Mediators of Change in Psychosocial Interventions for Cancer Patients: A Systematic Review
Identifieur interne : 005020 ( Ncbi/Curation ); précédent : 005019; suivant : 005021Mediators of Change in Psychosocial Interventions for Cancer Patients: A Systematic Review
Auteurs : Anne Moyer ; Matthew Goldenberg ; Matthew A. Hall ; Sarah K. Knapp-Oliver ; Stephanie J. Sohl ; Elizabeth A. Sarma ; Stefan SchneiderSource :
- Behavioral medicine (Washington, D.C.) [ 0896-4289 ] ; 2012.
Abstract
Careful reviews and meta-analyses have made valuable contributions to understanding the efficacy of psychosocial interventions for cancer patients. An important next step is to determine the mediators that explain the influence of efficacious interventions on outcomes. This systematic review summarizes tests of mediating variables from twenty-two projects conducted from 1989–2010. Although all authors provided some type of rationale for considering particular mediating relationships, the investigations varied widely with respect to the extent to which formal theoretical constructs were tested, the type and goals of the interventions studied, and the broad types of outcomes and potential mediators examined. Although there was some evidence supporting selected mediating relationships, with positive findings often found when mediating variables represented behaviors targeted by an intervention, the findings were mixed. Expanding the focus of research to include mechanisms in psychosocial oncology intervention research is necessary for providing a unified picture of how mediating relationships may be operating in this field.
Url:
DOI: 10.1080/08964289.2012.695412
PubMed: 22873734
PubMed Central: 3426916
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Anne Moyer<affiliation><nlm:aff id="A1">Department of Psychology, Stony Brook University</nlm:aff>
<wicri:noCountry code="subfield">Stony Brook University</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A1">Department of Psychology, Stony Brook University</nlm:aff>
<wicri:noCountry code="subfield">Stony Brook University</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A1">Department of Psychology, Stony Brook University</nlm:aff>
<wicri:noCountry code="subfield">Stony Brook University</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A2">Donald Everett Axinn Division of Social Sciences, Southern Vermont College</nlm:aff>
<wicri:noCountry code="subfield">Southern Vermont College</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A3">Department of Social Sciences and Health Policy, Wake Forest School of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Wake Forest School of Medicine</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A1">Department of Psychology, Stony Brook University</nlm:aff>
<wicri:noCountry code="subfield">Stony Brook University</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A4">Department of Psychiatry, Stony Brook University</nlm:aff>
<wicri:noCountry code="subfield">Stony Brook University</wicri:noCountry>
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<front><div type="abstract" xml:lang="en"><p id="P1">Careful reviews and meta-analyses have made valuable contributions to understanding the efficacy of psychosocial interventions for cancer patients. An important next step is to determine the mediators that explain the influence of efficacious interventions on outcomes. This systematic review summarizes tests of mediating variables from twenty-two projects conducted from 1989–2010. Although all authors provided some type of rationale for considering particular mediating relationships, the investigations varied widely with respect to the extent to which formal theoretical constructs were tested, the type and goals of the interventions studied, and the broad types of outcomes and potential mediators examined. Although there was some evidence supporting selected mediating relationships, with positive findings often found when mediating variables represented behaviors targeted by an intervention, the findings were mixed. Expanding the focus of research to include mechanisms in psychosocial oncology intervention research is necessary for providing a unified picture of how mediating relationships may be operating in this field.</p>
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