de la Torre-Luque Alejandro, Gambara Hilda, López Escarlata, Cruzado Juan Antonio
Universidad de las Islas Baleares, Spain.
Universidad Autónoma de Madrid, Spain.
Int J Clin Health Psychol. 2016 May-Aug;16(2):211-219. doi: 10.1016/j.ijchp.2015.07.005. Epub 2015 Aug 29.
This study aimed to analyze the effects of psychological treatments on quality of life among cancer patients and survivors. Additionally, it was explored the moderating influence of some medical- and treatment-related features on these effects. Scientific studies published between 1970 and 2012 were analyzed. Seventy-eight studies were included in a meta-analysis. Concerns related to samples, interventions, and standard of methodological evidence were explored across the studies. A significant overall effect size of psychological interventions was revealed ( = .35). Clinical state and use of adjuvant psychological treatment for managing medical side effects moderated this result ( < .05). Furthermore, a meta-regression model was showed significant ( = .30) so as to explain the quality of life change associated with psychological interventions. The psychotherapeutic benefits on depressive symptomatology were included as a moderating factor. To sum up, quality of life is improved by psychological interventions, especially when patients have to cope with medical treatment or with adjustment after the disease is treated. Psychological treatments tend to promote better outcomes when depressive symptomatology is managed. These findings support that providing psychological treatments should be considered as crucial for the patient's health in cancer contexts.
本研究旨在分析心理治疗对癌症患者及幸存者生活质量的影响。此外,还探讨了一些与医疗和治疗相关的特征对这些影响的调节作用。对1970年至2012年间发表的科学研究进行了分析。78项研究纳入了荟萃分析。在各项研究中探讨了与样本、干预措施和方法学证据标准相关的问题。结果显示心理干预具有显著的总体效应量(=0.35)。临床状态和使用辅助心理治疗来管理医疗副作用对这一结果起到了调节作用(<0.05)。此外,一个荟萃回归模型显示具有显著性(=0.30),以解释与心理干预相关的生活质量变化。将心理治疗对抑郁症状的益处作为一个调节因素。总之,心理干预可改善生活质量,尤其是当患者必须应对医疗治疗或疾病治疗后的调整时。当抑郁症状得到控制时,心理治疗往往能促进更好的结果。这些发现支持在癌症背景下,应将提供心理治疗视为对患者健康至关重要的事情。