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صفحه اصلی
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اولین کنگره بین المللی رویکردهای نوین سبک زندگی، پیشگیری و درمان سرطان
Efficacy of Psychological Interventions on Psychological and Vasomotor Symptoms in Menopausal Women With Breast Cancer: A Systematic Review and Meta-Analysis
نویسندگان :
Yun-Chen Chang (School of Nursing and Graduate Institute of Nursing, China Medical University, Taichung, Taiwan and Nursing Department, China Medical University Hospital, Taichung, Taiwan.) , Akram Ahmadzadeh (Rehabilitation Counselling. Department of counselling. University of Social Welfare and Rehabilitation Sciences) , Soraya Sayar (Ministry of Health, Treatment and Medical Education, Tehran, Iran) , Masumeh Ghazanfarpour (kerman university of medical sciences, kerman, iran) , Mohammad reza Asgari (Semnan University Of Medical Sciences, Semnan, Iran.) , Masoudeh Babakhanian (Social Determinants Of Health Research Center, Semnan University Of Medical Sciences, Semnan, Iran.)
کلمات کلیدی :
Breast Cancer،Psychological Interventions،Systematic Review and Meta-Analysis
چکیده :
Background: The intersection of menopause and breast cancer often impairs patients' quality of life due to the accompanying physical and psychological burdens. This study examines the efficacy of mindfulness and cognitive-behavioral therapy (CBT) on menopausal breast cancer patients' physical and psychological symptoms. Methods: In this PROSPERO-registered (CRD42021275803) meta-analysis conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol, clinical trials published no later than December 31, 2021, that were in the PubMed, Web of Science, Scopus, and Cochrane Library databases were reviewed. Eight studies, with sample sizes ranging from 21 to 255, were assessed using the quality assessment checklist and the Cochrane risk of bias tool. Results: A random-effects meta-analysis demonstrated significant improvement in vasomotor symptoms, namely hot flashes and night sweats, following mindfulness-based and CBT interventions (Standardized Mean Difference (SMD) = 0.961, 95% CI: 0.662 to 1.260, p = 0.000). These interventions also significantly alleviated anxiety (SMD = 0.332, 95% CI: 0.146 to 0.517, p = 0.000), alleviated depression (SMD = 0.766, 95% CI: 0.199 to 1.332, p = 0.008), and improved sleep quality (SMD = 1.008, 95% CI: 0.411 to 1.602, p = 0.001). Conclusion: Mindfulness and CBT interventions can notably mitigate physical symptoms and mental health issues in menopausal breast cancer patients, potentially ameliorating the side effects of pharmacological treatments. Legal entity responsible for the study: Masoudeh Babakhanian Funding: Has not received any funding. Disclosure: All authors declared no conflicts of interest
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