Asian Oncol Nurs.  2016 Mar;16(1):9-19. 10.5388/aon.2016.16.1.9.

A Meta-Analysis of Intervention Research for Posttraumatic Growth in Cancer Patients

• Park MH
• Park JS

• KMID: 2168708
• DOI: http://doi.org/10.5388/aon.2016.16.1.9

Abstract

PURPOSE
The objective of this study was to analyze effect size of the intervention studies for posttraumatic growth in patients with cancer.
METHODS
A total of 871 studies published between 2000 and 2014 were identified by searching Ovid-Medline, CINAHL, PubMed, Scopus, PsycARTICLES, Cochrane library, RISS, and KISS. 15 studies were selected for inclusion in the meta-analysis. Data were analyzed using the Comprehensive Meta-Analysis (CMA) Ver. 3 program and the effect sizes were shown using Hedges's g score.
RESULTS
Intervention studies included 5 studies on Cognitive Behavioral Stress Management (CBSM), 4 studies for Mindfulness-Based Stress Reduction (MBSR), 2 studies for couple-based intervention, and 1 study each for health coaching, building resilience, yoga and painting intervention. The overall controlled effect size was 0.335 (95% CI=0.231, 0.438), using a fixed effects model. The most effective intervention was the couple-based intervention (0.368, 95% CI=-0.146, 0.883), followed by MBSR (0.340, 95% CI=0.172, 0.508) and CBSM (0.314, 95% CI=0.139, 0.490).
CONCLUSION
Cancer is one of the most significant traumatic events that affect patients' lives, a few cancer patients have been known to have posttraumatic growth. Therefore it is necessary to consider nursing interventions to increase posttraumatic growth for cancer patients such as couple-based intervention, MBSR and CBSM.

Keyword

Neoplasms; Growth; Meta-Analysis; Clinical Trial

MeSH Terms

Humans
Clinical Trial
Nursing
Paint
Paintings
Yoga

Figure

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  Fig. 1 Flow Studies included from Database Search.

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  Fig. 2 Effect Size of Interventions on Cancer-related PTG.

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  Fig. 3 Effect Size of CBSM, MBSR and Couple Intervention on Cancer-related PTG.

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