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Friday, January 27, 2023

Graded behavioral activity improves physical and mental health of breast cancer patients Gasseta Medica

according to research presented in 13th European Congress of Breast Cancer in BarcelonaA, cancer patients and survivors have better physical and mental health and better quality of life participate in a physical activity program called “Graded Behavioral Activity” In combination with psychological therapies.

graded behavioral activity means physiotherapists help patients gradually increase the amount of physical activity they can do and continuing to follow the program so that, eventually, there is increased activity Integrate into your daily life. Activities are tailored to specific patients and graded over time with specific goals.

Astrid Lahaus, from the Open University of Brussels and the Research Foundation of Flanders has stated in Congress: “For my doctorate in physiotherapy, I am focusing on Pain education and behavioral interventions related to persistent pain after breast cancer,

Thus, they have indicated that they aim Reducing patients’ pain and increasing their quality of life through physical activity As long-term use of painkillers is not advisable and non-pharmacological treatments are required. “We already know that exercise can be beneficial, but Some patients are not active when their exercise program ends. Until now, there has been no systematic review of the effects of behavioral graded exercise on various outcomes among cancer patients.”

Lahousse and colleagues have a Systematic review and meta-analysis of 33 studies involving 4,330 cancer patients and survivors, comparing the efficacy of graded behavioral activity and psychological therapies (such as cognitive behavioral therapy and acceptance commitment therapy) Outcomes for patients on waiting lists for treatment, usual care, psychological therapy only, or graded behavioral activity.

Furthermore, he combined the effects of various studies and summarized them into a single measure called “standardized mean difference” o smd.

however the team recovered Important implications for people receiving combination psychiatric treatment with graded behavioral activity compared to those on the waiting list who received none. from them, anxiety, fatigue, depression, improved ability to handle daily tasks, psychological distress, physical activity, quality of life and social impairment. After the one- to three-month period, only the effects on psychological distress remained statistically significant.

By comparing people who received psychological treatment combined with graded behavioral activity to people who received standard of care as usual, researchers found that significant average improvement For anxiety, depression, fatigue, and physical activity. After one to three months, the average effects on anxiety, depression, and fatigue were still significant.

Others, No statistically significant effect observed When psychological therapies combined with graded behavioral activity were compared to either graded behavioral activity alone or psychological therapy alone.

Lahaus emphasizes: “When comparing graded behavioral activity with usual care, such as pamphlets, education, and standard recommendations, Decreased fatigue, anxiety and depression and increased physical activity The behavioral intervention resulted in only reduced long-term psychological problems, compared to graded behavioral activity without intervention.”

The authors of the study state that The research was important to researchers, clinicians, and patients and survivors. of cancer. “It highlights, for researchers, the fact that they need innovative non-pharmacological interventions, physicians need to know Other non-drug possibilities for care after cancer treatment are, and that the drug should not be prescribed for long periods of time. They should consider transferring the care of patients to other appropriate health care providers, such as physical therapists and psychologists.”

“The study also shows patients how they can improve their daily functioning and quality of life during and after cancer treatment.”

Astrid Lahaus, from the Open University of Brussels and the Research Foundation of Flanders.

astrid lahousse indicated that currently, oncologists provide Better care during cancer treatment, However, after cancer, patients often feel Missed and misinformed about side effects of treatment, For this reason, they have emphasized that more research is needed on not only what can be provided, but also on how each patient requires individualized attention.

“Therefore, it is possible that a The Overall Post-Cancer Program May Not Be Best for Everyone, For this reason, behavioral interventions may be more appropriate and should be investigated further.”

the power of research is the first to analyze behavioral interventions among cancer patients and survivors, Which is a step towards more personalized treatment with patients who can set their own goals. However, there is a limit Large differences between the different studies included in the systematic reviewWhich can make it difficult to draw firm conclusions without resorting to further research.

On his behalf, President of the European Breast Cancer Council, David Cameron from the University of Edinburgh Cancer Research Centre, The UK representing the Council at EBCC13 commented that “how breast cancer patients and survivors live their lives after completing cancer treatment is an important but often neglected area of ​​research”.

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