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伊朗乳腺癌的心理后果:一项荟萃分析。

Psychological Consequences of Breast Cancer in Iran: A Meta-Analysis.

作者信息

Refaee Saeedi Nasrin, Aghamohammadian Sharbaf Hamidreza, Asghari Ebrahimabad Mohammad Javad, Kareshki Hossein

机构信息

Department of Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran.

Department of Clinical Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran.

出版信息

Iran J Public Health. 2019 May;48(5):816-824.

Abstract

BACKGROUND

Breast cancer is known as one of the most common cancers among women and has severe psychological effects. This study aimed to identify the psychological consequences of breast cancer in previous studies based on meta-analysis.

METHODS

Meta-analytic procedures were conducted by Prisma guidelines. A literature search was conducted by using following electronic databases including scientific information databases (SID), Magiran, Medlib ScienceDirect, PubMed, Google Scholar, Web of Science, Scopus, CINAHL and Medline from 1991 through 2017 regarding the psychological consequences associated with breast cancer in Iran. The content of all articles was evaluated by the Prisma checklist and analyzed meta-analysis in CMA software.

RESULTS

The final synthesis was carried out on 56 quantitative studies. Considering the findings of meta-analysis of the psychological consequences of patients with breast cancer in seven classes, anxiety (ES=-0.76), body image (ES=0.199), coping strategies (ES= 0.214), depression (ES=-0.700), fatigue (ES=0.322), quality of life (ES= 0.428), and sexual function (ES=0.355) were achieved.

CONCLUSION

Based on the results of the high level of psychological consequences of breast cancer in women with breast cancer, it is necessary to formulate appropriate therapeutic protocols in order to adjust the psychological consequences.

摘要

背景

乳腺癌是女性中最常见的癌症之一,具有严重的心理影响。本研究旨在通过荟萃分析确定以往研究中乳腺癌的心理后果。

方法

按照Prisma指南进行荟萃分析程序。通过使用以下电子数据库进行文献检索,包括科学信息数据库(SID)、Magiran、Medlib、ScienceDirect、PubMed、谷歌学术、科学网、Scopus、CINAHL和Medline,检索1991年至2017年期间伊朗与乳腺癌相关的心理后果。所有文章的内容均通过Prisma清单进行评估,并在CMA软件中进行荟萃分析。

结果

对56项定量研究进行了最终综合分析。考虑到对乳腺癌患者心理后果的荟萃分析结果分为七类,得出焦虑(效应量=-0.76)、身体意象(效应量=0.199)、应对策略(效应量=0.214)、抑郁(效应量=-0.700)、疲劳(效应量=0.322)、生活质量(效应量=0.428)和性功能(效应量=0.355)。

结论

基于乳腺癌女性心理后果水平较高的结果,有必要制定适当的治疗方案以调节心理后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74ed/6717424/dabd42ef61e4/IJPH-48-816-g001.jpg

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