{"title":"不同认知行为治疗方式对癌症抑郁症患者的疗效比较：随机对照试验的网络meta分析。","authors":"Liyang Duan, Shu Zhang, Qianwen Yan, Xiaolin Hu","doi":"10.1002/pon.70078","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Cognitive behavior therapy (CBT) has been shown to be effective in improving depression in patients with cancer. However, diversity exists in the CBT delivery formats, and the optimal delivery format remains unconfirmed.</p><p><strong>Objectives: </strong>To compare the efficacy of different delivery formats of CBT interventions on depression in patients with cancer.</p><p><strong>Design: </strong>Network meta-analysis of randomized controlled trials.</p><p><strong>Data source: </strong>Six databases, including PubMed, Web of Science, Embase, CINAHL, the Cochrane Central Register of Controlled Trials and PsycINFO, were searched from inception to May 30, 2024.</p><p><strong>Methods: </strong>Two reviewers independently conducted study inclusion, data extraction, and risk of bias assessment. A pairwise meta-analysis and a network meta-analysis were performed sequentially to determine the efficacy of CBT delivery formats for improving depression in patients with cancer.</p><p><strong>Results: </strong>A total of 34 randomized controlled trials involving six delivery formats of CBT were included. Face-to-face group CBT (SMD = -0.88, 95% CI [-1.33, -0.44]), internet-based individual CBT (SMD = -0.49, 95% CI [-0.92, -0.06]), app-based individual CBT (SMD = -0.81, 95% CI [-1.45, -0.18]), and combined delivery formats of CBT for individual (SMD = -0.35, 95% CI [-0.62, -0.09]) were significantly more effective than the inactive control. The ranking probabilities revealed that face-to-face group CBT (P-score = 0.86), app-based individual CBT (P-score = 0.74) and internet-based individual CBT (P-score = 0.57) were the three most effective delivery formats of CBT.</p><p><strong>Conclusions: </strong>This study revealed the efficacy ranking of different CBT delivery formats in improving depression in patients with cancer. These findings are expected to provide evidence-based support for future research and clinical decision making for improving depression in patients with cancer.</p><p><strong>Trial registration: </strong>PROSPERO (CRD42024553977).</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70078"},"PeriodicalIF":3.3000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparative Efficacy of Different Cognitive Behavior Therapy Delivery Formats for Depression in Patients With Cancer: A Network Meta-Analysis of Randomized Controlled Trials.\",\"authors\":\"Liyang Duan, Shu Zhang, Qianwen Yan, Xiaolin Hu\",\"doi\":\"10.1002/pon.70078\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Cognitive behavior therapy (CBT) has been shown to be effective in improving depression in patients with cancer. However, diversity exists in the CBT delivery formats, and the optimal delivery format remains unconfirmed.</p><p><strong>Objectives: </strong>To compare the efficacy of different delivery formats of CBT interventions on depression in patients with cancer.</p><p><strong>Design: </strong>Network meta-analysis of randomized controlled trials.</p><p><strong>Data source: </strong>Six databases, including PubMed, Web of Science, Embase, CINAHL, the Cochrane Central Register of Controlled Trials and PsycINFO, were searched from inception to May 30, 2024.</p><p><strong>Methods: </strong>Two reviewers independently conducted study inclusion, data extraction, and risk of bias assessment. A pairwise meta-analysis and a network meta-analysis were performed sequentially to determine the efficacy of CBT delivery formats for improving depression in patients with cancer.</p><p><strong>Results: </strong>A total of 34 randomized controlled trials involving six delivery formats of CBT were included. Face-to-face group CBT (SMD = -0.88, 95% CI [-1.33, -0.44]), internet-based individual CBT (SMD = -0.49, 95% CI [-0.92, -0.06]), app-based individual CBT (SMD = -0.81, 95% CI [-1.45, -0.18]), and combined delivery formats of CBT for individual (SMD = -0.35, 95% CI [-0.62, -0.09]) were significantly more effective than the inactive control. The ranking probabilities revealed that face-to-face group CBT (P-score = 0.86), app-based individual CBT (P-score = 0.74) and internet-based individual CBT (P-score = 0.57) were the three most effective delivery formats of CBT.</p><p><strong>Conclusions: </strong>This study revealed the efficacy ranking of different CBT delivery formats in improving depression in patients with cancer. These findings are expected to provide evidence-based support for future research and clinical decision making for improving depression in patients with cancer.</p><p><strong>Trial registration: </strong>PROSPERO (CRD42024553977).</p>\",\"PeriodicalId\":20779,\"journal\":{\"name\":\"Psycho‐Oncology\",\"volume\":\"34 1\",\"pages\":\"e70078\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psycho‐Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/pon.70078\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psycho‐Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pon.70078","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
Comparative Efficacy of Different Cognitive Behavior Therapy Delivery Formats for Depression in Patients With Cancer: A Network Meta-Analysis of Randomized Controlled Trials.
Background: Cognitive behavior therapy (CBT) has been shown to be effective in improving depression in patients with cancer. However, diversity exists in the CBT delivery formats, and the optimal delivery format remains unconfirmed.
Objectives: To compare the efficacy of different delivery formats of CBT interventions on depression in patients with cancer.
Design: Network meta-analysis of randomized controlled trials.
Data source: Six databases, including PubMed, Web of Science, Embase, CINAHL, the Cochrane Central Register of Controlled Trials and PsycINFO, were searched from inception to May 30, 2024.
Methods: Two reviewers independently conducted study inclusion, data extraction, and risk of bias assessment. A pairwise meta-analysis and a network meta-analysis were performed sequentially to determine the efficacy of CBT delivery formats for improving depression in patients with cancer.
Results: A total of 34 randomized controlled trials involving six delivery formats of CBT were included. Face-to-face group CBT (SMD = -0.88, 95% CI [-1.33, -0.44]), internet-based individual CBT (SMD = -0.49, 95% CI [-0.92, -0.06]), app-based individual CBT (SMD = -0.81, 95% CI [-1.45, -0.18]), and combined delivery formats of CBT for individual (SMD = -0.35, 95% CI [-0.62, -0.09]) were significantly more effective than the inactive control. The ranking probabilities revealed that face-to-face group CBT (P-score = 0.86), app-based individual CBT (P-score = 0.74) and internet-based individual CBT (P-score = 0.57) were the three most effective delivery formats of CBT.
Conclusions: This study revealed the efficacy ranking of different CBT delivery formats in improving depression in patients with cancer. These findings are expected to provide evidence-based support for future research and clinical decision making for improving depression in patients with cancer.
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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