A systematic review and meta-analysis of psychosocial interventions for couples coping with cancer.
A systematic review and meta-analysis of psychosocial interventions for couples coping with cancer.
复制标题
DOI：
10.1002/pon.3200
复制
发表时间：
2013-08
期刊：
影响因子：
3.6
通讯作者：
Krebs, Paul
中科院分区：
文献类型：
--
作者：
Badr, Hoda;Krebs, Paul
关键词：
生活质量（QOL）是一个多维的结构，包括身体，心理和关系幸福。我们对1980年至2012年间发表的随机对照研究进行了系统回顾和荟萃分析，这些研究涉及对癌症患者及其伴侣进行的旨在改善QOL的干预。使用书目软件和手动审查，两个独立的评价者审查了752篇文章，有系统的过程，以协调分歧，产生23篇文章的系统性审查和20元分析。大多数研究在乳腺癌和前列腺癌人群中进行。研究参与者（N=2645）主要为中年（平均年龄= 55岁）和白色（84%）。对于患者，心理结局（17项研究）的加权平均效应量（g）为0.25（95% CI = 0.12-0.32），身体结局（12项研究）为0.31（95% CI = 0.11-0.50），关系结局（10项研究）为0.28（95% CI = 0.14-0.43）。对于伴侣，心理结局（12项研究）的加权平均效应量为0.21（95%CI = 0.08-0.34），关系结局（7项研究）的加权平均效应量为0.24（95%CI = 0.6 - 0.43）。因此，基于夫妇的干预措施在改善患者及其伴侣生活质量的多个方面方面具有较小但有益的影响。关于何时采取这种干预措施以及干预多长时间的问题仍然存在。识别理论基础的介质和关键特征，区分夫妇为基础的干预措施，从病人只有可能有助于加强他们对病人和伴侣的生活质量的影响。
Quality of life (QOL) is a multidimensional construct that includes physical, psychological, and relationship well-being. We conducted a systematic review and meta-analysis of randomized controlled studies published between 1980 and 2012 of interventions conducted with both cancer patients and their partners that were aimed at improving QOL. Using bibliographic software and manual review, two independent raters reviewed 752 articles with a systematic process for reconciling disagreement, yielding 23 articles for systematic review and 20 for meta-analysis. Most studies were conducted in breast and prostate cancer populations. Study participants (N=2645) were primarily middle-aged (Mean = 55 years old) and white (84%). For patients, the weighted average effect size (g) across studies was 0.25 (95% CI = 0.12-0.32) for psychological outcomes (17 studies), 0.31 (95% CI = 0.11-0.50) for physical outcomes (12 studies), and 0.28 (95% CI = 0.14-0.43) for relationship outcomes (10 studies). For partners, the weighted average effect size was 0.21 (95% CI = 0.08-0.34) for psychological outcomes (12 studies), and 0.24 (95% CI = 0.6 - 0.43) for relationship outcomes (7 studies). Therefore, couple-based interventions had small but beneficial effects in terms of improving multiple aspects of QOL for both patients and their partners. Questions remain regarding when such interventions should be delivered and for how long. Identifying theoretically based mediators and key features that distinguish couple-based from patient-only interventions may help to strengthen their effects on patient and partner QOL.
登录
查看更多内容
影响因子：
2.5
作者：
Budin, Wendy C.;Hoskins, Carol Noll;Shukla, Shilpa
通讯作者：
Shukla, Shilpa
影响因子：
1.9
作者：
Duval, S;Tweedie, R
通讯作者：
Tweedie, R
影响因子：
1.9
作者：
Badger, T;Segrin, C;Bonham, E
通讯作者：
Bonham, E
影响因子：
2.5
作者：
Badger, Terry;Segrin, Chris;Lopez, Ana Maria
通讯作者：
Lopez, Ana Maria
影响因子：
2.5
作者：
CHRISTENSEN, DN
通讯作者：
CHRISTENSEN, DN