Psychoeducational and Psychological Distress Levels in Women with Breast Cancer : A Systematic Review


  • Dewi Mustikaningsih Doctoral Study Program of Medical and Health Sciences, Faculty of Medicine, Diponegoro University, Semarang, Central Java, 50275, Indonesia ; Department of Nursing, Faculty of Health Science, ‘Aisyiyah University Bandung, Bandung, West Java, 40264, Indonesia
  • Yan Wisnu Prajoko Doctoral Study Program of Medical and Health Sciences, Faculty of Medicine, Diponegoro University, Semarang, Central Java, 50275, Indonesia
  • Anggorowati Anggorowati Doctoral Study Program of Medical and Health Sciences, Faculty of Medicine, Diponegoro University, Semarang, Central Java, 50275, Indonesia
  • Angga Wilandika Department of Nursing, Faculty of Health Science, ‘Aisyiyah University Bandung, Bandung, West Java, 40264, Indonesia
  • Shella Febrita Puteri Utomo Department of Nursing, Faculty of Health Science, ‘Aisyiyah University Bandung, Bandung, West Java, 40264, Indonesia
  • Ridwan Maulana Alamsyah Department of Nursing, Faculty of Health Science, ‘Aisyiyah University Bandung, Bandung, West Java, 40264, Indonesia



Background: Psychoeducation has become a popular intervention for women who have been patients with breast cancer (BC). The effectiveness of psychoeducation on the psychological distress levels of patients with breast cancer was assessed in this systematic review comparison. The aim is a systematic review to assess the effects of psychoeducation on anxiety and depression in women with BC diagnoses. Methods: The Cochrane Library, Ebsco, Embase, and PubMed databases were used for RCT data collection, using various keyword combinations such as "psychoeducation," “breast cancer diagnosis," "anxiety," "depression," "psychological distress," and randomized controlled trial." Only papers focusing on interventions related to psychoeducation and psychological distress in patients with BC diagnoses were collected. Furthermore, the inclusion criteria include breast cancer women over 18 years of age who have had breast cancer diagnosis. The selected articles were all published between 2001 and 2022. Results: A total of 2,181 participants from fifteen RCTs (1,158 psychoeducation and 1,023 controls) were included. The risk of bias (ROB) study used the Joanna Briggs Institute (JBI) for RCT, with results in the 89.74% good category. Analysis data will describe characteristic studies, ROB, and outcome psychoeducation. Psychoeducation significantly decreased the psychological distress level associated with BC diagnosis when compared to controls. Conclusion: Psychoeducation has the potential to be used as an intervention to assist patients in their pathways of primary breast cancer treatment aftersurgery. It was discovered that psychoeducation lowers psychological distress, which benefits the patients.


Breast Cancer Diagnosis, Psychoeducational, Psychological Distress, Systematic Review


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How to Cite

Mustikaningsih, D., Wisnu Prajoko, Y., Anggorowati, A., Wilandika, A., Puteri Utomo, S. F. ., & Maulana Alamsyah, R. . (2024). Psychoeducational and Psychological Distress Levels in Women with Breast Cancer : A Systematic Review. The Malaysian Journal of Nursing (MJN), 15(4), 179-195.