| Liu Yixuan,Guo Junwei,Liu Chao,Internet-based cognitive behavioral therapy for distress， depression， anxiety and quality of life in cancer patients： a Meta-analysis[J].SICHUAN MENTAL HEALTH,2023,36(4):326-333 |
| Internet-based cognitive behavioral therapy for distress， depression， anxiety and quality of life in cancer patients： a Meta-analysis |
DOI：10.11886/scjsws20221021001 |
| English keywords:Internet Cognitive behavioral therapy Cancer patients Meta-analysis |
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| Background Internet-based cognitive behavioral therapy （ICBT） is progressively emerging as an efficacious alternative to alleviate anxiety and depression in cancer patients. To date， no Meta-analysis has been conducted specific to the effect of ICBT on anxiety， depression， distress and quality of life in cancer patients.Objective To assess the effect of ICBT on distress， depression， anxiety and quality of life in cancer patients through a systematic review of the literature.Methods On March 28， 2022， PubMed， PsycINFO， Embase， Cochrane Library， Web of Science， CNKI， VIP， Wanfang Data and CBM were retrieved for the randomized controlled trials （RCTs） involving ICBT targeting either distress， depression， anxiety， quality of life or all in cancer patients. After the risk of bias assessment， Stata 17.0 software was used for Meta-analysis.Results A total of 12 RCTs with a total sample size of 1 686 patients were included. Meta-analysis revealed that the superiority of ICBT over controls was evident for interventions targeting distress in cancer patients （SMD=-0.547， 95% CI： -1.090~-0.145， P<0.01）， while appeared to be less evident for the interventions targeting depression （SMD=-0.652， 95% CI： -1.734~0.002， P=0.051）， anxiety （SMD=-1.045， 95% CI： -3.656~0.101， P=0.088） and quality of life （SMD=0.234， 95% CI： -0.064~0.449， P=0.112） in cancer patients，and dropout rate was higher in ICBT group than that in control group （OR=1.795， 95% CI：1.358~2.374， P<0.01）.Conclusion ICBT is reported to be effective in alleviating distress in cancer patients， whereas results inconsiderable improvements over depression， anxiety and quality of life in cancer patients. |
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