ArticleWorld journal of psychiatry2025
Effect of cognitive behavioral therapy on cancer-related fatigue and psychological status in ovarian cancer patients: A meta-analysis.
Article in World journal of psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSubstantial clinical evidence supports the efficacy of cognitive behavioral therapy (CBT) for various diseases, particularly in oncology. However, the true impact of CBT interventions on cancer-related fatigue and mental health in patients with ovarian cancer remains unknown.
aimTo evaluate the effects of CBT on fatigue, anxiety, depression and quality of life in patients with ovarian cancer.
methodsRandomized controlled trials (RCTs) on CBT for patients with ovarian cancer were searched in the PubMed, EMBASE, Web of Science and Cochrane Library databases. According to the preferred reporting items for systematic reviews and meta-analyses statement, we formulated the inclusion and exclusion criteria, strictly screened the literatures, extracted data and performed a meta-analysis.
resultsSix RCTs with 332 ovarian cancer patients were included. Compared with the control group, cancer fatigue [mean difference (MD) = -0.98, 95% confidence interval (CI): -1.47 to -0.50], anxiety [standardized mean difference (SMD) = -0.64, 95%CI: -0.91 to -0.36] and depression levels (SMD = -0.41, 95%CI: -0.76 to -0.06) of the patients in the experimental group reduced after CBT intervention. Quality of life (MD = 1.28, 95%CI: 0.65 to 1.90) and sleep quality (MD = -0.49, 95%CI: -0.66 to -0.33) of the patients improved, and the differences between the groups were statistically significant (
conclusionCBT effectively improves mental status and cancer-related fatigue in patients with ovarian cancer undergoing chemotherapy. Future research should prioritize adequately powered RCTs with standardized outcome measures and longitudinal designs to establish sustained efficacy.
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