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Intro <p>Mind-body therapies (MBTs) are promising forms of treatment for depression and anxiety symptoms in people with cancer, however, their effectiveness has not been compared. The objective of this study is to rank the effectiveness of MBTs for depression and anxiety symptoms in people with cancer.</p> Methods <p>EMBase, PubMed, Cinahl, PsychINFO, IndMED, CSI-NISCAIR, CNKI, Clinicaltrial.gov, ChiCTR, and CTRI were searched until February 2025 for randomised controlled studies in which MBTs were tested in a cancer population. Network meta-analyses were used on the selected studies to rank the reduction in depression and anxiety symptoms compared with usual care. </p> Results <p>A total of 182 studies which involved 16,835 participants were included. The network meta-analysis showed a statistically significant large effect compared with usual care for biofeedback (standardised mean difference, SMD = -1.18, <i>p</i> = 0.038), spiritual interventions (SMD = -0.98, <i>p</i> = 0.047), and mindfulness-based interventions (MBIs; SMD = -0.87, <i>p</i> &lt; 0.001) for depression symptoms and yoga (SMD = -1.13, <i>p</i> &lt; 0.001), MBIs (SMD = -1.02, <i>p</i> &lt; 0.001), physical relaxation (SMD = -0.93, <i>p</i> &lt; 0.001), qigong/Tai Chi (QTC; SMD = -0.90, <i>p</i> = 0.004) and music therapy (SMD = -0.90, <i>p</i> &lt; 0.001) for anxiety symptoms. </p> Conclusions <p>The MBTs that should be prioritised are biofeedback, spiritual interventions, and MBIs for depression symptoms and yoga, MBIs, physical relaxation, QTC, and music therapy for anxiety symptoms in people with cancer.</p>

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Mind-Body Therapies for Depression and Anxiety Symptoms in People with Cancer: A Systematic Review with Network Meta-Analysis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月18日

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  • Yoann Birling,
  • Deep Jyoti Bhuyan,
  • Fan Feng,
  • Mingxian Jia,
  • Jing Liu,
  • Han Zhang,
  • Matthew Rahimi,
  • Wing Yu Yu,
  • Linda E. Carlson,
  • Hazel Betul Boge,
  • Nibras Jasim,
  • Kayla Jaye,
  • Indeewarie Hemamali Dissanayake,
  • Sarah Nevitt,
  • Judith Lacey,
  • Rogier Hoenders,
  • Changrong Tang,
  • Tiffany Tram,
  • Paul P. Fahey

摘要

Intro

Mind-body therapies (MBTs) are promising forms of treatment for depression and anxiety symptoms in people with cancer, however, their effectiveness has not been compared. The objective of this study is to rank the effectiveness of MBTs for depression and anxiety symptoms in people with cancer.

Methods

EMBase, PubMed, Cinahl, PsychINFO, IndMED, CSI-NISCAIR, CNKI, Clinicaltrial.gov, ChiCTR, and CTRI were searched until February 2025 for randomised controlled studies in which MBTs were tested in a cancer population. Network meta-analyses were used on the selected studies to rank the reduction in depression and anxiety symptoms compared with usual care.

Results

A total of 182 studies which involved 16,835 participants were included. The network meta-analysis showed a statistically significant large effect compared with usual care for biofeedback (standardised mean difference, SMD = -1.18, p = 0.038), spiritual interventions (SMD = -0.98, p = 0.047), and mindfulness-based interventions (MBIs; SMD = -0.87, p < 0.001) for depression symptoms and yoga (SMD = -1.13, p < 0.001), MBIs (SMD = -1.02, p < 0.001), physical relaxation (SMD = -0.93, p < 0.001), qigong/Tai Chi (QTC; SMD = -0.90, p = 0.004) and music therapy (SMD = -0.90, p < 0.001) for anxiety symptoms.

Conclusions

The MBTs that should be prioritised are biofeedback, spiritual interventions, and MBIs for depression symptoms and yoga, MBIs, physical relaxation, QTC, and music therapy for anxiety symptoms in people with cancer.