Meme Kanserli Kadınlarda Bilişsel Davranışçı Terapilerin Etkililiği: Sistematik Derleme Çalışması

Year 2021, Volume: 13 Issue: 1, 34 - 51, 31.03.2021

Aygül Tunç

https://doi.org/10.18863/pgy.718479

Cited By: 2

Abstract

Bilişsel Davranışçı Terapi (BDT) biyolojik, psikolojik ve sosyal sıkıntı yaşayan meme kanserli kadınlar (MKK) için etkili bir psikoterapötik yaklaşım olduğu sistematik derleme ve meta-analiz çalışmalarıyla kanıtlanmıştır. Bununla birlikte BDT farklı kuşaklardan oluşmaktadır. Son yıllarda Kabul ve Kararlılık Terapisi (KKT) ve Bilinçli Farkındalık Temelli Bilişsel Terapi (BFTBT) gibi üçüncü kuşak yaklaşımlar meme kanserinde psikolojik müdahaleler olarak kullanılmaya başlandığı görülmektedir. Bu çalışmada ikinci ve üçüncü kuşak BDT’ye dayalı randomize kontrollü çalışmaların MKK’nin biyo-psiko-sosyal sıkıntıları üzerindeki etkileri sistematik olarak taranarak değerlendirilmesi amaçlanmıştır. Alan yazın taraması Google Akademik, PubMed ve Ulakbim olmak üzere 3 elektronik veri tabanında ve İngilizce ve Türkçe terimlerle yürütülmüştür. Taramaya meme kanserli kadınlarla, ikinci ya da üçüncü kuşak BDT’lerle yürütülmüş ve araştırma desenleri randomize kontrollü olan çalışmalar dahil edilmiştir. Çalışmaya dahil edilme kriterlerine uyan 21 çalışmaya ulaşılmıştır. Bu çalışmalardan 16’sı BDT, 3 tanesi KKT ve 2 tanesi de BFTBT temelinde uygulanan çalışmalar olarak kategorize edilmişlerdir. BDT’lerin, depresyon, uykusuzluk, bilişsel bozulma, menopoz belirtileri, yorgunluk, fizyolojik uyum, ağrı, yaşam kalitesi, psiko-sosyal uyum, öz-saygı ve cinsel işlev bozukluğunda etkili olduğu gözlenmiştir.

Keywords

Meme kanseri, bilişsel davranışçı terapi, randomize kontrollü araştırmalar, sistematik derleme

Supporting Institution

yok

Project Number

yok

Thanks

Yok

Effectiveness of Cognitive Behavioral Therapies in Women with Breast Cancer: A Systematic Review

Abstract

Cognitive Behavioral Therapy (CBT) has been proven by systematic review and meta-analysis studies that it is an effective psychotherapeutic approach for women with breast cancer (WBC) having biological, psychological, and social distress. However, CBT consists of different waves. In recent years, it is found that third wave approaches such as Acceptance and Commitment Therapy (ACT) and Mindfulness Based Cognitive Therapy (MBCT) are used as psychological interventions in breast cancer. In the present study, the aim is to assess the effects of randomized controlled studies based on second and third wave Cognitive Behavioral Therapies on the bio-psycho-social distress of WBC by a systematic review. Literature review was conducted on 3 electronic databases, Google Academic, PubMed, and Ulakbim, by using English and Turkish keywords. Studies executed with second- or third-wave CBT in women with breast cancer and with randomized controlled research designs were included in the review. 21 studies complying with the eligibility criteria were found. Among these studies, 16 were categorized as the studies conducted based on CBT, 3 based on ACT, and 2 based on MBCT. CBT are effective in depression, insomnia, cognitive impairment, menopausal symptoms, fatigue related by cancer, physical adaptation, pain, life quality, psycho-social adaptation, self-esteem, and sexual dysfunction.

