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Effects of couple‐based dyadic interventions on breast cancer patients and their intimate partners: A systematic review and meta‐analysis.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Sep2023, Vol. 79 Issue 9, p3192-3213, 22p
- Publication Year :
- 2023
-
Abstract
- Aims: To evaluate the effects of couple‐based dyadic interventions on breast cancer patients and their intimate partners and compare the effects between interventions with different durations (<3 months; =3 months; >3 months). Design: A systematic review and meta‐analysis. Data sources: Six English databases, PubMed, Embase, Web of Science Core Collection, the Cochrane Library, Medline, PsycINFO, and three Chinese databases, China National Knowledge Infrastructure (CNKI), WanFang, and Weipu (VIP), from database inception to 19 February 2022. Review Methods: The quality of the included RCTs was evaluated using the Cochrane risk‐of‐bias tool and the data analysis was performed by using RevMan 5.4 and Stata 15. The outcomes were categorized into five aspects: dyadic relationship, overall quality of life (QOL), physical health, psychological health and social adjustment. Results: Nineteen RCTs were included. For patients' overall effects, couple‐based dyadic interventions can improve sexual frequency, psychological health (anxiety; depression; well‐being; body image) and social adjustment (family function‐cohesion; social function‐total). In the subgroup analysis, it can adjust patients' relationship satisfaction (>3 months), sexual frequency (>3 months), depression (<3 months and >3 months), well‐being (>3 months), and body image (3 months). For intimate partners, no statistically significant overall effects were found, and all results in the subgroup analyses showed no statistical significance. Conclusions: The results revealed the different effects of couple‐based dyadic interventions on dyads. It also suggested that tailored intervention duration should be a focus in future studies to obtain the potential actor‐partner benefits. Impact: This study revealed that the overall effects of the couple‐based dyadic interventions include enhancing patients' sexual frequency, psychological health and social adjustment. Clinical practitioners should consider the intimate partners' outcomes and conduct couple‐based dyadic interventions that contain more tailored elements to achieve better effects. No Patient or Public Contribution: Registration: The systematic review and meta‐analysis of RCTs has been registered in PROSPERO (Number: CRD 42021286679). [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of mental depression
COMPETENCY assessment (Law)
ANXIETY prevention
CANCER patient psychology
SIGNIFICANT others
ONLINE information services
MEDICAL databases
PSYCHOLOGY information storage & retrieval systems
WELL-being
SOCIAL participation
META-analysis
MEDICAL information storage & retrieval systems
CONFIDENCE intervals
SYSTEMATIC reviews
SEXUAL intercourse
EFFECT sizes (Statistics)
COUPLES therapy
TREATMENT duration
HEALTH status indicators
SOCIAL adjustment
SATISFACTION
TREATMENT effectiveness
SOCIAL cohesion
PSYCHOSOCIAL factors
RESEARCH funding
INTERPERSONAL relations
QUALITY of life
DESCRIPTIVE statistics
MEDLINE
DATA analysis software
FAMILY relations
BREAST tumors
PSYCHOTHERAPY
BODY image
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 79
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 169874558
- Full Text :
- https://doi.org/10.1111/jan.15639