"Does one size fit all?" moderators in psychosocial interventions for breast cancer patients: a meta-analysis.
"Does one size fit all?" moderators in psychosocial interventions for breast cancer patients: a meta-analysis.
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“一种尺寸适合所有人吗？”
DOI：
10.1007/bf02874548
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Baucom,DonaldH
中科院分区：
文献类型：
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作者：
Zimmermann,Tanja;Heinrichs,Nina;Baucom,DonaldH
背景：已经开发了各种心理社会干预措施，以促进更好地适应乳腺癌（BC），其疗效已被反复证明。然而，效应量（ES）在不同研究中差异很大。目的：本文旨在阐明BC患者干预疗效的潜在调节因素，例如干预类型（例如，教育，支持），样本的组成（只有BC患者或BC与其他癌症类型的混合），和从业者的干预（心理学家，nonpsychologist）.Methods：五十六随机对照研究调查的有效性，心理社会干预与成人BC patients.Results：整体ES的d = 0.26是类似于以前的荟萃分析和调节的几个变量。ES根据样本的组成、提供干预的专业和干预的类型而明显不同。仅由BC患者组成的样本的研究和非心理学家主导的干预研究显示ES较低。心理教育产生了最强的ES。这些主持人保持他们的意义，即使控制的性质，干预的形式，干预的时间，或疾病的阶段。结论：这些结果表明，在目前的干预措施，心理教育是一种治疗的选择BC患者，最好是在手术前，由个人领导的医疗专业知识。其他心理社会干预措施在单独管理和由心理学家领导时似乎最有效。此外，有必要改善心理社会干预，以提高目前的ES与BC的妇女。
Background:A variety of psychosocial interventions have been developed to promote better adjustment to breast cancer (BC) and their efficacy has been demonstrated repeatedly. However, the effect sizes (ES) vary considerably across studies.Purpose:This article intends to shed light on potential moderators of intervention efficacy for BC patients, such as the intervention type (e.g., education, supportive), the composition of the sample (only BC patients or BC mixed with other cancer types), and the practitioner of the intervention (psychologist, nonpsychologist).Methods:Fifty-six randomized-controlled studies investigating the effectiveness of psychosocial interventions with adult BC patients were meta-analytically reviewed.Results:The overall ES of d = 0.26 was similar to previous meta-analyses and moderated by several variables. The ES varied notably based on the composition of the sample, the profession offering the intervention, and the type of intervention. Studies with samples consisting of only BC patients and studies with nonpsychologist-led interventions showed lower ES. Psychoeducation yielded the strongest ES. These moderators maintained their significance even when controlling for the nature of the control group, the format of the intervention, the timing of the intervention, or the stage of disease.Conclusions:These results suggest that among current interventions, psychoeducation is a treatment of choice for BC patients, preferably prior to surgery and led by individuals with a medical expertise. Other psychosocial interventions appear most effective when administered individually and led by a psychologist. In addition, there is a need for improved psychosocial interventions to enhance the present ES for women with BC.