文献类型：期刊文献

英文题名：Cognitive behavioral therapy's impact on anxiety, depression, and quality of life in patients with head and neck cancer: a systematic review

作者：Wang, Xi[1];Li, Wenjuan[2];Zhao, Tingting[2];Jin, Qi[2];Wang, Huan[2]

第一作者：王希

通信作者：Li, WJ[1]

机构：[1]Gansu Univ Chinese Med, Sch Nursing, Lanzhou, Peoples R China;[2]Gansu Prov Hosp TCM, Dept Anesthesiol, Lanzhou, Peoples R China

第一机构：甘肃中医药大学护理学院

通信机构：[1]corresponding author), Gansu Prov Hosp TCM, Dept Anesthesiol, Lanzhou, Peoples R China.

年份：2025

卷号：16

外文期刊名：FRONTIERS IN PSYCHOLOGY

收录：;Scopus(收录号：2-s2.0-105017852491);WOS:【SSCI(收录号:WOS:001577765000001)】；

基金：The author(s) declare that financial support was received for the research and/or publication of this article. This study was funded by the Gansu Provincial Science and Technology Program-Construction of Clinical Medical Research Center (20JR10RA435) and the Natural Science Foundation of Gansu Province (25JRRA277).

语种：英文

外文关键词：head and neck cancer; cognitive behavioral therapy; anxiety; depression; quality of life; systematic review

摘要：Objective: Patients with head and neck cancer frequently encounter challenges related to emotional fluctuations and psychological distress. Current research uniformly suggests that cognitive behavioral therapy has considerable potential in clinical settings for alleviating emotional issues and improving the quality of life in cancer patients. However, the therapeutic efficacy of CBT specifically for patients with head and neck cancer remains uncertain. This paper aims to systematically evaluate the intervention effects of cognitive behavioral therapy on anxiety, depression, and quality of life among patients with head and neck cancer. Method: A comprehensive search was conducted across 11 databases, covering the period from the inception of the databases to May 2024. Four reviewers were responsible for study selection, data extraction, and quality assessment. This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: Six randomized controlled trials were included, encompassing a total of 657 patients with head and neck cancer. The systematic review revealed that anxiety scores (SMD = -0.61, 95% CI: -1.02 to -0.20, p = 0.003) and depression scores (SMD = -0.83, 95% CI: -1.38 to -0.29, p = 0.003) were significantly lower in the CBT group compared to the control group; however, the effect of CBT on improving the quality of life (SMD = 0.56, 95% CI: -0.15 to 1.26, p = 0. 122) was not statistically significant. Conclusion: Cognitive Behavioral Therapy is an effective approach for alleviating anxiety and depression in patients with head and neck cancer; however, its impact on improving their quality of life is not significant. The observed heterogeneity across studies may be attributed to several factors such as intervention program design, sample size, outcome assessment tools, and external social influences. Future research should employ more rigorous methodological designs and incorporate larger-sample, multicenter randomized controlled trials to further validate the effectiveness of CBT. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42024583519, identifier CRD42024583519.