Department of Clinical, Neuro, and Developmental Psychology and Amsterdam Public Health Institute, Vrije Universiteit Amsterdam, the Netherlands; Department of Educational Psychology, Universitas Padjadjaran, Jatinangor, Indonesia.
Department of Experimental Psychology, Universitas Padjadjaran, Jatinangor, Indonesia.
Breast. 2022 Apr;62:36-51. doi: 10.1016/j.breast.2022.01.005. Epub 2022 Jan 12.
Psychoeducation has emerged as an intervention for women with breast cancer (BC). This meta-analysis evaluated the effectiveness of psychoeducation on adherence to diagnostic procedures and medical treatment, anxiety, depression, quality of life (QoL), and BC knowledge among patients with BC symptoms or diagnosis and BC survivors.
A systematic literature search (in PubMed, Embase, PsycINFO and Cochrane) for randomised controlled trials (RCTs) comparing the effects of psychoeducation to control among patients with BC symptoms or diagnosis and BC survivors. Effects were expressed as relative risks (RRs) and standardized mean differences (SMDs) with their 95% confidence intervals.
Twenty-seven RCTs (7742 participants; 3880 psychoeducation and 3862 controls) were included. Compared with controls, psychoeducation had no significant effect on adherence to diagnostic procedures and medical treatment (RR 1.553; 95% CI 0.733 to 3.290, p = .16), but it significantly decreased anxiety (SMD -0.710, 95% CI -1.395 to -0.027, p = .04) and improved QoL with (SMD 0.509; 95% CI 0.096 to 0.923, p < .01). No effects were found for psychoeducation on depression (SMD -0.243, 95% CI -0.580 to 0.091, p = .14), or BC knowledge (SMD 0.718, 95% CI -0.800 to 2.236, p = .23).
We demonstrated that psychoeducation did not improve adherence to diagnostic procedures and treatment, depression and BC knowledge but was valuable for reducing anxiety and improving QoL. Future studies may explore the effectiveness of psychoeducation in promoting adherence across various types of cancer.
心理教育已成为乳腺癌（BC）患者的一种干预措施。本荟萃分析评估了心理教育对 BC 症状或诊断患者和 BC 幸存者的诊断程序和医疗治疗依从性、焦虑、抑郁、生活质量（QoL）和 BC 知识的有效性。
对PubMed、Embase、PsycINFO 和 Cochrane 中的随机对照试验（RCT）进行系统文献检索，比较心理教育与 BC 症状或诊断患者和 BC 幸存者的对照效果。使用相对风险（RR）和标准化均数差（SMD）及其 95%置信区间表示效果。
纳入 27 项 RCT（7742 名参与者；3880 名接受心理教育，3862 名接受对照）。与对照组相比，心理教育对诊断程序和医疗治疗的依从性没有显著影响（RR 1.553；95%CI 0.733 至 3.290，p=0.16），但显著降低了焦虑（SMD-0.710，95%CI-1.395 至-0.027，p=0.04）并改善了 QoL（SMD 0.509；95%CI 0.096 至 0.923，p<0.01）。心理教育对抑郁（SMD-0.243，95%CI-0.580 至 0.091，p=0.14）或 BC 知识（SMD 0.718，95%CI-0.800 至 2.236，p=0.23）没有影响。
我们表明，心理教育没有改善诊断程序和治疗、抑郁和 BC 知识的依从性，但对降低焦虑和改善 QoL 有价值。未来的研究可能会探索心理教育在促进各种类型癌症的依从性方面的有效性。
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