ArticleJournal of cancer survivorship : research and practice2025
Integrating narrative therapy and sleep intervention to enhance recovery, nutritional reconstitution, and 24-month survival following curative gastrectomy: a randomized controlled trial.
Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Psychological Resilience in Surgery: Psychobiological Pathways, Clinical Impact, and Perioperative Modulation-A Narrative Review.Journal of personalized medicine · 2026Review
- Narrative nursing to address negative emotions, body image disturbance, and satisfaction in patients after axillary odor surgery: a sequential explanatory mixed-methods study.Frontiers in medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerioperative psychological and behavioral vulnerabilities can impair recovery and 24-month outcomes in gastric cancer patients. Targeted behavioral interventions during this critical window may yield multidimensional benefits.
objectiveTo evaluate the effectiveness of a 12-week perioperative program integrating narrative therapy and sleep optimization in improving recovery and 2-year survival after curative gastrectomy.
methodsIn this single-center randomized controlled trial, 310 patients undergoing gastrectomy for stage I-III gastric cancer were randomized 1:1 to receive standard care or standard care plus a structured behavioral intervention delivered by licensed psychologists and sleep specialists. The intervention comprised six biweekly face-to-face narrative therapy sessions and a CBT-I-based sleep program with remote follow-up. Outcomes were assessed at baseline, and at 1, 3, 6, 12, and 24 months postoperatively. Primary endpoints included emotional distress (Hospital Anxiety and Depression Scale, HADS), sleep quality, nutritional and inflammatory markers, and quality of life. Secondary endpoints were 12- and 24-month disease-free survival (DFS) and overall survival (OS). Mixed-effects models and Cox regression were used for statistical analyses.
resultsThe intervention group showed significantly greater improvements in HADS scores (p < 0.001), sleep quality (p < 0.001), BMI and albumin levels (p < 0.01), and lower CRP, IL-6, and TNF-α levels across follow-up. QoL scores were consistently higher postoperatively. At 24 months, DFS and OS rates were significantly higher in the intervention group (DFS: HR 0.59, 95% CI 0.40-0.87; OS: HR 0.54, 95% CI 0.35-0.84).
conclusionIntegrating structured narrative therapy and sleep optimization into perioperative care improved biopsychosocial recovery and 2-year survival in gastric cancer patients. These findings support embedding behavioral strategies within surgical oncology pathways. IMPLICATIONS FOR CANCER SURVIVORS: Integrating structured narrative therapy and sleep optimization into perioperative care offers a safe, low-cost, and scalable strategy to enhance recovery and long-term outcomes in gastric cancer survivors. By addressing psychological distress, sleep disruption, and inflammatory imbalance during the surgical period, this approach supports sustained emotional well-being, nutritional restoration, and survival. These findings highlight the importance of embedding behavioral interventions within survivorship care to promote holistic recovery and quality of life.
Indexed as
Identifiers
41225165What OpenQuestion holds
Registered trials
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.