CBT_cancer_metanalysis

CBT_cancer_metanalysis - Journal of Behavioral Medicine,...

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Journal of Behavioral Medicine, Vol. 29, No. 1, February 2006 ( C ° 2006) DOI: 10.1007/s10865-005-9036-1 Cognitive Behavioral Therapy Techniques for Distress and Pain in Breast Cancer Patients: A Meta-Analysis Kristin Tatrow 1 , 2 , 3 , 4 and Guy H. Montgomery 2 , 3 Accepted for publication: April 18, 2005 Published online: January 7, 2006 This meta-analysis is the frst to examine cognitive behavioral therapy (CBT) techniques For distress and pain specifcally in breast cancer patients. Twenty studies that used CBT tech- niques with breast cancer patients were identifed and eFFect sizes were calculated to de- termine (1) whether CBT techniques have a signifcant impact on distress and pain, (2) iF individual or group treatments are more eFFective, (3) whether severity oF cancer diagno- sis in±uences distress and pain outcomes, and, (4) iF there is a relationship between CBT technique eFfcacy For distress and pain. Results revealed eFFect sizes oF d = 0.31 For distress ( p < 0.05) and .49 For pain ( p < 0.05), indicating that 62 and 69% oF breast cancer patients in the CBT techniques treatment groups had less distress and less pain (respectively) relative to the control groups. Studies with individual treatment approaches had signifcantly larger eF- Fects compared to studies that employed group approaches For distress ( p = 0.04), but not For pain ( p > 0.05). There were no signifcant diFFerences in eFFects between those with or without metastases ( p > 0.05). The correlation between eFFect sizes For distress and pain was not sig- nifcant ( p = 0.07). Overall, the results support the use oF CBT techniques administered indi- vidually to manage distress and pain in breast cancer patients. However, more well-designed studies are needed. KEY WORDS: breast cancer; distress; pain; cognitive behavioral; meta-analysis. Breast cancer is the most commonly diag- nosed cancer among women in the United States (American Cancer Society [ACS], 2004 ). It is esti- mated that there will be over 215,000 new breast can- cer cases in the United States and close to 40,000 deaths From breast cancer in 2004 (ACS, 2004 ). De- spite improvements in oncology treatments and sur- vival rates (From 75% 5-year survival rates in the 1970s to 87% survival rates in the 1990s; ACS, 2004 ), breast cancer and its treatment are still associated 1 Psychology Department, Good Shepherd Rehabilitation Hospi- tal, Allentown, PA. 2 Integrative Behavioral Medicine Program, Department oF Onco- logical Sciences, Mount Sinai School oF Medicine, New York. 3 Biobehavioral Medicine Program, Department oF Oncological Sciences, Mount Sinai School oF Medicine, New York. 4 To whom correspondence should be addressed at, Psychol- ogy Department, Good Shepherd Rehabilitation Hospital, 501 Saint John St., Allentown, Pennsylvania, 18103; e-mail: [email protected] with numerous highly aversive symptoms and side eF- Fects. Perhaps the most prominent oF these are dis- tress and pain (Glanz and Lerman, 1992 ).
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This note was uploaded on 03/06/2011 for the course PSYCH 212 taught by Professor Dansullivan during the Spring '11 term at NYU.

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CBT_cancer_metanalysis - Journal of Behavioral Medicine,...

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