Acupoint stimulation, massage therapy and expressive writing for breast cancer: A systematic review and meta-analysis of randomized controlled trials

Phoebe Lyssandra Tan Lee, Ka Wai Tam, Mei Ling Yeh, Wei Wen Wu

研究成果: 雜誌貢獻文章

10 引文 (Scopus)

摘要

Researches have accumulated using non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing to manage breast cancer-related symptoms. Results from randomized controlled trials (RCTs) can get contradictory. Objective A systematic review and meta-analysis were conducted to determine the effects on the quality of life, negative emotions and disease-related symptoms among women with breast cancer. Methods Two independent researchers performed a structured search using data sources including MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, EMBASE, PubMed and PsychINFO from the beginning of time until the first week of January 2015. A total of 23 acupoint stimulation, massage therapy and expressive writing RCTs were included in the review. Results The study showed that no single intervention could be put under the spotlight exhibiting an overall effective result on all measured outcomes; however, looking into each one in detail shows different results in specific outcomes. Among the three interventions, acupoint stimulation has a treatment effect for general pain (MD = −1.46, 95% CI = −2.38 to −0.53) and fatigue (MD = −2.22, 95% CI = −3.68 to −0.77), massage therapy has a treatment effect for anxiety (MD = −0.50, 95% CI = −0.77 to −0.24), and expressive writing has a treatment effect for quality of life (MD = 7.18, 95% CI = 0.38 to 13.98). The measurement other outcomes showed either ineffective or equivocal results. Conclusion Non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing have an effect on a middle-age woman with breast cancer. However, because of limitations, the seemingly promising results should be interpreted with caution.

原文英語
頁(從 - 到)87-101
頁數15
期刊Complementary Therapies in Medicine
27
DOIs
出版狀態已發佈 - 八月 1 2016

指紋

Acupuncture Points
Massage
Meta-Analysis
Randomized Controlled Trials
Breast Neoplasms
Quality of Life
Information Storage and Retrieval
PubMed
MEDLINE
Fatigue
Emotions
Therapeutics
Anxiety
Research Personnel
Pain
Research

ASJC Scopus subject areas

  • Complementary and alternative medicine
  • Advanced and Specialised Nursing
  • Complementary and Manual Therapy

引用此文

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title = "Acupoint stimulation, massage therapy and expressive writing for breast cancer: A systematic review and meta-analysis of randomized controlled trials",
abstract = "Researches have accumulated using non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing to manage breast cancer-related symptoms. Results from randomized controlled trials (RCTs) can get contradictory. Objective A systematic review and meta-analysis were conducted to determine the effects on the quality of life, negative emotions and disease-related symptoms among women with breast cancer. Methods Two independent researchers performed a structured search using data sources including MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, EMBASE, PubMed and PsychINFO from the beginning of time until the first week of January 2015. A total of 23 acupoint stimulation, massage therapy and expressive writing RCTs were included in the review. Results The study showed that no single intervention could be put under the spotlight exhibiting an overall effective result on all measured outcomes; however, looking into each one in detail shows different results in specific outcomes. Among the three interventions, acupoint stimulation has a treatment effect for general pain (MD = −1.46, 95{\%} CI = −2.38 to −0.53) and fatigue (MD = −2.22, 95{\%} CI = −3.68 to −0.77), massage therapy has a treatment effect for anxiety (MD = −0.50, 95{\%} CI = −0.77 to −0.24), and expressive writing has a treatment effect for quality of life (MD = 7.18, 95{\%} CI = 0.38 to 13.98). The measurement other outcomes showed either ineffective or equivocal results. Conclusion Non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing have an effect on a middle-age woman with breast cancer. However, because of limitations, the seemingly promising results should be interpreted with caution.",
keywords = "Acupoint stimulation, Anxiety, Breast cancer, Expressive writing, Massage therapy, Meta-analysis, Pain, Quality of life, Systematic review",
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T1 - Acupoint stimulation, massage therapy and expressive writing for breast cancer

T2 - A systematic review and meta-analysis of randomized controlled trials

AU - Lee, Phoebe Lyssandra Tan

AU - Tam, Ka Wai

AU - Yeh, Mei Ling

AU - Wu, Wei Wen

PY - 2016/8/1

Y1 - 2016/8/1

N2 - Researches have accumulated using non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing to manage breast cancer-related symptoms. Results from randomized controlled trials (RCTs) can get contradictory. Objective A systematic review and meta-analysis were conducted to determine the effects on the quality of life, negative emotions and disease-related symptoms among women with breast cancer. Methods Two independent researchers performed a structured search using data sources including MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, EMBASE, PubMed and PsychINFO from the beginning of time until the first week of January 2015. A total of 23 acupoint stimulation, massage therapy and expressive writing RCTs were included in the review. Results The study showed that no single intervention could be put under the spotlight exhibiting an overall effective result on all measured outcomes; however, looking into each one in detail shows different results in specific outcomes. Among the three interventions, acupoint stimulation has a treatment effect for general pain (MD = −1.46, 95% CI = −2.38 to −0.53) and fatigue (MD = −2.22, 95% CI = −3.68 to −0.77), massage therapy has a treatment effect for anxiety (MD = −0.50, 95% CI = −0.77 to −0.24), and expressive writing has a treatment effect for quality of life (MD = 7.18, 95% CI = 0.38 to 13.98). The measurement other outcomes showed either ineffective or equivocal results. Conclusion Non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing have an effect on a middle-age woman with breast cancer. However, because of limitations, the seemingly promising results should be interpreted with caution.

AB - Researches have accumulated using non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing to manage breast cancer-related symptoms. Results from randomized controlled trials (RCTs) can get contradictory. Objective A systematic review and meta-analysis were conducted to determine the effects on the quality of life, negative emotions and disease-related symptoms among women with breast cancer. Methods Two independent researchers performed a structured search using data sources including MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, EMBASE, PubMed and PsychINFO from the beginning of time until the first week of January 2015. A total of 23 acupoint stimulation, massage therapy and expressive writing RCTs were included in the review. Results The study showed that no single intervention could be put under the spotlight exhibiting an overall effective result on all measured outcomes; however, looking into each one in detail shows different results in specific outcomes. Among the three interventions, acupoint stimulation has a treatment effect for general pain (MD = −1.46, 95% CI = −2.38 to −0.53) and fatigue (MD = −2.22, 95% CI = −3.68 to −0.77), massage therapy has a treatment effect for anxiety (MD = −0.50, 95% CI = −0.77 to −0.24), and expressive writing has a treatment effect for quality of life (MD = 7.18, 95% CI = 0.38 to 13.98). The measurement other outcomes showed either ineffective or equivocal results. Conclusion Non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing have an effect on a middle-age woman with breast cancer. However, because of limitations, the seemingly promising results should be interpreted with caution.

KW - Acupoint stimulation

KW - Anxiety

KW - Breast cancer

KW - Expressive writing

KW - Massage therapy

KW - Meta-analysis

KW - Pain

KW - Quality of life

KW - Systematic review

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