Phianmongkhol, Y., Thongubon, K., & Woottiluk, P. (2015). Effectiveness of cognitive behavioral therapy techniques for control of pain in lung cancer patients: An integrated review. Asian Pacific Journal of Cancer Prevention, 16, 6033–6038.
DOI Link
Purpose
STUDY PURPOSE: To synthesize the evidence regarding effectiveness of cognitive behavioral techniques (CBT) for pain in patients with lung cancer
TYPE OF STUDY: Systematic review
Search Strategy
DATABASES USED: PUBMED, EMBASE, CINAHL, DARE, ProQuest 5000, ScienceDirect, Centre for Reviews and Dissemination. In addition, specific journals and various sources for unpublished studies were searched.
INCLUSION CRITERIA: Patients spoke English or Thai, had lung cancer and a life expectancy of at least two months, were experiencing cancer-related pain requiring opioids, and had a positive response to opioid medications and an average pain between 4–7 on a 0–10 scale
EXCLUSION CRITERIA: Patients with major psychiatric illness who had major surgery or other intervention within 30 days of the study
Literature Evaluated
TOTAL REFERENCES RETRIEVED: 2,009
EVALUATION METHOD AND COMMENTS ON LITERATURE USED: Joanna Briggs methodology was used to assess study quality.
Sample Characteristics
- FINAL NUMBER STUDIES INCLUDED = 3
- TOTAL PATIENTS INCLUDED IN REVIEW = 211
- SAMPLE RANGE ACROSS STUDIES: 43–121 patients
- KEY SAMPLE CHARACTERISTICS: Patients with lung cancer as well as other tumor types
Phase of Care and Clinical Applications
PHASE OF CARE: Late effects and survivorship
APPLICATIONS: Palliative care
Results
The review included two studies that involved such interventions as distraction and relaxation and imagery rather than true CBT-approach interventions. No conclusions were drawn due to the lack of substantial evidence.
Conclusions
Very limited evidence exists regarding effects of CBT-type interventions for pain among patients with lung cancer.
Limitations
- Limited number of studies included
- Low sample sizes
- Results of quality evaluation are not clearly provided.
Nursing Implications
This review showed there is little evidence to determine effectiveness of CBT for pain in patients with lung cancer.
Legacy ID
5863