Efficacy of Psychological Interventions on Psychological and Vasomotor Symptoms in Menopausal Women with Breast Cancer: A Systematic Review and Meta-Analysis
| Author | Yun-Chen Chang | en |
| Author | Soraya Sayar | en |
| Author | Akram Ahmadzadeh | en |
| Author | Masumeh Ghazanfarpour | en |
| Author | Mohamad Reza Asgari | en |
| Author | Masoudeh Babakhanian | en |
| Orcid | Yun-Chen Chang [0000-0001-7099-6016] | en |
| Orcid | Akram Ahmadzadeh [0000-0001-8352-6021] | en |
| Orcid | Masumeh Ghazanfarpour [0000-0003-4639-3711] | en |
| Orcid | Mohamad Reza Asgari [0000-0003-0263-7614] | en |
| Orcid | Masoudeh Babakhanian [0000-0002-6128-8023] | en |
| Issued Date | 2026-12-31 | en |
| Abstract | Context: The intersection of menopause and breast cancer often impairs patients' quality of life due to the accompanying physical and psychological burdens. This study examined the efficacy of mindfulness and cognitive-behavioral therapy (CBT) on menopausal breast cancer patients' physical and psychological symptoms. Objectives: To evaluate the efficacy of mindfulness and CBT interventions in reducing physical and psychological symptoms in menopausal women with breast cancer. Data Sources: This PROSPERO-registered meta-analysis (CRD42021275803) was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Clinical trials published up to January 31, 2025, were identified through systematic searches of PubMed, Web of Science, Scopus, and the Cochrane Library. Study Selection: Eight studies, with sample sizes ranging from 21 to 255, were assessed using the quality assessment checklist and the Cochrane risk of bias tool. Results: A random-effects meta-analysis of eight studies (sample sizes ranging from 21 to 225 participants) demonstrated significant improvements in vasomotor symptoms — specifically hot flashes and night sweats — following mindfulness-based and CBT interventions [standardized mean difference (SMD) = 0.961; 95% CI: 0.662 - 1.260; P < 0.001]. Significant reductions were also observed in anxiety (SMD = 0.332; 95% CI: 0.146 - 0.517; P < 0.001) and depression (SMD = 0.766; 95% CI: 0.199 - 1.332; P = 0.008), along with improvements in sleep quality (SMD = 1.008; 95% CI: 0.411 - 1.602; P = 0.001). Due to the limited number of eligible studies, pooled analyses were conducted combining mindfulness and CBT interventions, without separate subgroup estimation. Conclusions: Mindfulness and CBT interventions can notably mitigate physical symptoms and mental health issues in menopausal patients with breast cancer, potentially ameliorating the side effects of pharmacological treatments. | en |
| DOI | https://doi.org/10.5812/ijcm-162733 | en |
| URI | https://brieflands.com/journals/ijcm/articles/162733 | en |
| Keyword | Mindfulness | en |
| Keyword | Cognitive-Behavioral Therapy | en |
| Keyword | Systematic Review | en |
| Keyword | Meta-Analysis | en |
| Publisher | Brieflands | en |
| Title | Efficacy of Psychological Interventions on Psychological and Vasomotor Symptoms in Menopausal Women with Breast Cancer: A Systematic Review and Meta-Analysis | en |
| Type | Systematic Review | en |
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