Document Detail


A systematic review and meta-analysis of psychosocial interventions for couples coping with cancer.
MedLine Citation:
PMID:  23045191     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Quality of life (QOL) is a multidimensional construct that includes physical, psychological, and relationship well-being.
METHODS: We conducted a systematic review and meta-analysis of randomized controlled studies published between 1980 and 2012 of interventions conducted with both cancer patients and their partners that were aimed at improving QOL. Using bibliographic software and manual review, two independent raters reviewed 752 articles with a systematic process for reconciling disagreement, yielding 23 articles for systematic review and 20 for meta-analysis.
RESULTS: Most studies were conducted in breast and prostate cancer populations. Study participants (N = 2645) were primarily middle aged (mean = 55 years old) and white (84%). For patients, the weighted average effect size (g) across studies was 0.25 (95% CI = 0.12-0.32) for psychological outcomes (17 studies), 0.31 (95% CI = 0.11-0.50) for physical outcomes (12 studies), and 0.28 (95% CI = 0.14-0.43) for relationship outcomes (10 studies). For partners, the weighted average effect size was 0.21 (95% CI = 0.08-0.34) for psychological outcomes (12 studies) and 0.24 (95% CI = 0.6-0.43) for relationship outcomes (7 studies).
CONCLUSION: Therefore, couple-based interventions had small but beneficial effects in terms of improving multiple aspects of QOL for both patients and their partners. Questions remain regarding when such interventions should be delivered and for how long. Identifying theoretically based mediators and key features that distinguish couple-based from patient-only interventions may help strengthen their effects on patient and partner QOL.
Authors:
Hoda Badr; Paul Krebs
Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, N.I.H., Extramural; Review     Date:  2012-10-09
Journal Detail:
Title:  Psycho-oncology     Volume:  22     ISSN:  1099-1611     ISO Abbreviation:  Psychooncology     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-22     Completed Date:  2014-07-28     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  9214524     Medline TA:  Psychooncology     Country:  England    
Other Details:
Languages:  eng     Pagination:  1688-704     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 John Wiley & Sons, Ltd.
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological*
Breast Neoplasms / psychology*
Family Characteristics
Female
Humans
Interpersonal Relations
Male
Middle Aged
Prostatic Neoplasms / psychology*
Quality of Life*
Randomized Controlled Trials as Topic
Sexual Partners / psychology
Social Support*
Spouses / psychology
Treatment Outcome
Grant Support
ID/Acronym/Agency:
K07 CA124668/CA/NCI NIH HHS; K07CA124668/CA/NCI NIH HHS; P30 AG028741/AG/NIA NIH HHS; P30 AG028741/AG/NIA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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