文献类型：期刊文献

英文题名：Non-pharmacologic interventions for treating fear of cancer recurrence in patients with cancer: A network meta-analysis of randomized controlled trials

作者：Dong, Fei[1];Yang, Di[1];Dong, Na[2];Li, Yujing[1];Wan, Hongjuan[1];Gao, Jiangxia[3]

第一作者：Dong, Fei

通信作者：Gao, JX[1]

机构：[1]Gansu Univ Chinese Med, Sch Nursing, Lanzhou 730000, Gansu, Peoples R China;[2]Linyi Cty Peoples Hosp, Dept Gynecol, Yuncheng 044100, Shanxi, Peoples R China;[3]Gansu Prov Hosp, Dept Otolaryngol, Lanzhou 730000, Gansu, 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, Dept Otolaryngol, Lanzhou 730000, Gansu, Peoples R China.

年份：2025

卷号：188

外文期刊名：JOURNAL OF PSYCHOSOMATIC RESEARCH

收录：;Scopus(收录号：2-s2.0-85208982157);WOS:【SSCI(收录号:WOS:001358487700001)，SCI-EXPANDED(收录号:WOS:001358487700001)】；

语种：英文

外文关键词：Cancer; Non-pharmacologic interventions; Net meta-analysis; Fear of cancer recurrence

摘要：Objective: This study aimed to evaluate the impact of non-pharmacological interventions on fear of cancer recurrence in patients with cancer by synthesizing evidence from various studies using the net meta-analysis (NMA) approach. Additionally, the study sought to rank the efficacy of these interventions. Methods: Two investigators independently searched the PubMed, Cochrane Library, Embase, and Web of Science databases to identify randomized controlled trials(RCTs) that met the inclusion criteria. The search encompassed the period from the inception of the database to December 2023. The included studies were then subjected to a quality assessment, and a network meta-analysis was performed to evaluate and compare the effectiveness of the interventions. Results: This study included 27 RCTs involving 3009 patients and examined seven types of non-pharmacological interventions. The NMA results indicated that, based on the Surface Under the Cumulative Ranking curve, Cancer and Living Meaningfully (CALM) was the most effective intervention (100 %), followed by Mindfulness Therapy (MT) at 76.5 % and Couples' Skills Training (CST) at 60.6 %. However, the league table results showed that, compared to the waitlist group, the effects of CALM [SMD =-4.83, 95 % CI (-5.93,-3.73)] and CST [SMD =-0.86, 95 % CI (-1.65,-0.07)] were significant, while MT [SMD =-1.52, 95 % CI (-3.46, 0.43)] did not reach statistical significance. Furthermore, CST was more effective than Cognitive Behavioral Therapy [SMD =-2.98, 95 % CI (-5.40,-0.56)]. Conclusion: The results of this study indicate that CALM is the most effective intervention for addressing mental health issues.