Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2013 Oct;43(5):658-668. Korean.
    Published online Oct 31, 2013.
    https://doi.org/10.4040/jkan.2013.43.5.658
    © 2013 Korean Society of Nursing Science
    Original Article

    Meta-analysis of Psychosocial Interventions to Reduce Pain in Patients with Cancer

    Pok Ja Oh, and Suk Jung Han
      • Department of Nursing, Sahmyook University, Seoul, Korea.
    • Address reprint requests to: Oh, Pok Ja. Department of Nursing, Sahmyook University, Hwarangro-815, Nowon-gu, Seoul 139-742, Korea. Tel: +82-2-3399-1589, Fax: +82-2-3399-1594, Email: ohpj@syu.ac.kr
    Received April 02, 2013; Accepted August 29, 2013.

    Abstract

    Purpose

    The purpose of this study was to investigate the effects of psychosocial interventions on pain in cancer patients.

    Methods

    Eight studies published between 1980 and 2012 in Korean and ten studies published between 2002 and 2012 in English met the inclusion criteria with a total of 1539 participants. Methodological quality assessed by Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. The data were analyzed by the RevMan 5.2 program of Cochrane library.

    Results

    Overall, study quality was moderate to high. Effect sizes were heterogeneous and subgroup analysis was done. Cognitive behavioral therapy (CBT) were effective for pain (ES= -0.35; 95% CI= -0.56, -0.13). Pain education studies measured with NRS and VAS were effective for pain (ES= -0.77; 95% CI= -1.01, -0.52). Publication bias was not detected.

    Conclusion

    This study support the use of psychosocial interventions administered to cancer patients for their pain management. However, more well-designed studies are needed.

    Keywords
    Neoplasm; Pain; Intervention studies; Meta-analysis

    Figures

    Figure 1
    Flow of studies included from database search.

    Figure 2
    Forest plot of effect size and 95% CI by cognitive behavioral therapy on pain & funnel plot of effective sizes by standard error for pain.

    Figure 3
    Forest plot of effect size and 95% CI by education interventions on pain & funnel plot of effective sizes by standard error for pain.

    Figure 4
    Forest plot of effect size and 95% CI by psychosocial intervention on pain & funnel plot of effective sizes by standard error for pain.

    Tables

    Table 1
    Characteristics of Included Studies (N=18)

    Notes

    This paper was supported by the Sahmyook University Research Fund in 2013(No: RI 2013029).

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    MeSH Terms
    Pain Management*
    Clinical Trials as Topic
    Cognitive Therapy
    Databases, Factual
    Humans
    Neoplasms/complications*
    Neoplasms/psychology*
    Pain/etiology*
    Questionnaires
    Metrics
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