College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan.
Int J Nurs Stud. 2014 Jan;51(1):28-38. doi: 10.1016/j.ijnurstu.2012.12.019. Epub 2013 Feb 8.
Psychosocial strategies are commonly used to alleviate anxiety and depression in patients with prostate cancer. However, previous studies have shown inconsistent results.
This study examined the effects of psychosocial strategies on anxiety and depression in prostate cancer patients.
A systematic literature review was conducted using 4 English databases (Pubmed, Cochrane Central Register of Controlled Trials, Cinahl, and PsycInfo) and 2 Chinese databases (Wanfang data and Chinese Electronic Periodical Service) with predetermined keyword searches. We first evaluated 8144 titles and/or abstracts. Fourteen studies that met the inclusion criteria were selected. The criteria for study inclusion were as follows: (1) randomized controlled trial design; (2) control group received usual or standard care; (3) focus on testing psychosocial strategies to improve anxiety and depression symptoms; and (4) studies conducted with prostate cancer patients at any stage of the disease.
The quality of the studies was assessed using the Jadad scoring system. Only 35.7% of studies were regarded as high quality. The majority of studies (85.7%) delivered informational and educational or cognitive-behavioral interventions. The results show that psychosocial strategies have a substantial effect on reducing anxiety 3 months after intervention (standard mean difference -1.13, p<0.0001) and have a short-term effect on depression symptoms (immediately after intervention: standard mean difference -0.43, p<0.001; 3 months after intervention: standard mean difference -0.78, p=0.04).
The results indicate that psychosocial strategies were more effective in reducing anxiety and depression compared with routine care, although the effect was not sustainable. However, high-quality methodologies, longer follow-up designs, and innovative psychosocial strategies are suggested for further study.
心理社会策略常用于缓解前列腺癌患者的焦虑和抑郁。然而，先前的研究结果并不一致。
本研究旨在评估心理社会策略对前列腺癌患者焦虑和抑郁的影响。
通过 4 个英文数据库（PubMed、Cochrane 对照试验中心注册库、CINAHL 和 PsycInfo）和 2 个中文数据库（万方数据和中国电子期刊服务）进行系统文献检索，使用预定的关键词搜索。首先，我们评估了 8144 篇标题和/或摘要。选择了 14 项符合纳入标准的研究。纳入研究的标准如下：（1）随机对照试验设计；（2）对照组接受常规或标准护理；（3）重点测试心理社会策略以改善焦虑和抑郁症状；（4）针对任何疾病阶段的前列腺癌患者进行的研究。
使用 Jadad 评分系统评估研究质量。只有 35.7%的研究被认为是高质量的。大多数研究（85.7%）提供了信息和教育或认知行为干预。结果表明，心理社会策略在干预后 3 个月时对减轻焦虑有显著效果（标准均数差-1.13，p<0.0001），并对抑郁症状有短期效果（干预后即刻：标准均数差-0.43，p<0.001；干预后 3 个月：标准均数差-0.78，p=0.04）。
结果表明，与常规护理相比，心理社会策略在减轻焦虑和抑郁方面更有效，尽管效果不持久。然而，建议采用高质量的方法学、更长的随访设计和创新的心理社会策略进行进一步研究。
