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Journal of Behavioral Medicine

Erschienen in:

01.02.2010

Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: a meta-analysis

verfasst von: Stefan Schneider, Anne Moyer, Sarah Knapp-Oliver, Stephanie Sohl, Dolores Cannella, Valerie Targhetta

Erschienen in: Journal of Behavioral Medicine | Ausgabe 1/2010

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Abstract

This meta-analysis examined whether effects of psychosocial interventions on psychological distress in cancer patients are conditional upon pre-intervention distress levels. Published articles and unpublished dissertations between 1980 and 2005 were searched for interventions reporting the Hospital Anxiety and Depression Scale (HADS) or the Spielberger State-Trait Anxiety Inventory (STAI). Multilevel mixed-effects modeling was used to meta-analyze effect-sizes separately for the HADS (27 trials, 2,424 patients) and STAI (34 trials, 2,029 patients). Pre-intervention distress significantly moderated intervention effects, explaining up to 50% of the between-study effect-size variance: effects on anxiety and depression were generally negligible when pre-intervention distress was low and pronounced when it was high. These results could not be explained by differences in intervention type, setting, dose, and whether intervention was targeted at distressed patients. Psychosocial interventions may be most beneficial for cancer patients with elevated distress. Future research should identify which treatment components are most effective for these patients to facilitate optimal treatment tailoring and cost-effective health care.

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Titel: Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: a meta-analysis
verfasst von: Stefan Schneider
Anne Moyer
Sarah Knapp-Oliver
Stephanie Sohl
Dolores Cannella
Valerie Targhetta
Publikationsdatum: 01.02.2010
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 1/2010
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-009-9227-2

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Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: a meta-analysis

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