Cancer-related fatigue: A systematic and meta-analytic review of non-pharmacological therapies for cancer patients.

Kangas, Maria; Bovbjerg, Dana H.; Montgomery, Guy H.

doi:10.1037/a0012825

Cited by 428Cancer survivorship and careCancer-related cognitive impairment studiesChildhood Cancer Survivors' Quality of Life

Cancer-related fatigue: A systematic and meta-analytic review of non-pharmacological therapies for cancer patients.

Kangas, Maria, Bovbjerg, Dana H., Montgomery, Guy H.·2008·Psychological Bulletin

DOI 10.1037/a0012825

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Abstract

Cancer-related fatigue (CRF) is a significant clinical problem for more than 10 million adults diagnosed with cancer each year worldwide. No "gold standard" treatment presently exists for CRF. To provide a guide for future research to improve the treatment of CRF, the authors conducted the most comprehensive combined systematic and meta-analytic review of the literature to date on non-pharmacological (psychosocial and exercise) interventions to ameliorate CRF and associated symptoms (vigor/vitality) in adults with cancer, based on 119 randomized controlled trials (RCTs) and non-RCT studies. Meta-analyses conducted on 57 RCTs indicated that exercise and psychological interventions provided reductions in CRF, with no significant differences between these 2 major types of interventions considered as a whole. Specifically, multimodal exercise and walking programs, restorative approaches, supportive-expressive, and cognitive-behavioral psychosocial interventions show promising potential for ameliorating CRF. The results also suggest that vigor and vitality are distinct phenomena from CRF with regard to responsiveness to intervention. With improved methodological approaches, further research in this area may soon provide clinicians with effective strategies for reducing CRF and enhancing the lives of millions of cancer patients and survivors.

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Authors: Kangas, M., Bovbjerg, D. H., & Montgomery, G. H.
Affiliations: Macquarie University (AU)
Icahn School of Medicine at Mount Sinai (US)
ORCID: Kangas, Maria
Bovbjerg, Dana H.
Montgomery, Guy H.
Venue: Psychological Bulletin
Publisher: American Psychological Association (APA)
Published: 2008-09
Volume: 134
Issue: 5
Pages: 700-741
ISSN: 0033-2909 (ISSN-L)
1939-1455
DOI: 10.1037/a0012825
OpenAlex: W2126050567
Cited by: 428
References: 169
Citations by year: 2026: 10 · 2025: 9 · 2024: 8 · 2023: 15 · 2022: 17 · 2021: 21 · 2020: 24 · 2019: 20 · 2018: 28 · 2017: 33 · 2016: 30 · 2015: 36 · 2014: 34 · 2013: 36 · 2012: 36
FWCI: 12.31
Type: journal article
Language: en
Update notices: correction (2009-01-05)
Open access: closed
Locations: Psychological Bulletin (publishedVersion)
PubMed (publishedVersion)
Funders: American Cancer Society (RSG-01-180-01-PBP)
US Department of Defense (DAMD17-99-1-9303)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords: cancer-related fatigue, non-pharmacological treatment, exercise intervention, psychosocial interventions, cognitive behavioral therapy, walking program, restorative interventions, cancer patients, cancer survivors
MeSH terms: Fatigue, Humans, Neoplasms, Social Support, Exercise, Cognitive Behavioral Therapy

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Cancer-related fatigue: A systematic and meta-analytic review of non-pharmacological therapies for cancer patients.

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