Psychosocial interventions as part of breast cancer rehabilitation programs? Results from a systematic review
Identifieur interne : 005242 ( Main/Exploration ); précédent : 005241; suivant : 005243Psychosocial interventions as part of breast cancer rehabilitation programs? Results from a systematic review
Auteurs : Egil A. Fors [Norvège] ; Gro F. Bertheussen [Norvège] ; Inger Thune [Norvège] ; Lene K. Juvet [Norvège] ; Ida-Kristin Elvsaas [Norvège] ; Line Oldervoll [Norvège] ; Gun Anker [Norvège] ; Ursula Falkmer [Suède] ; Steinar Lundgren [Norvège] ; Gunnar Leivseth [Norvège]Source :
- Psycho‐Oncology [ 1057-9249 ] ; 2011-09.
Abstract
Objective: This systematic review aimed to determine the effectiveness of psychoeducation, cognitive behavioural therapy (CBT) and social support interventions used in the rehabilitation of breast cancer (BC) patients. Methods: We conducted a systematic literature search to identify randomised controlled trials of female BC patients who underwent different psychosocial interventions during or after primary cancer treatment. The methodological quality of all studies was independently assessed by two reviewers. Studies with low quality, less than 20 participants in each group, patients with metastatic cancer, data not presented separately for BC and studies that included other cancer types were excluded. Results: Among 9617 identified studies, only 18 RCTs published between 1999 and 2008, including 3272 patients were finally included in this systematic evaluation. Outcome measures were categorised into quality of life (QoL), fatigue, mood, health behaviour and social function. Six trials examined psychoeducation had inconsistent results, both during and after the primary treatment. Seven trials examined the effect of CBT, four of which given after primary treatment (range 6–12 weeks) demonstrated improvements in QoL; the other three CBT studies given during primary treatment (range 9–20 weeks) had inconsistencies. Five studies addressed social support and showed no conclusive impacts of this intervention. Conclusions: Limited documentation exists on the efficacy of psychosocial rehabilitation interventions among BC patients. However, we found that patients might have QoL benefits from CBT given after primary BC treatment. More documentation is needed regarding the effects of CBT during primary treatment and the effects of psychoeducation and social support. Copyright © 2010 John Wiley & Sons, Ltd.
Url:
DOI: 10.1002/pon.1844
Affiliations:
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Bertheussen</name><affiliation wicri:level="3"><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim</wicri:regionArea><placeName><settlement type="city">Trondheim</settlement><region type="région" nuts="2">Trøndelag</region></placeName></affiliation><affiliation wicri:level="3"><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, St Olav University Hospital, Trondheim</wicri:regionArea><placeName><settlement type="city">Trondheim</settlement><region type="région" nuts="2">Trøndelag</region></placeName></affiliation></author><author><name sortKey="Thune, Inger" sort="Thune, Inger" uniqKey="Thune I" first="Inger" last="Thune">Inger Thune</name><affiliation wicri:level="3"><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Oncology, Oslo University Hospital, Ulleval, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Juvet, Lene K" sort="Juvet, Lene K" uniqKey="Juvet L" first="Lene K." last="Juvet">Lene K. 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Methods: We conducted a systematic literature search to identify randomised controlled trials of female BC patients who underwent different psychosocial interventions during or after primary cancer treatment. The methodological quality of all studies was independently assessed by two reviewers. Studies with low quality, less than 20 participants in each group, patients with metastatic cancer, data not presented separately for BC and studies that included other cancer types were excluded. Results: Among 9617 identified studies, only 18 RCTs published between 1999 and 2008, including 3272 patients were finally included in this systematic evaluation. Outcome measures were categorised into quality of life (QoL), fatigue, mood, health behaviour and social function. Six trials examined psychoeducation had inconsistent results, both during and after the primary treatment. Seven trials examined the effect of CBT, four of which given after primary treatment (range 6–12 weeks) demonstrated improvements in QoL; the other three CBT studies given during primary treatment (range 9–20 weeks) had inconsistencies. Five studies addressed social support and showed no conclusive impacts of this intervention. Conclusions: Limited documentation exists on the efficacy of psychosocial rehabilitation interventions among BC patients. However, we found that patients might have QoL benefits from CBT given after primary BC treatment. More documentation is needed regarding the effects of CBT during primary treatment and the effects of psychoeducation and social support. Copyright © 2010 John Wiley & Sons, Ltd.</div></front></TEI><affiliations><list><country><li>Norvège</li><li>Suède</li></country><region><li>Trøndelag</li><li>Østlandet</li></region><settlement><li>Oslo</li><li>Trondheim</li></settlement></list><tree><country name="Norvège"><region name="Trøndelag"><name sortKey="Fors, Egil A" sort="Fors, Egil A" uniqKey="Fors E" first="Egil A." last="Fors">Egil A. Fors</name></region><name sortKey="Anker, Gun" sort="Anker, Gun" uniqKey="Anker G" first="Gun" last="Anker">Gun Anker</name><name sortKey="Bertheussen, Gro F" sort="Bertheussen, Gro F" uniqKey="Bertheussen G" first="Gro F." last="Bertheussen">Gro F. Bertheussen</name><name sortKey="Bertheussen, Gro F" sort="Bertheussen, Gro F" uniqKey="Bertheussen G" first="Gro F." last="Bertheussen">Gro F. Bertheussen</name><name sortKey="Elvsaas, Ida Ristin" sort="Elvsaas, Ida Ristin" uniqKey="Elvsaas I" first="Ida-Kristin" last="Elvsaas">Ida-Kristin Elvsaas</name><name sortKey="Fors, Egil A" sort="Fors, Egil A" uniqKey="Fors E" first="Egil A." last="Fors">Egil A. Fors</name><name sortKey="Fors, Egil A" sort="Fors, Egil A" uniqKey="Fors E" first="Egil A." last="Fors">Egil A. Fors</name><name sortKey="Fors, Egil A" sort="Fors, Egil A" uniqKey="Fors E" first="Egil A." last="Fors">Egil A. Fors</name><name sortKey="Juvet, Lene K" sort="Juvet, Lene K" uniqKey="Juvet L" first="Lene K." last="Juvet">Lene K. Juvet</name><name sortKey="Leivseth, Gunnar" sort="Leivseth, Gunnar" uniqKey="Leivseth G" first="Gunnar" last="Leivseth">Gunnar Leivseth</name><name sortKey="Leivseth, Gunnar" sort="Leivseth, Gunnar" uniqKey="Leivseth G" first="Gunnar" last="Leivseth">Gunnar Leivseth</name><name sortKey="Lundgren, Steinar" sort="Lundgren, Steinar" uniqKey="Lundgren S" first="Steinar" last="Lundgren">Steinar Lundgren</name><name sortKey="Lundgren, Steinar" sort="Lundgren, Steinar" uniqKey="Lundgren S" first="Steinar" last="Lundgren">Steinar Lundgren</name><name sortKey="Oldervoll, Line" sort="Oldervoll, Line" uniqKey="Oldervoll L" first="Line" last="Oldervoll">Line Oldervoll</name><name sortKey="Thune, Inger" sort="Thune, Inger" uniqKey="Thune I" first="Inger" last="Thune">Inger Thune</name></country><country name="Suède"><noRegion><name sortKey="Falkmer, Ursula" sort="Falkmer, Ursula" uniqKey="Falkmer U" first="Ursula" last="Falkmer">Ursula Falkmer</name></noRegion><name sortKey="Falkmer, Ursula" sort="Falkmer, Ursula" uniqKey="Falkmer U" first="Ursula" last="Falkmer">Ursula Falkmer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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