Happy thus survivor? A systematic review and meta‐analysis on the association between cancer survival and positive states, emotions, and traits

Objectives Traditionally, the literature investigating patient‐reported outcomes in relation to cancer survival focused on negative factors such as distress. Meta‐analyses in this field have provided a clear identification of negative affect that reduce cancer survival (e.g., depression). Neverthele...

Full description

Saved in:
Bibliographic Details
Published in:Psycho-oncology (Chichester, England) England), 2023-11, Vol.32 (11), p.1631-1643
Main Authors: Fontesse, Sullivan, Fournier, Valentyn, Gérain, Pierre, Dassonneville, Charlotte, Lelorain, Sophie, Duprez, Christelle, Christophe, Véronique, Piessen, Guillaume, Grynberg, Delphine
Format: Article
Language:English
Subjects:
Analysis
Cancer
Cognitive science
Emotions
Extraction
Life expectancy
Medical prognosis
Meta-analysis
Mortality
Negative emotions
Optimism
positive affect
Positive emotions
Psychological aspects
Psychological distress
psycho‐oncology
Risk assessment
survival
Survivor
Systematic review
Well being
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives Traditionally, the literature investigating patient‐reported outcomes in relation to cancer survival focused on negative factors such as distress. Meta‐analyses in this field have provided a clear identification of negative affect that reduce cancer survival (e.g., depression). Nevertheless, positive psychological factors and especially positive affect might be equally crucial for cancer survival but have been neglected so far. While studies in this domain have been conducted, they remain less numerous and have produced mixed results. Methods A pre‐registered systematic review and meta‐analysis (https://osf.io/jtw7x) aimed at identifying the positive affect linked to mortality in cancers were conducted. Four databases (Pubmed, PsycINFO, Embase, and Cochrane Library) were searched to find longitudinal studies linking positive affect to survival in cancers. Two reviewers completed each stage of the study selection process, the data extraction, and the Quality in Prognosis Studies risk of bias assessments. Results Twenty‐four studies involving 822,789 patients were included based on the 2462 references identified. The meta‐analysis reveals that positive affect is associated with longer survival (Hazard Ratio [HR] = 0.91; 95% CI [0.86, 0.96], z = −3.58, p 
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.6224