Effects of Psychotherapy on Hope/Hopelessness in Adults with Cancer: a Systematic Review and Meta-analysis.

Background: Although psychotherapy is a common treatment for hopelessness and hope, the effectiveness remains controversial. The purpose of this study was to quantitatively synthesize available evidence related to the effect of a broad range of psychotherapy interventions on hope/hopelessness in can...

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Publicado en:International Journal of Behavioral Medicine Vol. 29; no. 6; pp. 691 - 705
Autores principales: Luo, Jing, Li, Lixiang, Reangsing, Chuntana, Schneider, Joanne Kraenzle
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Springer Nature Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
      vid: 29
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      pub: Springer Nature
      place: New York, New York
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        atl: Effects of Psychotherapy on Hope/Hopelessness in Adults with Cancer: a Systematic Review and Meta-analysis.
      aug:
        au:
          Luo, Jing
          Li, Lixiang
          Reangsing, Chuntana
          Schneider, Joanne Kraenzle
        affil: School of Nursing, Guizhou Medical University, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
      sug:
        subj:
          Hopelessness In Adulthood
          Hope In Adulthood
          Psychotherapy
          Cancer Patients Psychosocial Factors
          Treatment Outcomes
          Human
          Systematic Review
          Meta Analysis
          Adult
          CINAHL Database
          Psycinfo
          PubMed
          Cochrane Library
          Descriptive Statistics
          Middle Age
          Effect Size
          Adult: 19-44 years
          Middle Aged: 45-64 years
      ab: Background: Although psychotherapy is a common treatment for hopelessness and hope, the effectiveness remains controversial. The purpose of this study was to quantitatively synthesize available evidence related to the effect of a broad range of psychotherapy interventions on hope/hopelessness in cancer patients. Method: Eight electronic databases were searched for studies with adult cancer patients (mean age ≥ 18 years) receiving psychotherapy interventions with hope/hopelessness measured as outcomes and written in English. We used the random-effects model to compute effect size using Hedges' g and conducted moderator analyses. Results: We found 27 primary studies which included 1,998 participants who were 57.6 ± 8.0 years old across studies. The psychotherapy effect size ranged from − 0.86 to 2.92. Researchers who conducted psychotherapy at hospital/health centers showed higher effects, that is, improved hope scores (g = 0.63), than those who conducted psychotherapy in the community (g = 0.05). When researchers enrolled participants alone, psychotherapy resulted in higher effects (g = 0.62) than when partners/caregivers were involved (g = − 0.04). Researchers who included group discussion showed lower effects (g = 0.36) than without group discussion (g = 1.10). Researchers who examined fidelity found lower effects (g = 0.16) than researchers who did not examine fidelity (g = 0.66). Interestingly, researchers who studied people with breast cancer showed higher effects (g = 0.96) than those who studied people with other types of cancer (g = 0.26). Researchers who included higher percentages of women showed greater effects (slope = 0.008, Qmodel = 3.99, p = 0.046). Finally, the greater the time span between psychotherapy and the measurement of hope, the lower the psychotherapy effects (slope = − 0.002, Qmodel = 4.25, p = 0.039). Conclusion: Psychotherapy had a solid moderate effect on reducing hopelessness and improving hope in cancer patients compared to controls.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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