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The Effectiveness of Cognitive Behavioral Therapy on Depression and Anxiety Symptoms in Breast Cancer Patients and Survivors: A Systematic Review of Interventional Studies Publisher Pubmed



Azizi M1 ; Heshmatnia F2 ; Milani H3 ; Shahhosseini Z1 ; Marvdashti LM4 ; Moghadam ZB5
Authors
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Authors Affiliations
  1. 1. Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  2. 2. Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
  3. 3. Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
  4. 4. Food Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  5. 5. Department of Midwifery and Reproductive Health, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Source: Brain and Behavior Published:2024


Abstract

Introduction: Breast cancer (BC) is the most common type of cancer and the second cause of cancer-related death among women. Psychological treatments such as cognitive behavioral therapy (CBT) have been used as an effective method in the treatment of depression and anxiety in BC patients, and their effectiveness has been approved in various studies. Objective: The present study aimed to systematically investigate the effectiveness of CBT on depression and anxiety symptoms in BC patients and survivors. Methods: Electronic databases such as PubMed, Scopus, Web of Science [WOS], ScienceDirect, Cochrane Library, and Google Scholar were systematically searched from “October 2023” to “February 2024.” The quality of the included studies was evaluated using the Critical Appraisal Skills Programme (CASP). In this study, the randomized controlled trials and quasi-experimental studies that assessed the effectiveness of CBT, cognitive behavioral group therapy (CBGT), and the combination of CBT with other psychological studies on depression and anxiety of BC patients and survivors were reviewed. Results: Out of the 16 included studies, six used CBT, and six used CBGT. In the other four studies, a combination of CBT with other psychological interventions was implemented as an interventional program. Among 16 included studies, 14 studies showed that CBT, CBGT, and a combination of CBT with other psychological interventions significantly decreased the anxiety and depression scores among BC patients and survivors (p < 0.05), and only in two studies, no significant effect was observed. Conclusion: As most included studies showed the effectiveness of CBT in decreasing the depression and anxiety scores among BC patients and survivors, this study strongly suggests CBT as an effective non-pharmacological method for the treatment of psychiatric disorders of BC patients during cancer treatments and also for BC survivors. © 2024 The Author(s). Brain and Behavior published by Wiley Periodicals LLC.
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1. Meta-Analysis of the Prevalence of Depression Among Breast Cancer Survivors in Iran: An Urgent Need for Community Supportive Care Programs, Epidemiology and Health (2019)
2. Comparing the Mechanism of Change of Cognitive-Behavioral Therapy and Emotion Efficacy Therapy in Improving Psychological Adjustment of Women With Breast Cancer: The Role of Cognitive and Emotional Flexibility, Illness Perception, and Valued Action, International Journal of Cognitive Therapy (2023)
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