Effects of cognitive behavioral therapy on anxiety,depression,and quality of life in patients with lung cancer:a meta-analysis
Objective To investigate the effects of cognitive behavioral therapy(CBT)on anxiety,depression,and quality of life in patients with lung cancer.Methods The databases such as Web of Science,PubMed,Embase,CINAHL,MEDLINE,CNKI,Wanfang,and VIP were searched until April 1,2023.Literatures related to CBT intervention in lung cancer patients were screened according to the inclusion and exclusion criteria,the literature quality was evaluated,and meta-analysis was performed using RevMan 5.4 software.Results A total of 9 studies were included,involving 800 patients with lung cancer.CBT improved the anxiety[SMD=-0.80,95%CI(-0.97,-0.63),P<0.000 01],depression[SMD=-1.25,95%CI(-1.99,-0.52),P=0.000 8],and quality of life[SMD=0.89,95%CI(0.62,1.16),P<0.000 01]in lung cancer patients.Conclusions Existing evidences show that CBT can improve the anxiety,depression,and quality of life in lung cancer patients,but existing studies have problems of publication bias,high heterogeneity,and low quality.It is necessary to conduct high-quality,multi-center,and large-sample homogenization studies to further explore the intervention effects of CBT on anxiety,depression,and quality of life in lung cancer patients.