Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: a meta-analysis.
Abstract
This meta-analysis is the first to examine cognitive behavioral therapy (CBT) techniques for distress and pain specifically in breast cancer patients. Twenty studies that used CBT techniques with breast cancer patients were identified and effect sizes were calculated to determine (1) whether CBT techniques have a significant impact on distress and pain, (2) if individual or group treatments are more effective, (3) whether severity of cancer diagnosis influences distress and pain outcomes, and, (4) if there is a relationship between CBT technique efficacy for distress and pain. Results revealed effect sizes of d = 0.31 for distress (p < 0.05) and .49 for pain (p < 0.05), indicating that 62 and 69% of breast cancer patients in the CBT techniques treatment groups had less distress and less pain (respectively) relative to the control groups. Studies with individual treatment approaches had significantly larger effects compared to studies that employed group approaches for distress (p = 0.04), but not for pain (p > 0.05). There were no significant differences in effects between those with or without metastases (p > 0.05). The correlation between effect sizes for distress and pain was not significant (p = 0.07). Overall, the results support the use of CBT techniques administered individually to manage distress and pain in breast cancer patients. However, more well-designed studies are needed.
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A meta-analysis by Tatrow and Montgomery suggests that CBT is related to reductions in distress and pain in cancer patients.
“A meta-analysis by Tatrow and Montgomery (27) suggests that CBT is related to reductions in distress and pain in cancer patients.”
The three therapeutic techniques have a large evidence base for psychological support of cancer patients.
“However, the three therapeutic techniques have a large evidence base for psychological support of cancer patients (27, 34, 37, 41, 42).”
Cognitive Behavioural Therapy (CBT) is clinically effective in the treatment of depression and anxiety among breast cancer patients and survivors.
“Several meta-analyses have established Cognitive Behavioural Therapy (CBT) as clinically effective in the treatment of depression and anxiety among breast cancer patients and survivors”
From A randomised controlled trial comparing internet-delivered cognitive behavioural therapy (iCBT) with and without main carer access versus treatment-as-usual for depression and anxiety among breast cancer survivors: Study protocol (2021) · cites this paper as Tatrow and Montgomery, 2006
ESs of MBIs are similar to those found for cognitive behavioral therapy (CBT) with breast cancer patients.
“Finally, ESs of MBIs are similar to those found for cognitive behavioral therapy (CBT) with breast cancer patients, with CBT being the currently most commonly used psychosocial intervention for psychological distress in cancer.81”
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- Authors
- Tatrow, K., & Montgomery, G. H.
- Affiliations
- Good Shepherd Rehabilitation (US)
- Icahn School of Medicine at Mount Sinai (US)
- Corresponding author
- Tatrow, Kristin
- ORCID
- Montgomery, Guy H.
- Venue
- Journal of Behavioral Medicine
- Published
- 2006-01-07
- Volume
- 29
- Issue
- 1
- Pages
- 17-27
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2085761726
- Cited by
- 349
- References
- 64
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 15 · 2023: 24 · 2022: 19 · 2021: 25 · 2020: 19 · 2019: 21 · 2018: 21 · 2017: 20 · 2016: 16 · 2015: 19 · 2014: 18 · 2013: 24 · 2012: 26
- FWCI
- 0.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Defense
- National Cancer Institute (R21CA088189, CA87021, R03CA086562, K07CA087021, CA86562, CA88189)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- cognitive behavioral therapy, breast cancer, cancer-related distress, cancer pain, metastasis
- MeSH terms
- Breast Neoplasms, Female, Humans, Pain, Pain Measurement, Psychotherapy, Group, Stress, Psychological, Cognitive Behavioral Therapy, Treatment Outcome, Pain Management
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