PSYCHOSOCIAL INTERVENTIONS FOR DEPRESSION, ANXIETY, AND.pdfVIP

INT’L. J. PSYCHIATRY IN MEDICINE, Vol. 36(1) 13-34, 2006 PSYCHOSOCIAL INTERVENTIONS FOR DEPRESSION, ANXIETY, AND QUALITY OF LIFE IN CANCER SURVIVORS: META-ANALYSES* ROBYN L. OSBORN, MS ANGELIQUE C. DEMONCADA, MS Uniformed Services University of the Health Sciences, Bethesda, Maryland MICHAEL FEUERSTEIN, PH.D., MPH Uniformed Services University of the Health Sciences, Bethesda, Maryland and Georgetown University Medical Center, Washington, D.C. ABSTRACT Objective: The purpose of this meta-analysis was to investigate the effects of cognitive behavioral therapy (CBT) and patient education (PE) on commonly reported problems (depression, anxiety, pain, physical functioning, and quality of life (QOL)) in adult cancer survivors. Methods: Meta analyses of randomized controlled trials of CBT and PE were conducted. MEDLINE, PSYCHINFO and the Cochrane Database were searched from 1993-2004. The effects of individual versus group interventions and short (8 months) versus long (8 months) term follow up are also reported. Results: Fifteen studies met quality criteria. The sample size was 1,492 adult cancer survivors with an age range of 18-84. 790 were randomly assigned to intervention groups and 702 to control groups. CBT varied in duration from 4 weekly one-hour sessions to 55 weekly two-hour sessions. PE ranged from a single 20-minute session to 6 weekly one-hour sessions. Follow up ranged from 1 week to 14 months. CBT was effective for depression (ES = 1.2; 95% CI = 0.22-2.19), anxiety (ES = 1.99; 95% CI = 0.69-3.31), and QOL *The opinions or assertions contained herein are the private ones of the authors and are not to be construed as official or reflecting the views of the U.S. Department of Defense or Uniformed