Evidence map›Paper›PMID 41541190›Full record

ReviewAsia-Pacific journal of oncology nursing2026

Managing psychological distress in women with breast cancer: A systematic review of intervention trends in the past decade.

Haejeong An, Yoonjung Kim

Abstract readReview
In one paragraph

Review in Asia-Pacific journal of oncology nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

2 authors.

Haejeong AnDepartment of Health Disparities Research, MD Anderson Cancer Center, Houston, TX, United States.
Yoonjung KimSchool of Nursing and Research Institute of Nursing Science, Hallym University, Chuncheon, Gangwon-do, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The rising incidence and survival rates of breast cancer have increased the number of breast cancer survivors (BCSs) experiencing psychological distress that often overlaps with anxiety, depression, and fear of recurrence. Many existing interventions neglect the unique psychosocial contexts of BCSs, and unclear definitions of distress hinder consistent assessment and management. This systematic review evaluated recent interventions targeting psychological distress in BCSs and offers evidence-based insights. Methods: Following PRISMA guidelines, six databases were searched for randomized controlled trials on distress interventions for BCSs published between 2014 and July 2025. Study quality was evaluated using Cochrane's RoB 2 tool, and data on intervention characteristics, outcomes, and measurement instruments were extracted. Results: Fourteen randomized control trials involving 2447 BCSs were included. Among them, 8 (57%) report significant reductions, with six showing immediate post-intervention effects and two demonstrating effects only at follow-up (effect sizes ranged from small to large, Cohen's d = 0.44-1.54). Effective interventions included mindfulness-based approaches, virtual reality-integrated psychotherapy, and cognitive-behavioral therapy combined with hypnosis. In contrast, cognitive-focused interventions lacking experiential components and minimally structured digital programs showed non-significant results. Conclusions: Effective distress management requires multimodal, theory-based interventions delivered by trained professionals, rather than cognitive-focused or minimally structured approaches. Future interventions should incorporate standardized distress assessment tools and clearly articulated theoretical frameworks, focusing on younger survivors, who remain significantly underrepresented. Although digital platforms enhance accessibility, their effectiveness depends on evidence-based content and structured implementation. Strengthening these elements will improve both the comparability and overall effectiveness of interventions for BCSs.

Indexed as

Breast cancerCancer survivorsDistressPsychologicalQuality of lifeStress

Identifiers

PMID41541190
PMCPMC12800616

What OpenQuestion holds

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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.