Cited by 349Cancer survivorship and careCancer-related cognitive impairment studiesMindfulness and Compassion Interventions

Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: a meta-analysis.

Tatrow, Kristin, Montgomery, Guy H.·2006·Journal of Behavioral Medicine

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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Crossref · 10.1007/s10865-005-9036-1

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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
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
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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