Actualidades en Psicología ISSN Impreso: 0258-6444 ISSN electrónico: 2215-3535

Psychological Interventions in Anxiety Treatment in People with Breast Cancer: a Meta-Analysis
PDF (Español (España))
HTML (Español (España))


Breast cancer
Psychological interventions
Systematic review
Cáncer de mama
Intervenciones psicológicas
Revisión sistemática
Breast cancer
Psychological interventions
Systematic review
Breast cancer
Psychological interventions
Systematic review

How to Cite

Zelaya-Rivas, S. M. (2020). Psychological Interventions in Anxiety Treatment in People with Breast Cancer: a Meta-Analysis. Actualidades En Psicología, 34(128), 121–141.


Objective. This study aims to estimate the effect size of psychological interventions for anxiety treatment
in people diagnosed with breast cancer. Method. A systematic review of online databases (Dialnet, Ebsco, Latindex, PubMed, ScienceDirect, Wiley, SAGE, Scielo, and Google Scholar) was carried out, through which experimental and quasi-experimental articles relevant to the analysis were retrieved. From the selected articles, data were extracted regarding the participants, the treatments used, and pre and post test data from the groups for analysis. Results. Seventeen articles that met the inclusion criteria were used in the analysis. The overall effect size of the interventions was determined (g = -.459). Likewise, bias and continuous moderating variables analyses were performed.
PDF (Español (España))
HTML (Español (España))


Ahmed, I., Sutton, A. J., & Riley, R.D. (2012). Assessment of publication bias, selection bias, and unavailable data in meta-analyses using individual participant data: a database survey. British Medical Journal, 344, 1-10. doi: 10.1136/bmj.d7762

Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2009). Introduction to metaanalysis. United Kingdom: John Wiley & Sons.

Botella, J., & Gambara, H. (2002). Qué es el meta-análisis. Biblioteca Nueva: Madrid.

*Bredal, I., Kåresen, R., Smeby, N., Espe, R., Sørensen, E., Amundsen, M., ... & Ekeberg, Ø. (2014). Effects of a Psychoeducational Versus a Support Group Intervention in Patients with Early-Stage Breast Cancer. Cancer Nursing, 37(3), 198 - 207 . doi: 10.1097/NCC.0b013e31829879a3.

Cramer, H., Lauche, R., Paul, A., & Dobos, G. (2012). Mindfulness-based stress reduction for breast cancer— a systematic review and meta-analysis. Current Oncology,19(5), 343-352. doi: 10.3747/co.19.1016

De la Torre-Luque, A., Gambara, H., López, E., & Cruzado, J. (2016). Psychological treatments to improve quality of life in cancer contexts: A meta-analysis. International Journal of Clinical and Health Psychology, 16, 211-219.

*Dolbeault, S., Cayrou, S., Brédart, A., Viala, A., Desclaux, B., Saltel, P., ... & Dickes, P. (2009). The effectiveness of a psycho-educational group after early-stage breast cancer treatment: results of a randomized French study. Psycho-Oncology, 18, 647-656. doi: 10.1002/pon.1440

*Edmonds, C., Lockwood, G., & Cunningham, A. (1999). Psychological Response to Long Term Group Therapy: A Randomized Trial with Metastatic Breast Cancer Patients. Psycho-Oncology I, 8(1), 74-91.

Faraone, S. (2008). Interpreting Estimates of Treatment Effects: Implications for Managed Care. Pharmacy and Therapeutics, 33(12), 700-711. doi: 10.12691/ijdsr-4-2-4

*Fernández, C., Villoria, E., Amigo, I., Padierna, C., Gracia, J., Fernández, R., & Peláez, I. (2011). Terapia de activación conductual en pacientes con cáncer. Anales de Psicología, 27(2), 278-291.

*Gholamhosseini, S., & Mojtabaie, M. (2014). Effectiveness of acceptance and commitment therapy (ACT) to reduce the symptoms of anxiety in women with breast cancer. International Journal of Review in Life Sciences, 4(1), 27-31.

Giménez, A. (2012). ¿Qué es un meta-análisis? y ¿cómo leerlo? Biomedicina, 7(1), 16-27.

