Observational studyJournal of medicine and life2026
Perioperative psycho-oncological intervention is associated with reduced psychological distress in women with breast and gynecological cancers: a prospective study.
Observational study in Journal of medicine and life, 2026. 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
Psychological distress is highly prevalent among patients with cancer, particularly during the perioperative period. Psycho-oncological interventions may improve emotional outcomes, yet their short-term effectiveness and moderating factors remain insufficiently explored. This prospective pre-post observational study without a control group included 95 women diagnosed with breast and gynecological cancers. Psychological assessments were conducted at baseline (T0) and after a perioperative psycho-oncological intervention (T1), consisting of 3-6 sessions integrating cognitive-behavioral therapy, mindfulness, narrative therapy, and guided imagery. Outcomes included anxiety (HAM-A), depression (HAM-D), post-traumatic stress symptoms (PCL), and self-esteem (RSES). Effect sizes (Cohen's d) and subgroup analyses were performed. Baseline scores indicated moderate to high levels of psychological distress. Significant improvements were observed across all psychological variables: anxiety (Δ = -7.6, d = 1.10), depression (Δ = -6.1, d = 0.98), PTSD symptoms (Δ = -8.8, d = 1.08), and self-esteem (Δ = +3.7, d = 0.85) (all
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