Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Tác động tức thì của Liệu pháp nhận thức dựa trên chánh niệm (MBCT) đối với phụ nữ mắc ung thư vú: Một tổng quan có hệ thống và phân tích meta
Tóm tắt
Liệu pháp nhận thức dựa trên chánh niệm (MBCT) có thể mang lại lợi ích sinh lý và tâm lý tích cực cho những người sống sót sau ung thư vú. Tuy nhiên, có rất ít nghiên cứu liên quan đến sự kết hợp của các tài liệu có liên quan để xác nhận các tác động này. Nghiên cứu của chúng tôi bao gồm các thử nghiệm lâm sàng ngẫu nhiên (RCTs) và không phải RCT so sánh các can thiệp MBCT với các giao thức kiểm soát nhằm giảm triệu chứng ở những người sống sót sau ung thư vú. Chúng tôi đã tính toán sự khác biệt trung bình tổng hợp (MDs), sự khác biệt trung bình chuẩn hóa (SMDs) và khoảng tin cậy 95% (CIs) bằng cách sử dụng mô hình hiệu ứng ngẫu nhiên để ước lượng kích thước hiệu ứng tổng hợp. Mười ba thử nghiệm với 20–245 người tham gia đã được xem xét trong nghiên cứu của chúng tôi; đối với phân tích meta, 11 trong số các nghiên cứu này đủ điều kiện cho việc đánh giá. Kết quả phân tích meta tổng hợp cho thấy rằng vào cuối can thiệp MBCT, mức độ lo âu (SMD, − 0.70; 95% CI, − 1.26 đến − 0.13; I2 = 69%), đau (SMD, − 0.64; 95% CI, − 0.92 đến − 0.37; I2 = 0%), và trầm cảm (SMD, − 0.65; 95% CI, − 1.14 đến − 0.17; I2 = 75%) của người tham gia đã giảm đáng kể, và mức độ chánh niệm của họ (MD, 8.83; 95% CI, 3.88 đến 13.78; I2 = 68%) đã tăng lên một cách đáng kể. MBCT có thể liên quan đến việc cải thiện cơn đau, lo âu, trầm cảm, và chánh niệm. Tuy nhiên, phân tích định lượng chỉ ra kết quả không rõ ràng do mức độ không đồng nhất trung bình đến cao giữa các chỉ số lo âu, trầm cảm và chánh niệm. Công việc trong tương lai cần nhiều nghiên cứu hơn để làm rõ ý nghĩa lâm sàng của mối liên hệ mà có thể xảy ra này. Kết quả cho thấy MBCT rất có lợi như một can thiệp cho những bệnh nhân đã nhận điều trị ung thư vú.
Từ khóa
#MBCT #ung thư vú #lo âu #trầm cảm #chánh niệm #phân tích metaTài liệu tham khảo
citation_journal_title=CA: Cancer J Clin; citation_title=Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries; citation_author=H Sung; citation_volume=71; citation_issue=3; citation_publication_date=2021; citation_pages=209-249; citation_id=CR1
Ministry of Health and Welfare Taiwan, 2019 Cancer Registry Annual Report (2021)
https://www.hpa.gov.tw/Pages/List.aspx?nodeid=119
. Accessed 4 Feb 2022.
citation_journal_title=J Clin Oncol; citation_title=Behavioral symptoms in patients with breast cancer and survivors; citation_author=JE Bower; citation_volume=26; citation_issue=5; citation_publication_date=2008; citation_pages=768-777; citation_doi=10.1200/JCO.2007.14.3248; citation_id=CR3
citation_journal_title=Pain Manag Nurs; citation_title=Post-treatment symptoms of pain, anxiety, sleep disturbance, and fatigue in breast cancer survivors; citation_author=AM Schreier; citation_volume=20; citation_issue=2; citation_publication_date=2019; citation_pages=146-151; citation_doi=10.1016/j.pmn.2018.09.005; citation_id=CR4
citation_journal_title=Psychooncology; citation_title=Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer; citation_author=LA Zimmaro; citation_volume=29; citation_issue=2; citation_publication_date=2020; citation_pages=263-270; citation_doi=10.1002/pon.5223; citation_id=CR5
citation_journal_title=BMJ; citation_title=Depression and anxiety in women with early breast cancer: five year observational cohort study; citation_author=C Burgess; citation_volume=330; citation_issue=7493; citation_publication_date=2005; citation_pages=702; citation_doi=10.1136/bmj.38343.670868.D3; citation_id=CR6
citation_journal_title=PLoS Med; citation_title=Risk of anxiety and depression in breast cancer survivors compared to women who have never had cancer: a population-based cohort study in the United Kingdom; citation_author=H Carreira; citation_volume=37; citation_publication_date=2019; citation_pages=1564-1564; citation_id=CR7
citation_journal_title=JNCI; citation_title=Associations between breast cancer survivorship and adverse mental health outcomes: a systematic review; citation_author=H Carreira; citation_volume=110; citation_issue=12; citation_publication_date=2018; citation_pages=1311-1327; citation_doi=10.1093/jnci/djy177; citation_id=CR8
citation_journal_title=Oncol Nurs Forum; citation_title=The symptom cluster of fatigue, pain, anxiety, and depression and the effect on the quality of life of women receiving treatment for breast cancer: a multicenter study; citation_author=WK So; citation_volume=36; citation_issue=4; citation_publication_date=2009; citation_pages=E205-E214; citation_doi=10.1188/09.ONF.E205-E214; citation_id=CR9