*Groarke, A., Curtis, R., & Kerin, M. (2013). Cognitive-behavioural stress management enhances adjustment in women with breast cancer. British Journal of Health Psychology, 18, 623- 641. doi: 10.1111/bjhp.12009

Hedges, L. V., & Olkin, I. (1985). Statistical Methods for Meta-Analysis. London: Academic Press.

*Hoffman, C., Ersser, S., Hopkinson, J., Nicholls, P., Harrington, J., & Thomas, P. (2012). Effectiveness of Mindfulness-Based Stress Reduction in Mood, Breast- and Endocrine-Related Quality of Life, and Well-Being in Stage 0 to III Breast Cancer: A Randomized, Controlled Trial. Journal of Clinical Oncology, 30(12), 1335-

doi: 10.1200/JCO.2010.34.0331

*Hopko, D., Armento, M., Robertson, S., Ryba, M., Carvalho, J., Colman, L., ... & Lejuez, C. (2011). Brief Behavioral Activation and Problem-Solving Therapy for Depressed Breast Cancer Patients: Randomized Trial. Journal of Consulting and Clinical Psychology, 79(6), 834-849. doi: 10.1037/a0025450

Huang, J., & Shi, L. (2016). The effectiveness of mindfulness-based stress reduction (MBSR) for survivors of breast cancer: study protocol for a randomized controlled trial. Trials, 17(209), 1-9. doi: 10.1186/s13063-016-1335-z

Instituto Nacional de Estadística y Censos de Costa Rica. (2017). Estadísticas de defunciones generales 2016. Recuperado de documetos-biblioteca-virtual/repoblacevdefgendefinitivos2016.xlsx

Jadad, A., Moore, R., Carroll, D., Jenkinson, C., Reynolds, D., Gavaghan, D., & McQuay, H. (1996). Assessing the Quality of Reports of Randomized Clinical Trials: IsBlinding Necessary? Controlled Clinical Trials, 17, 1-12. doi: 10.1016/0197-2456(95)00134-4

*Kim, Y., Kim, H., Ahn, S., Seo, Y., & Kim, S. (2013). Effects of meditation on anxiety, depression, fatigue, and quality of life of women undergoing radiation therapy for breast cancer. Complementary Therapies in Medicine, 21, 379-387. doi: 10.1016/j.ctim.2013.06.005

Lim, C., Devi, M., & Ang, E. (2011). Anxiety in women with breast cancer undergoing treatment: a systematic review. International Journal of Evidence-Based Healthcare, 9, 215-235. doi: 10.1111/j.1744-1609.2011.00221.x

Littell, J., Corcoran, J., & Pillai, V. (2008). Systematic Reviews and Meta-Analysis. NuevaYork: Oxford University Press.

*Loh, S., Packer, T., Tan, F., Xavier, M., Quek, K., & Yip, C. (2012). Does a self management intervention lower distress in woman diagnosed with breast cancer? Japanese Psychological Research, 54(2), 159-169. doi: 10.1111/j.1468-5884.2011.00491.x

*Manne, S., Siegel, S., Heckman, C., & Kashy, D. (2016). A Randomized Clinical Trial of a Supportive Versus a Skill-Based Couple-Focused Group Intervention for Breast Cancer Patients. Journal of Consulting and Clinical Psychology, 84(8), 668-681. doi: 10.1037/ccp0000110

Marín, F., Sánchez, J., & López, J. (2009). El metaanálisis en el ámbito de las Ciencias de la Salud: una metodología imprescindible para la eficiente acumulación del conocimiento. Fisioterapia, 31(3), 107-114. doi: 10.1016/j.ft.2009.02.002

*Merckaert, I., Lewis, F., Delevallez, F., Herman, S., Caillier, M., Delvaux, N., ... & Razavi, D. (2016). Improving anxiety regulation in patients with breast cancer at the beginning of the survivorship period: a randomized clinical trial comparing the benefits of single-component and multiple-component group interventions.

Psycho-Oncology, 1-8. doi: 10.1002/pon.4294

Ministerio de Salud de Costa Rica. (2014). Situación Epidemiológica del Cáncer. Recuperado de

*Mohabbat-Bahar, S., Golzari, M., Moradi-Joo, M., & Akbari, M. (2014). Efficacy of Group Logotherapy on Decreasing Anxiety in Women with Breast Cancer. Iranian Journal of Cancer Prevention, 7(3), 165-170.

