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The effectiveness of cognitive behavioural therapy for depression in women with breast cancer: a systematic review and meta-analysis.
Wieland, Stephania; Melton, Sarah; Bastounis, Anastasios; Carter, Tim.
Afiliación
  • Wieland S; Every Turn Services Ltd, Sir Bobby Robson Way, Newcastle upon Tyne, UK.
  • Melton S; Derbyshire NHS Foundation Trust, Kingsway Hospital, Derby, UK.
  • Bastounis A; School of Health and Related Research (ScHARR), Regent Court, University of Sheffield, Sheffield, UK.
  • Carter T; School of Health Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, UK.
Behav Cogn Psychother ; 52(4): 394-413, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38389281
ABSTRACT

BACKGROUND:

Depression is a common co-morbidity in women with breast cancer. Previous systematic reviews investigating cognitive behavioural therapy (CBT) for depression in this population based their conclusions on findings from studies with varying and often limited specificity, quality and/or quantity of CBT within their interventions.

AIM:

To determine the effectiveness of a specific, well-evidenced CBT protocol for depression in women with breast cancer.

METHOD:

Online databases were systematically searched to identify randomised controlled trials (RCTs) testing CBT (aligned to Beck's protocol) as a treatment for depression in women with breast cancer. Screening, data extraction and risk of bias assessment were independently undertaken by two study authors. Both narrative synthesis and meta-analysis were used to analyse the data. The meta-analysis used a random effects model to compare CBT with non-active/active controls of depression using validated, self-report measures.

RESULTS:

Six RCTs were included in the narrative synthesis, and five in the meta-analysis (n = 531 participants). Overall, CBT demonstrated an improvement in depression scores in the CBT condition versus active and non-active controls at post-intervention (SMD = -0.93 [95% CI -1.47, -0.40]). Narratively, five out of six RCTs reported statistically significant improvements in depression symptoms for CBT over control conditions for women with breast cancer.

CONCLUSION:

CBT aligned to Beck's protocol for depression appears effective for treating depression in women with breast cancer. However, further research is needed for women with stage IV breast cancer. The clinical recommendation is that therapists utilise Beck's CBT protocol for depression, whilst considering the complex presentation and adapt their practice accordingly.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Terapia Cognitivo-Conductual Límite: Female / Humans Idioma: En Revista: Behav Cogn Psychother Asunto de la revista: CIENCIAS DO COMPORTAMENTO / PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Terapia Cognitivo-Conductual Límite: Female / Humans Idioma: En Revista: Behav Cogn Psychother Asunto de la revista: CIENCIAS DO COMPORTAMENTO / PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos