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Effects and moderators of coping skills training on symptoms of depression and anxiety in patients with cancer: Aggregate data and individual patient data meta-analyses

Buffart, L.M., Schreurs, M.A.C., Abrahams, H.J.G., Kalter, J., Aaronson, N.K., Jacobsen, P.B., Newton, R.U., Courneya, K.S., Armes, J., Arving, C. , Braamse, A.M., Brandberg, Y., Dekker, J., Ferguson, R.J., Gielissen, M.F., Glimelius, B., Goedendorp, M.M., Graves, K.D., Heiney, S.P., Horne, R., Hunter, M.S., Johansson, B., Northouse, L.L., Oldenburg, H.S., Prins, J.B., Savard, J., van Beurden, M., van den Berg, S.W., Brug, J., Knoop, H. and Verdonck-de Leeuw, I.M. (2020) Effects and moderators of coping skills training on symptoms of depression and anxiety in patients with cancer: Aggregate data and individual patient data meta-analyses Clinical Psychology Review, 80, 101882.

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Abstract

Purpose

This study evaluated the effects of coping skills training (CST) on symptoms of depression and anxiety in cancer patients, and investigated moderators of the effects.

Methods

Overall effects and intervention-related moderators were studied in meta-analyses of pooled aggregate data from 38 randomized controlled trials (RCTs). Patient-related moderators were examined using linear mixed-effect models with interaction tests on pooled individual patient data (n = 1953) from 15 of the RCTs.

Results

CST had a statistically significant but small effect on depression (g = −0.31,95% confidence interval (CI) = −0.40;-0.22) and anxiety (g = −0.32,95%CI = -0.41;-0.24) symptoms. Effects on depression symptoms were significantly larger for interventions delivered face-to-face (p = .003), led by a psychologist (p = .02) and targeted to patients with psychological distress (p = .002). Significantly larger reductions in anxiety symptoms were found in younger patients (pinteraction ˂ 0.025), with the largest reductions in patients ˂50 years (β = −0.31,95%CI = -0.44;-0.18) and no significant effects in patients ≥70 years. Effects of CST on depression (β = −0.16,95%CI = -0.25;-0.07) and anxiety (β = −0.24,95%CI = -0.33;-0.14) symptoms were significant in patients who received chemotherapy but not in patients who did not (pinteraction ˂ 0.05).

Conclusions

CST significantly reduced symptoms of depression and anxiety in cancer patients, and particularly when delivered face-to-face, provided by a psychologist, targeted to patients with psychological distress, and given to patients who were younger and received chemotherapy.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Buffart, L.M.
Schreurs, M.A.C.
Abrahams, H.J.G.
Kalter, J.
Aaronson, N.K.
Jacobsen, P.B.
Newton, R.U.
Courneya, K.S.
Armes, J.jo.armes@surrey.ac.uk
Arving, C.
Braamse, A.M.
Brandberg, Y.
Dekker, J.
Ferguson, R.J.
Gielissen, M.F.
Glimelius, B.
Goedendorp, M.M.
Graves, K.D.
Heiney, S.P.
Horne, R.
Hunter, M.S.
Johansson, B.
Northouse, L.L.
Oldenburg, H.S.
Prins, J.B.
Savard, J.
van Beurden, M.
van den Berg, S.W.
Brug, J.
Knoop, H.
Verdonck-de Leeuw, I.M.
Date : August 2020
DOI : 10.1016/j.cpr.2020.101882
Copyright Disclaimer : © 2020 Elsevier Ltd. All rights reserved.
Uncontrolled Keywords : Psychosocial care; Coping skills training; Neoplasm; Anxiety; Depression; (Individual patient data) meta-analysis
Depositing User : Clive Harris
Date Deposited : 20 Jul 2020 15:00
Last Modified : 20 Jul 2020 15:00
URI: http://epubs.surrey.ac.uk/id/eprint/858248

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