cognitive behavioral therapy for insomnia part 1

Evidence suggests that breast cancer survivors at any stage often experience fear of cancer recurrence (FCR), which may negatively affect their QOL. A study demonstrated that a symptom cluster of anxiety, depression, fatigue, and pain adversely affected the QOL of women with breast cancer who were receiving radiotherapy or chemotherapy. In breast cancer survivors, the aforementioned complications may negatively affect their overall health-related quality of life (QOL) and may influence treatment outcomes. However, those who survive breast cancer commonly develop psychosocial and physical complications, such as sleep disturbance, fatigue, pain, and psychological distress. Because of the use of new cancer treatments over the past decades, the life expectancy of individuals with breast cancer has increased. As per Taiwan’s Ministry of Health and Welfare, in Taiwan, cancer of the breast is the commonest type of cancer in women. The results suggest that MBCT is highly beneficial as an intervention for patients who have received treatment for breast cancer.Īccording to a 2020 Global Cancer Statistics report, breast cancer is the commonest cancer worldwide and the main cause of cancer-related mortality in women. Future work requires more studies to better elucidate the clinical significance of this possible association. However, the quantitative analysis pointed to an inconclusive result due to moderate to high levels of heterogeneity among indicator of anxiety, depression, and mindfulness. The MBCT may be associated with improved pain, anxiety, depression, and mindfulness. Thirteen trials with 20–245 participants were considered in our studies for the meta-analysis, 11 of these studies were eligible for assessment. We calculated pooled mean differences (MDs), standardized mean differences (SMDs), and 95% confidence intervals (CIs) by using random effects models to estimate summary effect sizes. Our study included randomized controlled trials (RCTs) and non-RCTs comparing interventions of MBCT and control protocols for alleviation of symptoms among breast cancer survivors. However, few studies involved a combination of the relevant literatures to confirm the effects. Mindfulness-based cognitive therapy (MBCT) may have positive physiological and psychological benefits for breast cancer survivors.

Cognitive behavioral therapy for insomnia part 1