{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:27:53Z","timestamp":1783110473290,"version":"3.54.6"},"reference-count":61,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients with cancer often experience psychological distress, which can reduce resilience, increase anxiety, and depression. Resilience\u2010focused psychological interventions have been increasingly implemented; however, their comparative effectiveness remains unclear, as existing evidence is largely limited to pairwise comparisons. This study aimed to compare and rank the effectiveness of resilience\u2010focused psychological interventions on resilience, anxiety, and depression among adults with cancer using a network meta analysis of randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search of seven databases (CINAHL, Embase, MEDLINE Ovid, PubMed, Scopus, Web of Science, and Cochrane) was conducted from inception to December 2025. A frequentist random\u2010effects network meta\u2010analysis was performed using the netmeta package in R. Effectiveness was evaluated using standardized mean differences (SMDs) with 95% confidence intervals (CIs), prediction intervals, P\u2010scores, and certainty of evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010six randomized controlled trials involving 2159 adults with cancer were included. Cognitive behavioral therapy (CBT) demonstrated the largest improvement in resilience (SMD\u00a0=\u00a01.14; 95% CI: 0.80, 1.48), followed by positive psychology interventions (SMD\u00a0=\u00a00.79; 95% CI: 0.56, 1.03) and Acceptance and Commitment Therapy (ACT) (SMD\u00a0=\u00a00.70; 95% CI: 0.04, 1.35). For anxiety, ACT (SMD\u00a0=\u00a0\u22120.97; 95% CI: \u22121.85, \u22120.10) and CBT (SMD\u00a0=\u00a0\u22120.73; 95% CI: \u22121.19, \u22120.27) showed the largest average reductions. For depression, CBT (SMD\u00a0=\u00a0\u22120.61; 95% CI: \u22120.97, \u22120.25) and positive psychology (SMD\u00a0=\u00a0\u22120.55; 95% CI: \u22120.89 to \u22120.20) were significant symptom reductions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Resilience\u2010focused psychological interventions were effective, with CBT showing the most consistent benefits, followed by positive psychology interventions and ACT. These findings support integrating resilience\u2010based interventions into oncology care to improve psychological well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70499","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T16:45:43Z","timestamp":1780505143000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Effectiveness of Resilience\u2010Focused Psychological Interventions on Resilience, Anxiety, and Depression in Patients With Cancer: A Network Meta\u2010Analysis of Randomized Controlled Trials"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1703-7825","authenticated-orcid":false,"given":"Fitria Endah","family":"Janitra","sequence":"first","affiliation":[{"name":"School of Nursing College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Faculty of Nursing Universitas Islam Sultan Agung  Semarang Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien\u2010Mei","family":"Sung","sequence":"additional","affiliation":[{"name":"College of Nursing National Defense Medical University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai\u2010Jo","family":"Chiang","sequence":"additional","affiliation":[{"name":"School of Nursing College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"College of Nursing National Defense Medical University  Taipei Taiwan"},{"name":"Department of Nursing Tri\u2010Service General Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0649-430X","authenticated-orcid":false,"given":"Ruey","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Post\u2010Baccalaureate Program in Nursing College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Department of Nursing Taipei Medical University\u2010Shuang Ho Hospital  New Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan Adi","family":"Wibawa","sequence":"additional","affiliation":[{"name":"Department of Oncology Nursing Kariadi General Hospital  Semarang Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2683-0825","authenticated-orcid":false,"given":"Kondwani Joseph","family":"Banda","sequence":"additional","affiliation":[{"name":"School of Nursing College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Endoscopy Unit Department of Surgery Kamuzu Central Hospital Ministry of Health  Lilongwe Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidayat","family":"Arifin","sequence":"additional","affiliation":[{"name":"Department of Medical\u2010Surgical Emergency, Disaster, and Critical Care Nursing Faculty of Nursing 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