citation_journal_title=Psychooncology; citation_title=The impact of fear of cancer recurrence on healthcare utilization among long-term breast cancer survivors recruited through ECOG-ACRIN trials; citation_author=E Vachon; citation_volume=30; citation_issue=3; citation_publication_date=2021; citation_pages=279-286; citation_doi=10.1002/pon.5568; citation_id=CR10
citation_journal_title=J Korean Cancer Assoc; citation_title=Fear of cancer recurrence and its negative impact on health-related quality of life in long-term breast cancer survivors; citation_author=TXM Tran; citation_volume=0; citation_issue=0; citation_publication_date=2021; citation_pages=0-0; citation_id=CR11
citation_journal_title=Rev Lat Am Enfermagem; citation_title=Women with breast cancer taking chemotherapy: depression symptoms and treatment adherence; citation_author=BF Souza; citation_volume=22; citation_issue=5; citation_publication_date=2014; citation_pages=866-873; citation_doi=10.1590/0104-1169.3564.2491; citation_id=CR12
citation_journal_title=Mol Psychiatry; citation_title=Prognostic value of depression and anxiety on breast cancer recurrence and mortality: a systematic review and meta-analysis of 282,203 patients; citation_author=X Wang; citation_volume=25; citation_issue=12; citation_publication_date=2020; citation_pages=3186-3197; citation_doi=10.1038/s41380-020-00865-6; citation_id=CR13
citation_journal_title=Psychooncology; citation_title=Mindfulness-based interventions for psychological and physical health outcomes in cancer patients and survivors: a systematic review and meta-analysis of randomized controlled trials; citation_author=L Cillessen; citation_volume=28; citation_issue=12; citation_publication_date=2019; citation_pages=2257-2269; citation_doi=10.1002/pon.5214; citation_id=CR14
citation_journal_title=Int J Psychol Psychol Ther; citation_title=Mindfulness-based Cognitive Therapy (MBCT) reduces depression and anxiety induced by real stressful setting in non-clinical population; citation_author=H Kaviani, F Javaheri, N Hatami; citation_volume=11; citation_publication_date=2011; citation_pages=285-296; citation_id=CR15
citation_journal_title=Can J Psychiatry; citation_title=Mindfulness-based cognitive therapy: theory and practice; citation_author=WE Sipe, SJ Eisendrath; citation_volume=57; citation_issue=2; citation_publication_date=2012; citation_pages=63-69; citation_doi=10.1177/070674371205700202; citation_id=CR16
citation_journal_title=J Clin Oncol; citation_title=Efficacy of mindfulness-based cognitive therapy on late post-treatment pain in women treated for primary breast cancer: a randomized controlled trial; citation_author=M Johannsen; citation_volume=34; citation_issue=28; citation_publication_date=2016; citation_pages=3390-3399; citation_doi=10.1200/JCO.2015.65.0770; citation_id=CR17
citation_journal_title=J Pain Symptom Manage; citation_title=Mindfulness-based cognitive therapy for psychological distress, fear of cancer recurrence, fatigue, spiritual well-being, and quality of life in patients with breast cancer-a randomized controlled trial; citation_author=S Park; citation_volume=60; citation_issue=2; citation_publication_date=2020; citation_pages=381-389; citation_doi=10.1016/j.jpainsymman.2020.02.017; citation_id=CR18
citation_journal_title=Psychooncology; citation_title=Mindfulness-based cognitive therapy (MBCT) is cost-effective compared to a wait-list control for persistent pain in women treated for primary breast cancer-results from a randomized controlled trial; citation_author=M Johannsen; citation_volume=26; citation_issue=12; citation_publication_date=2017; citation_pages=2208-2214; citation_doi=10.1002/pon.4450; citation_id=CR19
citation_journal_title=Support Care Cancer; citation_title=Comparison of the acceptability and benefits of two mindfulness-based interventions in women with breast or gynecologic cancer: a pilot study; citation_author=L Stafford; citation_volume=23; citation_issue=4; citation_publication_date=2015; citation_pages=1063-1071; citation_doi=10.1007/s00520-014-2442-6; citation_id=CR20
citation_journal_title=Curr Oncol; citation_title=Mindfulness-based stress reduction for breast cancer-a systematic review and meta-analysis; citation_author=H Cramer; citation_volume=19; citation_issue=5; citation_publication_date=2012; citation_pages=e343-e352; citation_doi=10.3747/co.19.1016; citation_id=CR21
