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

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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

DOI 10.1007/s10865-005-9036-1

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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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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
Publisher: Springer Science and Business Media LLC
Published: 2006-01-07
Volume: 29
Issue: 1
Pages: 17-27
ISSN: 0160-7715 (ISSN-L)
1573-3521
DOI: 10.1007/s10865-005-9036-1
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 › Oncology › 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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Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: a meta-analysis.

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