A systematic review of cognitive behavioral interventions in advanced cancer
Open accessAbstract
Objective To systematically review cognitive behavioral interventions for people with advanced cancer. Methods A literature search was conducted using Medline©, CINAHL©, and Psych-info©. Inclusion criteria studies were included in the review if they met the following criteria: (1) the design was a randomized clinical trial, (2) the study tested a cognitive behavioral therapy, including psycho-educational, alternative and complementary therapies (i.e. acupuncture, relaxation), expressive, support and skill building interventions, (3) participants were adults (18 years of age or older) with advanced cancer and the (4) outcomes were directly related to the patient with advanced cancer. Results 11 studies met the inclusion criteria. Of the studies in the review: treatment effects were not statistically significant in most studies, methods were not consistently described, and samples had limited racial/ethnic diversity. Conclusion The interpretation of the effectiveness of the CBIs was limited by major challenges to the internal validity of the studies included in the review. The lack of data about the efficacy of CBIs to support people with advanced cancer is a gap in the current knowledge base. Practice implications Given the needs of people living with advanced cancer well-designed studies are needed to test interventions that will improve outcomes for people living with advanced cancer.
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Evidencias empíricas sugieren que se observa mejoría en el bienestar emocional y el estado de salud general en pacientes oncológicos que han recibido intervención y/o acompañamiento terapéutico.
“Lo anterior, se justifca además, en evidencias empíricas, que sugieren que sí se observa mejoría en el bienestar emocional y el estado de salud general en pacientes oncológicos que han recibido intervención y/o acompañamiento terapéutico (8) .”
From Terapia de aceptación y compromiso en un caso de trastorno mixto de ansiedad y depresión en una paciente con cáncer (2016) · cites this paper as [8]
The Results (Physical Outcomes; page not provided) report reduced depression scores in some studies and improved quality of life in three studies of cognitive-behavioral interventions for advanced cancer. But other studies found no emotional benefit, and most studies measuring quality of life found no improvement or a decline. The source therefore supports a possibility of improvement, not a general improvement in emotional well-being and overall health among oncology patients receiving therapeutic intervention or support. (LLM, conf=0.87)
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- Authors
- Campbell, C. L., & Campbell, L. C.
- Affiliations
- University of Virginia (US)
- East Carolina University (US)
- Corresponding author
- Campbell, Cathy L.
- ORCID
- Campbell, Lisa C.
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2012-10
- Volume
- 89
- Issue
- 1
- Pages
- 15-24
- ISSN
- 0738-3991 (ISSN-L)
- PMC
- PMC3462275
- OpenAlex
- W2067433459
- Cited by
- 42
- References
- 55
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 7 · 2018: 4 · 2017: 2 · 2016: 4 · 2015: 1 · 2014: 2 · 2012: 1
- FWCI
- 0.13
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R01CA122704)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- cognitive-behavioral intervention, advanced cancer, psycho-oncology, complementary therapy, acupuncture, relaxation, support interventions, psychoeducational intervention, internal validity, intervention efficacy
- MeSH terms
- Complementary Therapies, Humans, Neoplasms, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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