作者:Ford, C. G
关键词:Men Cancer Mindfulness-based interventions Survivorship
发表时间:2020
发表期刊:ann. behav. med
证据类型:系统评价/Meta分析
Abstract Background Mindfulness-based interventions, Tai Chi/ Qigong, and Yoga (defined here as meditative cancer interventions [MCIs]) have demonstrated small to me- dium effects on psychosocial outcomes in female breast cancer patients. However, no summary exists of how ef- fective these interventions are for men with cancer. Purpose A meta-analysis was performed to determine the effectiveness of MCIs on psychosocial outcomes (e.g., quality of life, depression, and posttraumatic growth) for men with cancer. Methods A literature search yielded 17 randomized con- trolled trials (N = 666) meeting study inclusion criteria. The authors were contacted to request data for male par- ticipants in the study when not reported. Results With the removal of one outlier, there was a small effect found in favor of MCIs across all psychosocial out- comes immediately postintervention (g = .23, 95% con- fidence interval [CI] 0.02 to 0.44). Studies using a usual care control arm demonstrated a small effect in favor of MCIs (g = .26, 95% CI 0.10 to 0.42). However, there was insufficient evidence of a superior effect for MCIs when compared to an active control group, including atten- tion control. Few studies examined both short-term and long-term outcomes. Conclusions There is evidence for MCIs improving psy- chosocial outcomes in male cancer survivors. However, this effect is not demonstrated when limited to studies that used active controls. The effect size found in this meta-analysis is smaller than those reported in MCI studies of mixed gender and female cancer patient popu- lations. More rigorously designed randomized trials are needed that include active control groups, which control for attention, and long-term follow-up. There may be unique challenges for addressing the psychosocial needs of male cancer patients that future interventions should consider.