citation_journal_title=Acta Oncol; citation_title=Mindfulness-based interventions for women with breast cancer: an updated systematic review and meta-analysis; citation_author=H Haller; citation_volume=56; citation_issue=12; citation_publication_date=2017; citation_pages=1665-1676; citation_doi=10.1080/0284186X.2017.1342862; citation_id=CR22
citation_journal_title=Support Care Cancer; citation_title=Effectiveness of mindfulness-based stress reduction (MBSR) on symptom variables and health-related quality of life in breast cancer patients-a systematic review and meta-analysis; citation_author=Q Zhang, H Zhao, Y Zheng; citation_volume=27; citation_issue=3; citation_publication_date=2019; citation_pages=771-781; citation_doi=10.1007/s00520-018-4570-x; citation_id=CR23
citation_journal_title=BMJ; citation_title=Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation; citation_author=L Shamseer; citation_volume=349; citation_publication_date=2015; citation_pages=g7647; citation_doi=10.1136/bmj.g7647; citation_id=CR24
citation_journal_title=BMJ; citation_title=The cochrane collaboration's tool for assessing risk of bias in randomised trials; citation_author=JP Higgins; citation_volume=343; citation_publication_date=2011; citation_pages=d5928; citation_doi=10.1136/bmj.d5928; citation_id=CR25
Review Manager (RevMan). [Computer program]. Version 5.3. Copenhagen, Denmark: The Nordic Cochrane Centre TCC. 2014.
citation_journal_title=Control Clin Trials; citation_title=Meta-analysis in clinical trials; citation_author=R DerSimonian, N Laird; citation_volume=7; citation_issue=3; citation_publication_date=1986; citation_pages=177-188; citation_doi=10.1016/0197-2456(86)90046-2; citation_id=CR27
citation_journal_title=PLoS Med; citation_title=Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement; citation_author=D Moher; citation_volume=6; citation_issue=7; citation_publication_date=2009; citation_pages=e1000097; citation_doi=10.1371/journal.pmed.1000097; citation_id=CR28
citation_journal_title=Eur J Cancer Care (Engl); citation_title=Effects of mindfulness-based cognitive therapy on breast cancer survivors with insomnia: A randomised controlled trial; citation_author=Y Zhao; citation_volume=29; citation_issue=5; citation_publication_date=2020; citation_pages=e13259; citation_doi=10.1111/ecc.13259; citation_id=CR29
citation_journal_title=Clin Psychol Psychother; citation_title=Therapeutic alliance-not therapist competence or group cohesion-contributes to reduction of psychological distress in group-based mindfulness-based cognitive therapy for cancer patients; citation_author=EM Bisseling; citation_volume=26; citation_issue=3; citation_publication_date=2019; citation_pages=309-318; citation_doi=10.1002/cpp.2352; citation_id=CR30
citation_journal_title=Clin J Pain; citation_title=Mindfulness-based cognitive therapy and persistent pain in women treated for primary breast cancer: exploring possible statistical mediators: results from a randomized controlled trial; citation_author=M Johannsen; citation_volume=34; citation_issue=1; citation_publication_date=2018; citation_pages=59-67; citation_doi=10.1097/AJP.0000000000000510; citation_id=CR31
citation_journal_title=Support Care Cancer; citation_title=Mindfulness-based cognitive group therapy for women with breast and gynecologic cancer: a pilot study to determine effectiveness and feasibility; citation_author=L Stafford; citation_volume=21; citation_issue=11; citation_publication_date=2013; citation_pages=3009-3019; citation_doi=10.1007/s00520-013-1880-x; citation_id=CR32
citation_journal_title=Psychooncology; citation_title=Mindfulness-based cognitive therapy reduces chronic cancer-related fatigue: a treatment study; citation_author=ML Lee, B Garssen; citation_volume=21; citation_issue=3; citation_publication_date=2012; citation_pages=264-272; citation_doi=10.1002/pon.1890; citation_id=CR33
citation_journal_title=J Cancer Surviv; citation_title=Sexual health and rehabilitation after ovarian suppression treatment (SHARE-OS): a clinical intervention for young breast cancer survivors; citation_author=SL Bober, E Fine, CJ Recklitis; citation_volume=14; citation_issue=1; citation_publication_date=2020; citation_pages=26-30; citation_doi=10.1007/s11764-019-00800-x; citation_id=CR34
citation_journal_title=Psychooncology; citation_title=Internet-delivered mindfulness-based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial; citation_author=ER Nissen; citation_volume=29; citation_issue=1; citation_publication_date=2019; citation_pages=68-75; citation_doi=10.1002/pon.5237; citation_id=CR35
