A network meta-analysis of effects of different psychological interventions on fear of cancer recurrence
10.3969/j.issn.1000-6729.2025.09.03
- VernacularTitle:不同心理干预对癌症复发恐惧影响的网状meta分析
- Author:
Zhiying SHEN
1
;
Shuangjiao SHI
1
;
Chunhong RUAN
1
;
Chengyuan LI
1
Author Information
1. 中南大学湘雅三医院血液内科,长沙 410013;中南大学湘雅三医院护理部,长沙 410013
- Publication Type:Journal Article
- Keywords:
cancer;
fear of cancer recurrence;
psychological intervention;
network meta-analysis
- From:
Chinese Mental Health Journal
2025;39(9):765-772
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effects of different psychological interventions on cancer patients' fear of cancer recurrence(FCR).Methods:Randomized controlled trials examining the effects of various psychological interventions on FCR among cancer patients were searched for in both Chinese and English literature databases.A network meta-analysis was conducted to explore the intervention effects,utilizing standardized mean difference(SMD),95％confidence interval(CI),and surface under the cumulative ranking(SUCRA)of FCR as the effect indicators.Results:A total of 34 studies involving 3 772 participants were included,of which five types of psycho-logical interventions were evaluated,namely acceptance and commitment therapy(ACT),gratitude-expansion thera-py(GET),cognitive behavioral therapy(CBT),mindfulness therapy(MT),and multi-component psychological in-tervention(Mul).According to the time of effect evaluation,three effect evaluation timing were confirmed,with immediate post-intervention group,1-2 months post-intervention group,and 3-6 months post-intervention group identified.Compared with conventional care,in the immediate post-intervention group,ACT(SMD=-1.80,95％CI:-2.47--1.13),GET(SMD=-1.33,95％CI:-2.07--0.59),MT(SMD=-0.59,95％CI:-1.03--0.14)and CBT(SMD=-0.54,95％CI:-0.93--0.15)could effectively reduce FCR,and the SUCRA val-ue of ACT was upmost to 0.96.In the 1-2 months post-intervention group,GET(SMD=-2.32,95％CI:-2.99--1.65)and ACT(SMD=-1.46,95％CI:-2.23--0.70)could effectively reduce FCR,and the SUCRA value of GET was upmost to 0.99.In the 3-6 months post-intervention group,Mul(SMD=-1.82,95％CI:-3.03--0.61)and MT(SMD=-1.43,95％CI:-2.33--0.54)could effectively reduce FCR,and the SU-CRA value of Mul was upmost to 0.90.Conclusion:Different psychological interventions vary in their effectiveness on FCR across effect evaluation time points,highlighting the need for tailored approaches on mitigating FCR in clin-ical practice.
