Abstract：
OBJECTIVE: To evaluate the effectiveness of positive psychological interventions on quality of life, positive psychological outcomes and negative psychological outcomes in patients with cancer.
BACKGROUND: Patients with cancer often suffer from various psychological problems and have a poor quality of life. Positive psychological interventions have been increasingly applied to patients with cancer, but the results of these studies have not been synthesized.
METHODS: A systematic review and meta-analysis of randomized controlled trials according to PRISMA.
METHODS: Six English databases and four Chinese databases were searched from the inception to December 2022. Two reviewers independently assessed the risk of bias using the Cochrane Risk of Bias tool. RevMan was used for meta-analysis.
RESULTS: Twenty-nine randomized controlled trials examined the effects of positive psychological interventions including meaning therapy, dignity therapy, positive psychotherapy, mindfulness- based intervention, life review, expressive writing intervention, acceptance and commitment psychotherapy, attention and interpretation therapy, compassion training and spiritual therapy on patients with cancer. Positive psychological interventions significantly improved the quality of life, enhanced positive psychological outcomes including well-being, meaning of life, self-esteem, optimism, resilience and self-efficacy and alleviated negative psychological outcomes including depression, anxiety and hopelessness. However, the heterogeneity of some outcomes was rather high, due to the wide diversity of the interventions included.
CONCLUSIONS: Positive psychological interventions have potentially positive effects on improving quality of life, enhancing positive psychological outcomes and alleviating negative psychological outcomes in patients with cancer. However, due to the heterogeneity and the lack of follow-up studies, more high-quality studies are needed to confirm the results of our review and to clarify the long-term effects of positive psychological interventions.
CONCLUSIONS: As feasible psychological interventions, healthcare professionals can consider applying appropriate positive psychological interventions according to the condition of cancer patients.
UNASSIGNED: No patient or public contribution.
BACKGROUND: Patients with cancer often suffer from various psychological problems and have a poor quality of life. Positive psychological interventions have been increasingly applied to patients with cancer, but the results of these studies have not been synthesized.
METHODS: A systematic review and meta-analysis of randomized controlled trials according to PRISMA.
METHODS: Six English databases and four Chinese databases were searched from the inception to December 2022. Two reviewers independently assessed the risk of bias using the Cochrane Risk of Bias tool. RevMan was used for meta-analysis.
RESULTS: Twenty-nine randomized controlled trials examined the effects of positive psychological interventions including meaning therapy, dignity therapy, positive psychotherapy, mindfulness- based intervention, life review, expressive writing intervention, acceptance and commitment psychotherapy, attention and interpretation therapy, compassion training and spiritual therapy on patients with cancer. Positive psychological interventions significantly improved the quality of life, enhanced positive psychological outcomes including well-being, meaning of life, self-esteem, optimism, resilience and self-efficacy and alleviated negative psychological outcomes including depression, anxiety and hopelessness. However, the heterogeneity of some outcomes was rather high, due to the wide diversity of the interventions included.
CONCLUSIONS: Positive psychological interventions have potentially positive effects on improving quality of life, enhancing positive psychological outcomes and alleviating negative psychological outcomes in patients with cancer. However, due to the heterogeneity and the lack of follow-up studies, more high-quality studies are needed to confirm the results of our review and to clarify the long-term effects of positive psychological interventions.
CONCLUSIONS: As feasible psychological interventions, healthcare professionals can consider applying appropriate positive psychological interventions according to the condition of cancer patients.
UNASSIGNED: No patient or public contribution.
摘要：
目的：评价积极心理干预对生活质量的影响。癌症患者的积极心理结果和消极心理结果。
背景：癌症患者经常患有各种心理问题，生活质量差。积极的心理干预越来越多地应用于癌症患者,但是这些研究的结果还没有综合。
方法：根据PRISMA对随机对照试验进行系统评价和荟萃分析。
方法：从开始到2022年12月，共检索了6个英文数据库和4个中文数据库。两名审阅者使用Cochrane偏差风险工具独立评估偏差风险。RevMan用于荟萃分析。
结果：29项随机对照试验研究了积极心理干预的效果，包括意义疗法，尊严疗法,积极的心理治疗,基于正念的干预，生活回顾,富有表现力的写作干预，接受和承诺心理治疗，注意和解释疗法，对癌症患者的同情训练和精神治疗。积极的心理干预显著提高了生活质量,增强积极的心理结果，包括幸福感，生命的意义,自尊,乐观,韧性和自我效能感，以及减轻包括抑郁在内的负面心理后果，焦虑和绝望。然而,一些结果的异质性相当高，由于干预措施的广泛多样性。
结论：积极的心理干预对改善生活质量有潜在的积极作用。增强癌症患者的积极心理结果和减轻消极心理结果。然而,由于异质性和缺乏后续研究，需要更多高质量的研究来证实我们的综述结果,并阐明积极心理干预的长期效果.
结论：作为可行的心理干预措施，医疗保健专业人员可以根据癌症患者的病情考虑采取适当的积极心理干预措施。
■没有患者或公众捐款。
背景：癌症患者经常患有各种心理问题，生活质量差。积极的心理干预越来越多地应用于癌症患者,但是这些研究的结果还没有综合。
方法：根据PRISMA对随机对照试验进行系统评价和荟萃分析。
方法：从开始到2022年12月，共检索了6个英文数据库和4个中文数据库。两名审阅者使用Cochrane偏差风险工具独立评估偏差风险。RevMan用于荟萃分析。
结果：29项随机对照试验研究了积极心理干预的效果，包括意义疗法，尊严疗法,积极的心理治疗,基于正念的干预，生活回顾,富有表现力的写作干预，接受和承诺心理治疗，注意和解释疗法，对癌症患者的同情训练和精神治疗。积极的心理干预显著提高了生活质量,增强积极的心理结果，包括幸福感，生命的意义,自尊,乐观,韧性和自我效能感，以及减轻包括抑郁在内的负面心理后果，焦虑和绝望。然而,一些结果的异质性相当高，由于干预措施的广泛多样性。
结论：积极的心理干预对改善生活质量有潜在的积极作用。增强癌症患者的积极心理结果和减轻消极心理结果。然而,由于异质性和缺乏后续研究，需要更多高质量的研究来证实我们的综述结果,并阐明积极心理干预的长期效果.
结论：作为可行的心理干预措施，医疗保健专业人员可以根据癌症患者的病情考虑采取适当的积极心理干预措施。
■没有患者或公众捐款。
