Evidence map›Paper›PMID 40050835›Full record

SynthesisBMC psychiatry2025

Effects of cognitive behavioral therapy on resilience among adult cancer patients: a systematic review and meta-analysis.

Lina Xiang, Hongwei Wan, Yu Zhu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Patients' perspective in anal cancer.ESMO gastrointestinal oncology · 2026
    Review
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  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lina Xiang *Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Hongwei WanDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Shanghai, 201315, China. hong_whw@aliyun.com.
Yu Zhu *Department of Nursing, Shanghai Proton and Heavy Ion Center, Shanghai, 201315, China.

Funding

Research Project in Nursing at Shanghai Jiao Tong University School of Medicine for the Year 2024 Jyhz 2401Shanghai Pudong New Area Science and Technology Commission Project PKJ2024-Y56Shanghai Shenkang Hospital Development Center Municipal Hospital Diagnosis and Treatment Technology Promotion and Optimization Management Project SHDC12022620The 2024 Shanghai Mental Health Center "Qihang" Talent Program 2024-QH-01
6 · The paper itself

Abstract

backgroundPsychological resilience refers to maintaining or regaining psychological well-being after experiencing adversity, trauma, or stress. There is evidence suggesting that cognitive behavioral therapy (CBT) can significantly enhance an individual's coping skills. However, the overall effectiveness of CBT on resilience among cancer patients remains unclear. Therefore, this study systematically evaluated the impact of CBT on resilience among cancer patients.

methodsThe PubMed, PsycINFO, Cochrane Library, CINAHL, and Embase databases were searched using keywords. Two researchers independently conducted a rigorous evaluation of the quality of the evidence using the GRADE system and independently performed data extraction. A meta-analysis was conducted to calculate the experimental group's effect size and to explore the effects of CBT on enhancing resilience.

resultsThirteen randomized controlled trials (RCTs) were included in this meta-analysis. The effect of CBT on increasing resilience among cancer patients was small but significant immediately after the intervention (g = 1.211; p < 0.001). The results showed that CBT delivered via mobile devices was more effective than face-to-face CBT (β = 0.284; P = 0.012). Additionally, group CBT also outperformed individual CBT (β = 0.181; P = 0.042). Furthermore, CBT was more effective among patients with existing tumors (β = 0.285; P = 0.037). The evidence regarding the effects of CBT on resilience was found to be of moderate strength.

conclusionsThe results of this study indicate CBT can improve resilience among cancer patients. These findings underscore the importance of considering delivery methods and formats when implementing CBT interventions, with mobile device delivery and group formats resulting in better outcomes. The positive effects of CBT on patients with existing tumors highlight the importance of delivering this therapy in specific clinical contexts. Overall, this study provided moderately strong evidence that CBT is a valuable tool for enhancing resilience among cancer patients.

trial registrationCRD42021256841.

Indexed as

Cognitive Behavioral TherapyNeoplasmsResilience, PsychologicalAdaptation, PsychologicalAdultHumansRandomized Controlled Trials as TopicCancerCognitive Behavioral TherapyMeta-AnalysisPsycho-oncologyResilience

Identifiers

PMID40050835
PMCPMC11884023

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.