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  • Buffart, L. M. (author)

Effects and moderators of coping skills training on symptoms of depression and anxiety in patients with cancer : Aggregate data and individual patient data meta-analyses

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • Elsevier BV,2020
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:uu-418989
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-418989URI
  • https://doi.org/10.1016/j.cpr.2020.101882DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:144492358URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:for swepub-publicationtype

Notes

  • PURPOSE: This study evaluated the effects of coping skills training (CST) on symptoms of depression and anxiety in cancer patients, and investigated moderators of the effects.METHODS: Overall effects and intervention-related moderators were studied in meta-analyses of pooled aggregate data from 38 randomized controlled trials (RCTs). Patient-related moderators were examined using linear mixed-effect models with interaction tests on pooled individual patient data (n = 1953) from 15 of the RCTs.RESULTS: CST had a statistically significant but small effect on depression (g = -0.31,95% confidence interval (CI) = -0.40;-0.22) and anxiety (g = -0.32,95%CI = -0.41;-0.24) symptoms. Effects on depression symptoms were significantly larger for interventions delivered face-to-face (p = .003), led by a psychologist (p = .02) and targeted to patients with psychological distress (p = .002). Significantly larger reductions in anxiety symptoms were found in younger patients (pinteraction < 0.025), with the largest reductions in patients <50 years (β = -0.31,95%CI = -0.44;-0.18) and no significant effects in patients ≥70 years. Effects of CST on depression (β = -0.16,95%CI = -0.25;-0.07) and anxiety (β = -0.24,95%CI = -0.33;-0.14) symptoms were significant in patients who received chemotherapy but not in patients who did not (pinteraction < 0.05).CONCLUSIONS: CST significantly reduced symptoms of depression and anxiety in cancer patients, and particularly when delivered face-to-face, provided by a psychologist, targeted to patients with psychological distress, and given to patients who were younger and received chemotherapy.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Schreurs, M. A. C. (author)
  • Abrahams, H. J. G. (author)
  • Kalter, J. (author)
  • Aaronson, N. K. (author)
  • Jacobsen, P. B. (author)
  • Newton, R. U. (author)
  • Courneya, K. S. (author)
  • Armes, J. (author)
  • Arving, CeciliaUppsala universitet,Livsstil och rehabilitering vid långvarig sjukdom(Swepub:uu)ceciarvi (author)
  • Braamse, A. M. (author)
  • Brandberg, Y.Karolinska Institutet (author)
  • Dekker, J. (author)
  • Ferguson, R. J. (author)
  • Gielissen, M. F. (author)
  • Glimelius, BengtUppsala universitet,Experimentell och klinisk onkologi(Swepub:uu)bengglim (author)
  • Goedendorp, M. M. (author)
  • Graves, K. D. (author)
  • Heiney, S. P. (author)
  • Horne, R. (author)
  • Hunter, M. S. (author)
  • Johansson, Birgitta,1959-Uppsala universitet,Experimentell och klinisk onkologi,Birgitta Johansson(Swepub:uu)birgjhs (author)
  • Northouse, L. L. (author)
  • Oldenburg, H. S. (author)
  • Prins, J. B. (author)
  • Savard, J. (author)
  • van Beurden, M. (author)
  • van den Berg, S. W. (author)
  • Brug, J. (author)
  • Knoop, H. (author)
  • Verdonck-de Leeuw, I. M. (author)
  • Uppsala universitetLivsstil och rehabilitering vid långvarig sjukdom (creator_code:org_t)

Related titles

  • In:Clinical Psychology Review: Elsevier BV800272-73581873-7811

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