CBT_cancer_metanalysis - Journal of Behavioral Medicine,...

Info iconThis preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
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 ).
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 03/06/2011 for the course PSYCH 212 taught by Professor Dansullivan during the Spring '11 term at NYU.

Page1 / 12

CBT_cancer_metanalysis - Journal of Behavioral Medicine,...

This preview shows document pages 1 - 2. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online