Keywords

breast cancer, cognitive therapy, systematic review

Project Number

yok

References

• Andersen B L, Anderson B, de Prosse CD (1989). Controlled prospective longitudinal study of women with cancer: II. psychological outcomes. Journal of Consulting and Clinical Psychology, 37 (6): 692-697.
• Antoni MH.(2003). Stress management intervention for women with breast cancer. Washington D.C, American Psychological Association Press.
• Antoni MH, Lechner S, Diaz A, Vargas S, Holley H, Phillips, K et al. (2009). Cognitive behavioral stress management effects on psychosocial and physiological adaptation in women undergoing treatment for breast cancer. Brain Behav Immun, 23(5):580-591.
• Aricò D, Raggi A, Ferri R (2016). Cognitive behavioral therapy for insomnia in breast cancer survivors: A review of the literature. Frontiers in Psychology, 7:1162.
• Atema V, van Leeuwen M, Kieffer JM, Oldenburg HSA, van Beurden M, Gerritsma MA, et al. (2019). Efficacy of ınternet-based cognitive behavioral therapy for treatment-ınduced menopausal symptoms in breast cancer survivors: Results of a randomized controlled trial. Journal of Clinical Oncology, 37(10): 809-822.
• Bell AC, D'Zurilla TJ (2009). Problem-solving therapy for depression: A meta-analysis. Clinical Psychology Review, 29: 348–353.
• Bennett KK, Compas B E, Beckjord E, Judith G G (2005). Self-blame and distress among women with newly diagnosed breast cancer. Journal of Behavioral Medicine, 28 (4): 313-3323.
• Bishop SR, Lau M, Shapiro S, Carlson L, Anderson ND, Carmody J et al. (2004). Mindfulness: a proposed operational definition. Clin Psychol: Sci Prac, 1: 230–241.
• Blow AJ, Swieciciki P, Hann P, Osuch JR, Symonds LL, Smith SS, Walsh K. Boivin MJ (2011). The emotional journey of women experiencing a breast abnormality. Qualitative Health Research , 21 (10): 1316-1334.
• Burschka JM, Keune PM, Oy UH, Oschmann P, Kuhn P (2014). Mindfulness-based interventions in multiple sclerosis: Beneficial effects of Tai Chi on balance, coordination, fatigue and depression. BMC Neurol.14:165.
• Cornacchio D, Sanchez A, Chou T, Comer J (2017). Cognitive-behavioral therapy for children and adolescents. In The Science of Cognitive Behavioral Therapy, (Eds SA Hofmann): 257-288). London, Academic Press.
• Daniels S. (2015). Cognitive behavior therapy for patients with cancer. Journal of the Advanced Practitioner in Oncology, 6(1): 54–56. de la Torre-Luque A, Gambara H, E., López E, Cruzado, JA (2016). Psychological treatments to improve quality of life in cancer contexts: A meta-analysis. International Journal of Clinical and Health Psychology, 16(2): 211-219.
• Dimidjian S, Hollon S D, Dobson KS, Schmaling KB, Kohlenberg RJ, Addis, ME (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74:658-670.
• Donovan CL (2013). Using new technologies to deliver cognitive behaviour therapy with children and adolescents. In, Cognitive Behaviour Therapy for Children and Families 3rd ed. (Eds P Graham, S Reynolds): 629-662. New York, Cambridge University Press.
• Faller H, Schuler M, Richard M, Heckl U, Weis J, Küffner R (2013). Effects of psycho-oncologic interventions on emo-tional distress and quality of life in adult patients with cancer: Systematic review and meta-analysis. Journal of Clinical Oncology, 31(6): 782-793.
• Ferguson R, Sigmon S, Pritchard A, LaBrie S, Goetze R, Fink C, Garrett A (2016). A randomized trial of videoconference‐delivered cognitive behavioral therapy for survivors of breast cancer with self‐reported cognitive dysfunction. Cancer, 122(11): 1782-1791.
• Ferlay J, Shin H, Bray FD, Mathers C, Parkin D (2010). Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer, 127: 2893–2917. 10.
• Gandubert C, Carrière I, Escot C, Soulier M, Hermès A, Boulet P et al. (2009). Onset and relapse of psychiatric disorders following early breast cancer: A case–control study. Psycho-Oncology, 18: 1029-1037.
• Ganz P (2008). Psychological and social aspects of breast cancer. Oncology, 22 (6), 1-9.
• Gawrysiak M, Nicholas C, Hopko DR (2009). Behavioral activation for moderately depressed university students: Randomized controlled trial. Journal of Counseling Psychology, 56: 468-475.
• Gudenkauf LM, Antoni MH, Stagl JM, Lechner S, Jutagir DR et al. (2015). Brief cognitive-behavioral and relaxation training ınterventions for breast cancer: A randomized controlled trial. J Consult Clin Psychol., 83(4): 677–688.
• Gültekin M. Boztaş G(2014). Türkiye kanser istatistikleri. http://www.kanser.gov.tr/Dosya/ca_istatistik/2009kanseraporu.pdf (18 Ocak 2018'te ulaşıldı)