*Mohabbat-Bahar, S., Maleki-Rizi, F., Akbari, M., & Moradi-Joo, M. (2015). Effectiveness of Group Training Based on Acceptance and Commitment Therapy on Anxiety and Depression of Women with Breast Cancer. Iranian Journal of Cancer Prevention, 8(2), 71-76.

Nelson, L., Simmons, J., & Simonsohn, U. (2018). Psychology’s Renaissance. Annual Review of Psychology, 69, 511-534.

*Nunes, D. F., Rodriguez, A. L., da Silva Hoffmann, F., Luz, C., Filho, A. P., Muller M. C., Bauer, M. E. (2007). Relaxation and guided imagery program in patients with breast cancer undergoing radiotherapy is not associated with neuroimmunomodulatory effects. Journal of Psychosomatic Research, 63, 647-655.

doi: 10.1016/j.jpsychores.2007.07.004

Organización Mundial de la Salud. (2020). Breast Cancer. Recuperado de

Rector, N., Bourdeau, D., Kitchen, K., & Joseph-Massiah, L. (2008). Anxiety disorders: An information guide. Canadá: Centre for Addiction and Mental Health.

Richter, D., Koehler, M., Friedrich, M., Hilgendorf, I., Mehnert, A., & Weißflog, G. (2015). Psychosocial interventions for adolescents and young adult cancer patients: A systematic review and meta-analysis. Critical Reviews in Oncology/Hematology, 95, 370-386. doi: 10.1016/j.critrevonc.2015.04.003

*Sarenmalm, E., Mårtensson, L., Andersson, B., Karlsson, P., & Bergh, I. (2017). Mindfulness and its efficacy for psychological and biological responses in women with breast cancer. Cancer Medicine, 6(5), 1-15. doi: 10.1002/cam4.1052

Sheard, T., & Maguire, P. (1999). The effect of psychological interventions on anxiety

and depression in cancer patients: results of two meta-analyses. British Journal of

Cancer, 80(11), 1770-1780. doi: 10.1038/sj.bjc.6690596

Smith-Turchyn, J., Morgan, A., & Richardson, J. (2016). The Effectiveness of Group-based Self-management Programmes to Improve Physical and Psychological Outcomes in Patients with Cancer: a Systematic Review and Meta-analysis of Randomised Controlled Trials. Clinical Oncology, 28, 292-305. doi: 10.1016/j.clon.2015.10.003

Tao, W., Jiang, P., Liu, Y., Aungsuroch, Y., & Tao, X. (2015). Psycho-oncologic interventions to reduce distress in cancer patients: a meta-analysis of controlled clinical studies published in People’s Republic of China. Psycho-Oncology, 24, 269-278. doi: 10.1002/pon.3634

Thomas, J. R., & Nelson, J. K. (2007). Métodos de investigación en actividad física. Barcelona: Paidotribo.

*Würtzen, H., Dalton, S., Elsass, P., Sumbundu, A., Steding-Jensen, M., Karlsen, R., ... & Johansen, C. (2013). Mindfulness significantly reduces self-reported levels of anxiety and depression: Results of a randomised controlled trial among 336 Danish women treated for stage I–III breast cancer. European Journal of Cancer, 49,

-1373. doi: 10.1016/j.ejca.2012.10.030

Yang, Y., Sui, G., Liu, G., Huang, D., Wang, S., & Wang, L. (2014). The effects of psychological interventions on depression and anxiety among Chinese adults with cancer: a meta-analysis of randomized controlled studies. BMC Cancer, 14(956), 1-26. doi: 10.1186/1471-2407-14-956

Zhang, M., Wen, Y., Liu, W., Peng, L., Wu, X., & Liu, Q. (2015). Effectiveness of Mindfulnessbased Therapy for Reducing Anxiety and Depression in Patients With Cancer: A Meta-analysis. Medicine, 94(45), 1-9. doi: 10.1097/MD.00000000000008

Zhang, J., Xu, R., Wang, B., & Wang, J. (2016). Effects of mindfulness-based therapy for patients with breast cancer: A systematic review and meta-analysis. Complementary Therapies in Medicine, 26, 1-10. doi: 10.1016/j.ctim.2016.02.012



Download data is not yet available.