affect health-related outcomes. This review evaluates extant literature on tandem CBT/HL interventions on health-related outcomes in cancer survivors. A comprehensive search of PubMed, PsychINFO, CINAHL, and Embase databases revealed numerous studies involving CBT and HL tandem interventions in cancer survivors in the last 20 years. Studies meeting the inclusion criteria were examined and assessed by the authors. The 36 studies included 5199 participants. Interventions involved the use of CBT in combination with a HL condition (stress reduction, increasing physical activity, etc.). These tandem conditions were compared against no intervention, usual care, and/or CBT alone or HL alone. Interventions were delivered by a variety of interventionists, and over different durations. The most common HL target outcomes were stress, and insomnia. Most studies (31 of 36) reported a reduction in adverse treatment and/or cancer-related effects. Findings were biased with the overrepresentation of breast cancer survivors, and underrepresentation of minority groups, and those with advanced cancer. Thus, this review highlights the need for further research to test tandem interventions against CBT alone and HL alone, and toward identifying the most efficacious interventions for dissemination and implementation across diverse groups of cancer survivors. Implications for cancer survivors Tandem CBT/HL interventions can improve health-related outcomes for cancer survivors when compared to usual care, but there is a paucity of knowledge to suggest differential outcomes when compared to CBT or HL alone.
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发表时间: 2010-10-01
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DOI: 10.1001/jamaoncol.2016.5688
发表时间: 2017-04-01
期刊: JAMA oncology
影响因子: 28.4
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