• Harcourt D, Rumsey N, Aambler N (1999). Same-day diagnosis of symptomatic breast problems: Psychological impact and coping strategies. Psychology, Health and Medicine, 4 (1): 57-71.
• Hayes SC, Hofmann S (2017 ). The third wave of cognitive behavioral therapy and the rise of process‐based care. World Psychiatry, 16(3): 245–246.
• Hewitt M, Herdman R, Holland J (2004). Meeting psychosocial needs of women with breast canser/national cancer policy board. Washington, The National Academies Press.
• Hopko DR, Armento M, Robertson SR, Carvalho J, Colman L, Mullane, C et al. (2011). Brief behavioral activation and problem-solving therapy for depressed breast cancer patients: randomized trial. Consult Clin Psychol., 79(6): 834-49.
• Hopko DR, Funderburk JS, Shorey RC, McIndoo CC, Ryba M. M., File, AA et al. (2013). Behavioral activation and problem-solving therapy for depressed breast cancer patients: Preliminary support for decreased suicidal ideation. Behavior Modification. 37:747–767.
• Hopwood P. Howell A, Maguire P (1991). Screening for psychiatric morbidity in patients with advanced breast cancer: validation of two self-report questionnaires. Br. J. Cancer, 64: 353-356.
• Hummel SB, Van Lankveld J, Oldenburg H, Hahn D E, Kieffer JM, Gerritsma MA et al. (2017). Efficacy of Internet-based cognitive behavioral therapy in improving sexual functioning of breast cancer survivors: Results of a randomized controlled trial. Journal of Clinical Oncology, 35: 1328–1340. Institute of Medicine (IOM). (2008). Cancer care for the whole patient: Meeting psychosocial health needs. Washington, The National Academies Press.
• Irwin M, Olmstead R, Motivala S (2008). Improving sleep quality in older adults with moderate sleep complaints: A randomized controlled trial of Tai Chi Chih. Sleep, 31: 1001-1008.
• Irwin M, Olmstead R, Carrillo C, Sadeghi N, Nicassio P, Ganz P, Bower J (2017). Tai Chi Chih compared with cognitive behavioral therapy for the treatment of insomnia in survivors of breast cancer: a randomized, partially blinded, noninferiority trial. J Clin Oncol, Aug 10,35(23):2656-2665.
• Javadi TS, Tajikzadeh F, Bayat H, Eshraghi N, Roshandel Z, Rahmani S (2018). Comparison of effectiveness of the mindfulness-based cognitive therapy and the metacognition treatment on anxiety, depression and stress among breast cancer patients. International Clinical Neuroscience Journal, 5: 62-66.
• Johnson JA, Rash JA, Campbell TS, Savard J, Gehrman PR, Perlis M et al. (2016). A systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy for insomnia (CBT-I) in cancer survivors. Sleep Medicine Reviews, 27:20-28,
• Johannsen M, O’Connor M, O’Toole MS, Jensen AB, Højris I, Zachariae R (2016). Efficacy of mindfulness-based cognitive therapy on late. Journal of Clinical Oncology , 34(28 OCTOBER 1).
• Landmark BT, Strandmark M, Wahl A (2002). Breast cancer and experiences of social support: In-depth ınterviews of 10 women with newly diagnosed breast cancer. Scandinavian Journal of Caring Sciences, 16: 216-223.
• Liberat IA, Altman D, Tetzlaff J, Mulrow C, Gøtzsche P, Ioannidis JD (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care ınterventions: explanation and elaboration. Journal of Clinical Epidemiology, 62: e1-34.
• Matthews H, Grunfeld EA, Turner A (2016). The efficacy of interventions to improve psychosocial outcomes following surgical treatment for breast cancer: a systematic review and meta-analysis. Psycho-Oncology, 26(5): 593-607.
• Montazer A, Salehzadeh M, Nasirian M (2018). Efficacy and effectiveness of ıntegrating forgiveness into acceptance and commitment therapy for breast cancer patients’ adjustment: A preliminary randomized trial. Mental Disorders Letters, 1(1): 34-38.
• Montgomery G, Kanga, M, David D, Hallquist MN, Green S, Bovbjerg, D et al. (2009). Fatigue during breast cancer radiotherapy: an initial randomized study of cognitive behavioral therapy plus hypnosis. Health Psychology, 28(3): 317-22.
• Moodley LC (2011). Existential reflections of South African women with breast cancer. (Master thesis). http://wiredspace.wits.ac.za/handle/10539/11327. (16 Aralık 2017'de ulaşıldı)
• Mosher C, Secinti E, Li R, Hirsh A, Bricker J, Miller K et al. (2018). Acceptance and commitment therapy for symptom interference in metastatic breast cancer patients: a pilot randomized trial. Supportive Care in Cancer, 26: 1993-2004.
• Najvani BD, Neshatdoost HT, Abedi MR, Mokarian F (2015). The effect of acceptance and commitment therapy on depression and psychological flexibility in women with breast cancer. Res Med Sci., 17(4): e965.
