Cochrane · systematic review · CD008729

Psychological interventions for women with non‐metastatic breast cancer

Jassim, GA, Doherty, S, Whitford, DL, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Breast Cancer2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 100%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Cognitive behavioural therapy versus control for women with non‐metastatic breast cancer

Population: Women with non‐metastatic breast cancer
CD008729.PUB3 (current) · 5 questions
OutcomeEffectEvidenceStatus / GRADE
DepressionHospital Anxiety and Depression Scale (HADS) or Beck Inventory Score (HADS score range from 0 to 21 and Beck Inventory Score range from 0 to 63)
Cognitive behavioural therapy vs control
no estimate extracted27 studies · 3321 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
AnxietyHospital Anxiety Scale, STAI (State‐Trait Anxiety Inventory)
Cognitive behavioural therapy vs control
no estimate extracted22 studies · 2702 participantsLow
Downgraded: risk of bias
Mood disturbanceProfile of mood state (higher score indicates more mood disturbance, score range from 0 to 200)
Cognitive behavioural therapy vs control
no estimate extracted13 studies · 2276 participantsLow
Downgraded: risk of bias
Quality of lifeSeveral tools were used e.g. EORTC, FACT B, Medical outcomes, QoL Cancer Survivor
Cognitive behavioural therapy vs control
no estimate extracted20 studies · 1747 participantsLow
Downgraded: risk of bias, imprecision
Stress
Cognitive behavioural therapy vs control
no estimate extracted8 studies · 564 participantsLow
Downgraded: risk of bias, imprecision

Cognitive behavioural therapy versus control for women with non‐metastatic breast cancer

Population: Women with non‐metastatic breast cancer
CD008729.PUB2 · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Depression Hospital Anxiety and Depression Scale (HADS) or Beck Inventory Score (HADS score range from 0 to 21 and Beck Inventory Score range from 0 to 63)
Cognitive behavioural therapy vs control
no estimate extracted7 studies · 637 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Anxiety Hospital Anxiety Scale, STAI, Smith Anxiety Scale
Cognitive behavioural therapy vs control
no estimate extracted8 studies · 776 participantsLow
Downgraded: risk of bias, imprecision
Mood disturbance Profile of mood state (higher score indicates more mood disturbance, score range from 0 to 200)
Cognitive behavioural therapy vs control
no estimate extracted8 studies · 1536 participantsModerate
Downgraded: risk of bias, imprecision
Quality of life: Group‐delivered intervention Several tools were used eg EORTC, FACT B, Medical outcomes, QoL Cancer Survivor
Cognitive behavioural therapy vs control
no estimate extracted6 studies · 578 participantsLow
Downgraded: risk of bias
Quality of life: Individually‐delivered intervention Linear Analog Self Assessment Scale, FACT, EORTC
Cognitive behavioural therapy vs control
no estimate extracted3 studies · 141 participantsVery low
Downgraded: risk of bias, imprecision