Lepore Stephen J, Coyne James C
Department of Public Health, Temple University, Philadelphia, PA 19122, USA.
Ann Behav Med. 2006 Oct;32(2):85-92. doi: 10.1207/s15324796abm3202_2.
We review a decade of review articles concerning psychosocial interventions for cancer patients. We find a distinct progression in the tone of interpretations of the literature, as better quality studies accumulate and the sophistication of reviews improves. The current literature does not make a compelling case for the value of these interventions for the typical cancer patient. The bulk of the literature reviews in this field take a narrative rather than a systematic approach, and serious compromises in standards are necessary to muster an adequate set of studies for review. The more rigorous the review, the less likely it is to conclude there is evidence that psychological interventions are effective.
我们回顾了十年来有关癌症患者心理社会干预的综述文章。随着高质量研究的积累以及综述水平的提高，我们发现文献解读的基调有明显变化。当前文献并未有力证明这些干预措施对典型癌症患者的价值。该领域的大部分文献综述采用的是叙述性而非系统性方法，为了凑齐足够数量的研究进行综述，必须在标准上做出严重妥协。综述越严格，就越不太可能得出存在证据表明心理干预有效的结论。
