Effectiveness of physical exercise combined with psychological intervention on anxiety and depression of breast cancer patient: A meta-analysis
Download this article Wang Duo *, Zhang Siting *, Zhang Wanting **, Lu Yiting *, Zhang Yuxin ***, Wang Zhiyong ****, Wen Yuxin *****, Yu Min ***** and Wan Rui ******
(*) School of Medicine, Jiangxi technology business polytechnic, Nanchang 330201, Jiangxi Province, China
(**) Third Clinical Medical College, Hebei Medical University, Shijiazhuang 050081, Hebei Province, China
(***) First Clinical Medical College, Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
(****) Emergency Intensive Care Unit, Jiangxi Provincial People’s Hospital, Nanchang 330046, Jiangxi Province, China
(*****) Department of Comprehensive Radiotherapy, Jiangxi Cancer Hospital, Nanchang 330029, Jiangxi Province, China
(******) Department of Breast Surgery, Jiangxi Cancer Hospital, Nanchang 330029, Jiangxi Province, China
Citation
Duo, W., Siting, Z., Wanting, Z., Yiting, L., Yuxin, Z., Zhiyong, W., Yuxin, W., Min, Y., Rui, W. (2024). Effectiveness of physical exercise combined with psychological intervention on anxiety and depression of breast cancer patient: A meta-analysis. International Journal of Sport Psychology, 55(3), 257-279. doi:10.7352/IJSP.2024.55.257
Abstract
Background: Anxiety and depression are common psychological health problems in breast cancer patients, which not only increase the risk of cancer recurrence but also affect the quality of life of patients. Exercise combined with psychological intervention, as an important intervention method, has an improvement effect on anxiety and depression in breast cancer patients. However, there is currently a lack of evidence-based research to explore its clinical value and significance. Objectives: to explore the effects of exercise combined with psychological intervention on anxiety and depression in breast cancer patients using the method of meta-analysis. Methods: PUBMED, Web of Science, The Cochrane Library, Ovid, China National Knowledge Infrastructure (CNKI), Wanfang Data Knowledge Service Platform, and VIP Chinese Scientific Journals Database were searched from the database’s inception to September 2022. Randomized controlled trials (RCTs) of exercise combined with psychological intervention for breast cancer anxiety and/or depression were collected independently by five researchers for literature screening, quality evaluation, and data extraction. The quality of the literature was evaluated according to the “Risk of Bias Assessment Method” recommended by the Cochrane Handbook, and meta-analysis was performed using RevMan5.3. Results: A total of 15 articles including 1338 breast cancer patients were included in this study. The meta-analysis results showed that the experimental group had lower anxiety scores [SMD = -1.25, 95% CI (-1.56, -0.95), P<0.0001] and depression scores [SMD= -1.65, 95% CI (-2.49, -0.81), P = 0.0001] than the control group after exercise combined with psychological intervention. Conclusions: Exercise combined with psychological intervention can effectively alleviate anxiety and depression in breast cancer patients compared with the control group. However, further high-quality large-sample studies are needed to verify these conclusions due to the limitations of the included studies.
Keywords: Breast cancer; anxiety; depression; exercise intervention; psycholog- ical intervention; Meta-analysis