citation_journal_title=Internet Interv; citation_title=Internet-delivered Mindfulness-Based Cognitive Therapy for anxiety and depression in cancer survivors: Predictors of treatment response; citation_author=ER Nissen; citation_volume=23; citation_publication_date=2021; citation_doi=10.1016/j.invent.2021.100365; citation_id=CR36
citation_journal_title=Ann Palliat Med; citation_title=Effects of yoga on health-related quality, physical health and psychological health in women with breast cancer receiving chemotherapy: a systematic review and meta-analysis; citation_author=LJ Yi; citation_volume=10; citation_issue=2; citation_publication_date=2021; citation_pages=1961-1975; citation_doi=10.21037/apm-20-1484; citation_id=CR37
citation_journal_title=Am J Psychother; citation_title=Mindfulness-Based Cognitive Therapy, Acceptance and Commitment Therapy, and Positive Psychotherapy for Major Depression; citation_author=A Seshadri; citation_volume=74; citation_issue=1; citation_publication_date=2021; citation_pages=4-12; citation_doi=10.1176/appi.psychotherapy.20200006; citation_id=CR38
citation_journal_title=Qual Life Res; citation_title=The effect of cognitive behavioral therapy on the quality of life of breast cancer patients: a systematic review and meta-analysis of randomized controlled trials; citation_author=MA Getu; citation_volume=30; citation_issue=2; citation_publication_date=2021; citation_pages=367-384; citation_doi=10.1007/s11136-020-02665-5; citation_id=CR39
citation_journal_title=Qual Life Res; citation_title=Correction: The effect of cognitive behavioral therapy on the quality of life of breast cancer patients: a systematic review and meta-analysis of randomized controlled trials; citation_author=MA Getu; citation_volume=31; citation_issue=10; citation_publication_date=2022; citation_pages=3089; citation_doi=10.1007/s11136-022-03221-z; citation_id=CR40
citation_journal_title=CMAJ; citation_title=Predictors of persistent pain after breast cancer surgery: a systematic review and meta-analysis of observational studies; citation_author=L Wang; citation_volume=188; citation_issue=14; citation_publication_date=2016; citation_pages=E352-e361; citation_doi=10.1503/cmaj.151276; citation_id=CR41
citation_journal_title=Cancer Nurs; citation_title=Short-term effects of randomized mindfulness-based intervention in female breast cancer survivors: a systematic review and meta-analysis; citation_author=YC Chang; citation_volume=44; citation_issue=6; citation_publication_date=2021; citation_pages=E703-e714; citation_doi=10.1097/NCC.0000000000000889; citation_id=CR42
Morin, C.M., Insomnia: Psychological assessment and management. Insomnia: Psychological assessment and management. 1993, New York, NY, US: Guilford Press. xvii, 238-xvii, 238.
citation_journal_title=Psychother Psychosom; citation_title=Group cohesion and working alliance: prediction of treatment outcome in cardiac patients receiving cognitive behavioral group psychotherapy; citation_author=P Andel; citation_volume=72; citation_issue=3; citation_publication_date=2003; citation_pages=141-149; citation_doi=10.1159/000069733; citation_id=CR44
citation_journal_title=J Consult Clin Psychol; citation_title=Dynamic relationships of therapist alliance and group cohesion in transdiagnostic group CBT for anxiety disorders; citation_author=PJ Norton, N Kazantzis; citation_volume=84; citation_issue=2; citation_publication_date=2016; citation_pages=146-155; citation_doi=10.1037/ccp0000062; citation_id=CR45
citation_journal_title=Support Care Cancer; citation_title=A qualitative study on mindfulness-based stress reduction for breast cancer patients: how women experience participating with fellow patients; citation_author=MP Schellekens; citation_volume=24; citation_issue=4; citation_publication_date=2016; citation_pages=1813-1820; citation_doi=10.1007/s00520-015-2954-8; citation_id=CR46
citation_journal_title=JMIR Ment Health; citation_title=The preference for internet-based psychological interventions by individuals without past or current use of mental health treatment delivered online: a survey study with mixed-methods analysis; citation_author=EE Wallin, S Mattsson, EM Olsson; citation_volume=3; citation_issue=2; citation_publication_date=2016; citation_pages=e25; citation_doi=10.2196/mental.5324; citation_id=CR47
citation_journal_title=Spinal Cord; citation_title=Internet-delivered mindfulness for people with depression and chronic pain following spinal cord injury: a randomized, controlled feasibility trial; citation_author=JH Hearn, KA Finlay; citation_volume=56; citation_issue=8; citation_publication_date=2018; citation_pages=750-761; citation_doi=10.1038/s41393-018-0090-2; citation_id=CR48