Meta-analysis of the effects of neuropsychological interventions on cognitive function in non-central nervous system cancer survivors

Yingchun ZENG, Andy S. K. CHENG, Che Hin Chetwyn CHAN

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20 Citations (Scopus)

Abstract

Background. Cognitive impairment is a common complaint among cancer survivors, significantly impacting working memory, attention, executive function, and information processing speed. This meta-analysis aims to evaluate the effect of neuropsychological interventions on the cognitive function of non–central nervous system (non-CNS) cancer survivors. Methods. Three databases (PubMed, PsycInfo, and CAJ Full-text Database) were searched from January 2010 to September 2015. Controlled clinical trials of neuropsychological interventions for the treatment of cognitive impairment in cancer survivors were considered for inclusion. Results. A total of 10 eligible trials were included in this meta-analysis. Three trials assessed the effects of cognitive rehabilitation (CR) interventions, and the weighted mean difference (WMD) for the overall intervention effect was −0.19 (95% confidence interval [CI] = −2.98 to 2.61). Two trials examined the effects of cognitive training (CT) interventions on the cognitive function of cancer survivors; the standardized mean difference (SMD) for the overall effect was 0.52 (95% CI = 0.06 to 0.98). The overall effect of CR interventions on neuropsychological status at postintervention was 5.66 (95% CI = 2.97 to 8.35). The SMD of CR and CT intervention for objective function by verbal learning tests was 0.50 (95% CI = 0.19 to 0.81) at postintervention, and 0.58 (95% CI = 0.19-0.98) at follow-up assessment within 6 months. Conclusion. Findings from this meta-analysis indicate that neuropsychological interventions can improve cognitive function in non-CNS cancer survivors, and support the need for future research. However, the conclusion from this meta-analysis was based on trials with small sample sizes. Future research should be conducted using a larger sample size. Relevant clinical implications were discussed accordingly. Copyright © 2016 The Author(s).
Original languageEnglish
Pages (from-to)424-434
JournalIntegrative Cancer Therapies
Volume15
Issue number4
Early online dateMay 2016
DOIs
Publication statusPublished - Dec 2016

Citation

Zeng, Y., Cheng, A. S. K., & Chan, C. C. H. (2016). Meta-analysis of the effects of neuropsychological interventions on cognitive function in non-central nervous system cancer survivors. Integrative Cancer Therapies, 15(4), 424-434. doi: 10.1177/1534735416638737

Keywords

  • Neuropsychological interventions
  • Cognitive impairment
  • Cancer survivors
  • Meta-analysis

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