Cited by 169Cancer survivorship and careArt Therapy and Mental HealthCardiac Health and Mental Health

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Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: a meta-analysis

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Schneider, Stefan, Moyer, Anne, Knapp-Oliver, Sarah, Sohl, Stephanie, Cannella, Dolores, Targhetta, Valerie·2010·Journal of Behavioral Medicine

DOI 10.1007/s10865-009-9227-2PMC PMC2813921

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Abstract

This meta-analysis examined whether effects of psychosocial interventions on psychological distress in cancer patients are conditional upon pre-intervention distress levels. Published articles and unpublished dissertations between 1980 and 2005 were searched for interventions reporting the Hospital Anxiety and Depression Scale (HADS) or the Spielberger State-Trait Anxiety Inventory (STAI). Multilevel mixed-effects modeling was used to meta-analyze effect-sizes separately for the HADS (27 trials, 2,424 patients) and STAI (34 trials, 2,029 patients). Pre-intervention distress significantly moderated intervention effects, explaining up to 50% of the between-study effect-size variance: effects on anxiety and depression were generally negligible when pre-intervention distress was low and pronounced when it was high. These results could not be explained by differences in intervention type, setting, dose, and whether intervention was targeted at distressed patients. Psychosocial interventions may be most beneficial for cancer patients with elevated distress. Future research should identify which treatment components are most effective for these patients to facilitate optimal treatment tailoring and cost-effective health care.

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Authors: Schneider, S., Moyer, A., Knapp-Oliver, S., Sohl, S., Cannella, D., & Targhetta, V.
Affiliations: Stony Brook University (US)
Corresponding author: Schneider, Stefan
ORCID: Schneider, Stefan
Moyer, Anne
Sohl, Stephanie
Venue: Journal of Behavioral Medicine
Publisher: Springer Science and Business Media LLC
Published: 2009-09-27
Volume: 33
Issue: 1
Pages: 1-14
ISSN: 0160-7715 (ISSN-L)
1573-3521
DOI: 10.1007/s10865-009-9227-2
PMC: PMC2813921
OpenAlex: W2053020196
Cited by: 169
References: 112
Citations by year: 2026: 2 · 2025: 4 · 2024: 7 · 2023: 6 · 2022: 10 · 2021: 5 · 2020: 9 · 2019: 12 · 2018: 10 · 2017: 16 · 2016: 14 · 2015: 18 · 2014: 12 · 2013: 18 · 2012: 14
FWCI: 0.73
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Behavioral Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Cancer Institute and Hospital, Chinese Academy of Medical Sciences
National Cancer Institute (R01CA100810)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Clinical Psychology › Art Therapy and Mental Health
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords: cancer patients, psychosocial interventions, psychological distress, moderation, anxiety, depression, treatment tailoring, treatment efficacy
MeSH terms: Adult, Aged, Anxiety, Depression, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neoplasms, Psychiatric Status Rating Scales, Regression Analysis, Stress, Psychological, Time Factors, Models, Statistical, Treatment Outcome

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Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: a meta-analysis

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