Title 乳がん患者に対する心理的介入の可能性と課題 : 文献検討に基づく今後の展望 ( fulltext ) Author(s) 相澤, 亜由美 ; 松田, 修 Citation 東京学芸大学紀要. 総合教育科学系, 59: 223-228 Issue Date 2008/2/29 URL http://hdl.handle.net/2309/89169 Publisher 東京学芸大学紀要出版委員会 Rights
pp American cancer Society,,
RT RT PMR RT PMR PMR QOL RT
RT RT RT RT RT EBM MEDLINE PsycINFO Cochrane central register of controlled trials
: QOL 効果サイズの算出 個々の研究ごとに介入群と統制群の平均値の差を標準化する (d 値 ) 効果サイズの統合 サンプルサイズ等で重み付けして d 値を平均化する (D W 値 ) D W 値の有意性検定,95% 信頼区間の算出 等質性の検定 Q 値の算出 同一母集団から得られた d 値を統合しているか? 得られた d 値のばらつきは, 同じ母集団内で生じたものと仮定できる程度のばらつきか? 等質 - 同一母集団を仮定できる 異質 同一母集団を仮定できない 公表バイアスの検討 ポジティブな結果の研究ばかりが, 統合されていないか? e.g. フェイル セーフ数 調整変数の検討 - 異質性を生じさせている変数を予測サブグループ間で効果サイズを比較 差あり 差なし サブグループ内の等質性の検定 他の調整変数の検討 等質 異質 公表バイアスの検討 調整変数の検討 図 1 Meta-analysis の手順
Kornblith A.B., Ligibel J.: Psychosocial and sexual functioning of survivors of breast cancer, Seminars in oncology,, -, Glanz K., Lereman C.: Psychological impact of breast cancer: a critical review, The society of Behavioral Medicine,,, Ayres A., Hoon P.W., Franzoni J.B. et al.: Influence of mood and adjustment to cancer on compliance with chemotherapy among breast cancer patients, Journal of psychosomatic research,,, Mastaglia B.: Factor influencing women s decision for choice of surgery for Stage and Stage breast cancer in Western Australia, Journal of advanced nursing,,, Burwell S.R., Case L.D., Kaekin C. et al.: Sexual problems in younger women after breast cancer surgery, Journal of clinical oncology,,, Frost M.H., Suman V.J., Rummans T.A. et al.: Physical, psychological and social well-being of women with breast cancer: the influence of disease phase, Psycho-oncology,,, Montgomery G.H., Bovbjerg D.H.: Presurgery distress and specific response expectancies predict postsurgery outcomes in surgery pacients confronting breast cancer, Health psychology,,, Molassiotis A., Yung H.P., Yam B.M.C. et al.: The effectiveness of progressive muscle relaxation training in managing chemotherapy-induced nausea and vomiting in Chinese Breast cancer patients: a randomized controlled trial, Support care cancer,,, Walker L.G., Walker M.B., Ogston K. et al.: Psychological, clinical and pathological effects of relaxation training and guided imagery during primary chemotherapy, British journal of cancer,,, William S.A., Schreier A.M.: The effect of education in managing side effects in women receiving chemotherapy for treatment of breast cancer, Oncology nursing forum,, E, Classen C., Butler L.D., Koopman C. et al.: Supportiveexpressive group therapy and distress in patients with metastatic breast cancer, Archives of general psychiatry,,, Bordeleau B.L., Szalai J.P., Ennis M. et al.: Quality of life in a randomized trial of group psychosocial support in metastatic breast cancer: overall effects of the intervention and an exploration of missing data, Journal of clinical oncology,,, Fukui S., Kugaya A., Okamura H. et al.: A psychological group intervention for Japanese women with primary breast carcinoma a randomized controlled trial, Cancer,,, Luebbert K., Dahme B., Hasenbring M.: The effectiveness of relaxation training in reducing treatment-related symptoms and improving emotional adjustment in acute non-surgical cancer treatment: a meta-analytical review, Psycho-oncology,,, Devine E.C.: Meta-analysis of the effect of psychoeducational interventions on pain in adults with cancer, Oncology nursing forum,,, Zabora J., Brintzenhofeszoc K., Curbow B. et al.: The prevalence of psychological distress by cancer site, Psychooncology,,, Tatrow K., Montgomery G.H.: Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: a meta-analysis, Journal of behavioral medicine,,,
Effectiveness of psychological intervention for patients with breast cancer Future perspective from systematic review of clinical studies of the psychological intervention AIZAWA Ayumi, MATSUDA Osamu QOL Tokyo Gakugei University Nukui-kita-machi, Koganei-shi, Tokyo,, Japan