• Nápoles AM, Ortíz C, Santoyo-Olsson J, Stewart AL, Gregorich S, Lee HE, Luce, J (2015). Nuevo Amanecer: results of a randomized controlled trial of a community-based, peer-delivered stress management intervention to improve quality of life in Latinas with breast cancer. Am J Public Health., 105(3): 55-63.
• Ogden J (2010). Understanding breast cancer. West Sussex, John Wiley ve Sons Ltd.
• Özdel K (2015). Dünden bugüne bilişsel davranışçı terapiler: Teori ve uygulama. Türkiye Klinikleri J Psychiatry-Special Topics, 8(2): 10-20.
• Qiu J, Chen W, Gao X, Xu Y, Tong H, Yang M (2013). A randomized controlled trial of group cognitive behavioral therapy for Chinese breast cancer patients with major depression. Psychosomatic Obstetrics & Gynecology, 34: 60-67.
• Ruggiero GM, Spada M M, Caselli G, Sassaroli S (2018). A historical and theoretical review of cognitive behavioral therapies: From structural self knowledge to functional processes. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 36(4): 378–403.
• Savard J, Ivers H., Savard MH, Morin CM (2016). Long-term effects of two formats of cognitive behavioral therapy for insomnia comorbid with breast cancer. Sleep, 39: 813–823.
• Savard J, Ivers H, Savard M, Morin C (2014). Is a video-based cognitive behavioral therapy for insomnia as efficacious as a professionally administered treatment in breast cancer? Results of a randomized controlled trial. Sleep, 37: 1305–1310.
• Savard J, Simard S, Ivers H (2005). Randomized study on the efficacy of cognitive-behavioral therapy for insomnia secondary to breast cancer, part I: sleep and psychological effects. J Clin Oncol., 23: 6083–6096.
• Shockney LV, Shapiro GR (2009). 100 questions and answers about advanced and metastatic breast cancer. Sudbury, Jones and Bartlett Publishers.
• Stagl JM, Antoni MH, Lechner SC, Bouchard LC, Blomberg BB, Carver, C.S. (2015a). Randomized controlled trial of cognitive behavioral stress management in breast cancer: A brief report of effects on 5-year depressive symptoms. Health Psychology, 34(2): 176–180.
• Stagl JM, Bouchard LC, Lechner SC, Blomberg BB, Gudenkauf LM Antoni, M.H. (2015b). Long-term psychological benefits of cognitive-behavioral. cancer. Jun 1,121(11):1873-81.
• Stoddard JA, Afari N (2014). The big book of act metaphors: A practitioner’s guide to experiential exercises and metaphors in Acceptance and Commitment Therapy. Oakland, CA, New Harbinger Publications.
• Sütçü G (2010). Tanı ameliyat süresi yakın zamanlı olan hastaların öfke, depresyon, stresle başa çıkma ve sosyal destek değişkenleri açısından incelenmesi (Uzmanlık tezi). Ankara, Ankara Üniversitesi.
• Tatrow K, Montgomery G (2006). Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: A meta-analysis. Journal of Behavioral Medicine, 1: 17–27.
• Tunç Aksan, A, Gizir, C (2017). Sağlık Psikolojik Danışmanlığı Çerçevesinde Meme Kanserli Kadınların Yaşantıları ve Psiko-Sosyal Gereksinimleri. Mersin Üniversitesi Eğitim Fakültesi Dergisi, 13(3): 977-999.
• Turner J, Kelly B, Swansonc C, Allison R, Wetzig N (2005). Psychosocial impact of newly diagnosed advanced breast cancer. Psycho-Oncology, 14: 396-407.
• Vatan S (2016). Bilişsel Davranışçı Terapilerde Üçüncü Kuşak Yaklaşımlar. Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry, 8(3): 190-203.
• Wang YY. Fei W, Zheng W, Zhang L, Ng C, Ungvari G, Xiang Y (2018). Mindfulness-based interventions for insomnia: A meta-analysis of randomized controlled trials. Behavioral Sleep Medicine, 18: 1-9.
• Ye M, Du K, Zhou J, Zhou Q, Shou M, Hu B et al. (2018). A meta-analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients. Psycho-oncology, 27(7):1695-1703.
• Yeager KR, Burgess AW, Roberts AR (2005). Crisis ıntervention for persons diagnosed with clinical disorders based on the stress-crisis continuum. In Crisis Intervention Handbook: Assessment, Treatment and Research, 3rd ed. (Eds AR Roberts): 128-150. Oxford ; New York: Oxford University Press
• Yeo W, Kwan W, Teo P, Nip S, Wong E, Hin L Y, Johnson P (2004). Psychosocial impact of breast cancer surgeries in chinese patients and their spouses. Psycho-Oncology, 13: 132–139.
• Zachariae R, Amidi A, Damholdt M, Clausen C, Dahlgaard J, Lord H, et al. (2018). Internet-delivered cognitive-behavioral therapy for ınsomnia: A randomized controlled trial. JNCI J Natl Cancer Inst, 110(8): 880-887.
• Zhang M, Huang L, Feng Z, Shao L, Chen L (2017). Effects of cognitive behavioral therapy on quality of life and stress for breast cancer survivors: A meta-analysis. Minerva Medica, 108(1): 84-93.