Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: a meta-analysis.
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 Published articles and unpublished dissertations between 1980 and 2005 were searched for interventions reporting the Hospital...
| Publicado en: | Journal of Behavioral Medicine Vol. 33; no. 1; pp. 1 - 15 |
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| Autores principales: | , , , , , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105302824&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105302824 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Feb2010 vid: 33 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105302824 47774384 47774384 10.1007/s10865-009-9227-2 NLM19784868 105302824 ppf: 1 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: a meta-analysis. aug: au: Schneider S Moyer A Knapp-Oliver S Sohl S Cannella D Targhetta V affil: Department of Psychology, Stony Brook University, Stony Brook, NY 11794-2500, USA sug: subj: Anxiety Therapy Cancer Patients Psychosocial Factors Depression Therapy Treatment Outcomes Aged Confidence Intervals Funding Source Human Meta Analysis Middle Age Psychological Tests Psycinfo PubMed Scales State-Trait Anxiety Inventory Aged: 65+ years Middle Aged: 45-64 years ab: 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 Published articles and unpublished dissertations between 1980 and 2005 were searched for interventions reporting the Hospital Anxiety and Depression Scale (HADS) or the Spielberger State-Trait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. pubtype: Academic Journal doctype: equations & formulas meta analysis research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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