The efficacy of internet-based cognitive behavior therapy for psychological health and quality of life among breast cancer patients: a systematic review and meta-analysis
ObjectiveTo systematically investigate the effect of Internet-based cognitive-behavioral therapy (ICBT) on depression, anxiety, fatigue and quality of life (QOL) in patients with breast cancer (BC).MethodsA systematic review with meta-analysis and qualitative evidence synthesis was performed. Ten da...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1488586/full |
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| author | Tang Lin Yin Ping Cai Ming Jing Zhi Xiao Xu Zhu Ping |
| author_facet | Tang Lin Yin Ping Cai Ming Jing Zhi Xiao Xu Zhu Ping |
| author_sort | Tang Lin |
| collection | DOAJ |
| description | ObjectiveTo systematically investigate the effect of Internet-based cognitive-behavioral therapy (ICBT) on depression, anxiety, fatigue and quality of life (QOL) in patients with breast cancer (BC).MethodsA systematic review with meta-analysis and qualitative evidence synthesis was performed. Ten databases, including PubMed, Web of Science, EMBASE, the Cochrane Library, CINAHL, JBI Chinese Biomedical database (CBM), China National Knowledge Infrastructure (CNKI), VIP, and Wanfang, were searched from the start till August 2023. Published studies in English or Chinese were eligible for randomized and clinical controlled trials determining the efficacy of ICBT among BC survivors. The quality of the evidence was evaluated at the study level and the outcome level.ResultsIn total, 11 clinical trials on 1,307 patients with BC (ICBT: 671, control: 636) were systematically reviewed. We found that ICBT is effective in alleviating psychological distress in BC survivors, and the quality of all studies was moderate. The meta-analysis indicated that ICBT affected primary outcomes of anxiety (standardized mean difference [SMD] = −0.71, 95% confidence interval [CI]: −1.19, −0.24, p < 0.0001), depression (SMD = −0.67, 95% CI: −1.07, −0.27, p < 0.0001), fatigue (SMD = −1.23, 95% CI: −2.37, −0.08, p < 0.0001) and QOL (SMD = 0.79, 95% CI: 0.21, 1.37, p < 0.00001).ConclusionThis meta-analysis indicates that ICBT, as a type of psychosocial rehabilitation, can mitigate the incidence of depression, anxiety, and fatigue and improve the quality of life among patients with BC. Nevertheless, the effect is not distinct, and multi-centered randomized controlled trials with larger cohorts are warranted to verify the effectiveness of ICBT. |
| format | Article |
| id | doaj-art-299275c7e309433aa1914a737e3af74c |
| institution | Kabale University |
| issn | 1664-1078 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychology |
| spelling | doaj-art-299275c7e309433aa1914a737e3af74c2025-01-08T06:11:53ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-01-011510.3389/fpsyg.2024.14885861488586The efficacy of internet-based cognitive behavior therapy for psychological health and quality of life among breast cancer patients: a systematic review and meta-analysisTang Lin0Yin Ping1Cai Ming Jing2Zhi Xiao Xu3Zhu Ping4Northern Jiangsu People's Hospital, Yangzhou University, Yangzhou, ChinaNorthern Jiangsu People's Hospital, Yangzhou University, Yangzhou, ChinaNorthern Jiangsu People's Hospital, Yangzhou University, Yangzhou, ChinaJiangsu Cancer Hospital, Nanjing Medical University, Nanjing, Jiangsu, ChinaJiangsu Cancer Hospital, Nanjing Medical University, Nanjing, Jiangsu, ChinaObjectiveTo systematically investigate the effect of Internet-based cognitive-behavioral therapy (ICBT) on depression, anxiety, fatigue and quality of life (QOL) in patients with breast cancer (BC).MethodsA systematic review with meta-analysis and qualitative evidence synthesis was performed. Ten databases, including PubMed, Web of Science, EMBASE, the Cochrane Library, CINAHL, JBI Chinese Biomedical database (CBM), China National Knowledge Infrastructure (CNKI), VIP, and Wanfang, were searched from the start till August 2023. Published studies in English or Chinese were eligible for randomized and clinical controlled trials determining the efficacy of ICBT among BC survivors. The quality of the evidence was evaluated at the study level and the outcome level.ResultsIn total, 11 clinical trials on 1,307 patients with BC (ICBT: 671, control: 636) were systematically reviewed. We found that ICBT is effective in alleviating psychological distress in BC survivors, and the quality of all studies was moderate. The meta-analysis indicated that ICBT affected primary outcomes of anxiety (standardized mean difference [SMD] = −0.71, 95% confidence interval [CI]: −1.19, −0.24, p < 0.0001), depression (SMD = −0.67, 95% CI: −1.07, −0.27, p < 0.0001), fatigue (SMD = −1.23, 95% CI: −2.37, −0.08, p < 0.0001) and QOL (SMD = 0.79, 95% CI: 0.21, 1.37, p < 0.00001).ConclusionThis meta-analysis indicates that ICBT, as a type of psychosocial rehabilitation, can mitigate the incidence of depression, anxiety, and fatigue and improve the quality of life among patients with BC. Nevertheless, the effect is not distinct, and multi-centered randomized controlled trials with larger cohorts are warranted to verify the effectiveness of ICBT.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1488586/fullinternetcognitive behavior therapymental healthquality of lifebreast cancersystematic review |
| spellingShingle | Tang Lin Yin Ping Cai Ming Jing Zhi Xiao Xu Zhu Ping The efficacy of internet-based cognitive behavior therapy for psychological health and quality of life among breast cancer patients: a systematic review and meta-analysis Frontiers in Psychology internet cognitive behavior therapy mental health quality of life breast cancer systematic review |
| title | The efficacy of internet-based cognitive behavior therapy for psychological health and quality of life among breast cancer patients: a systematic review and meta-analysis |
| title_full | The efficacy of internet-based cognitive behavior therapy for psychological health and quality of life among breast cancer patients: a systematic review and meta-analysis |
| title_fullStr | The efficacy of internet-based cognitive behavior therapy for psychological health and quality of life among breast cancer patients: a systematic review and meta-analysis |
| title_full_unstemmed | The efficacy of internet-based cognitive behavior therapy for psychological health and quality of life among breast cancer patients: a systematic review and meta-analysis |
| title_short | The efficacy of internet-based cognitive behavior therapy for psychological health and quality of life among breast cancer patients: a systematic review and meta-analysis |
| title_sort | efficacy of internet based cognitive behavior therapy for psychological health and quality of life among breast cancer patients a systematic review and meta analysis |
| topic | internet cognitive behavior therapy mental health quality of life breast cancer systematic review |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1488586/full |
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