Cognitive Behavioral Therapy dalam Menangani Gangguan Psikologis pada Pasien Kanker Payudara: A Narrative Literature Review

Penulis

  • Adhika Prasetio Psikologi, Fakultas Kedokteran, Universitas Udayana, Indonesia
  • Putu Nugrahaeni Widiasavitri Psikologi, Fakultas Kedokteran, Universitas Udayana, Indonesia

DOI:

https://doi.org/10.54082/jupin.2017

Kata Kunci:

CBT, Kanker Payudara, Kajian Literatur, Perempuan

Abstrak

Kanker payudara merupakan penyakit dengan prevalensi tinggi yang sering disertai gangguan psikologis seperti depresi, kecemasan, insomnia, gangguan citra tubuh, dan penurunan kualitas hidup, sehingga dibutuhkan intervensi psikologis yang efektif dan berbasis bukti. Artikel ini menyajikan literature review terhadap studi-studi terpublikasi dalam rentang 2015–2025 dengan menelusuri database ilmiah dan menerapkan kriteria inklusi–eksklusi terkait desain penelitian, populasi, bentuk intervensi, serta luaran psikologis, hingga diperoleh delapan studi yang memenuhi syarat. Hasil sintesis menunjukkan bahwa Cognitive Behavioral Therapy (CBT), baik dalam format kelompok, individual, digital, maupun model kombinasi, secara konsisten memberikan perbaikan signifikan pada depresi, kecemasan, stres, kualitas tidur, dan citra tubuh, meskipun efektivitasnya bervariasi menurut durasi dan struktur intervensi. Temuan ini menegaskan bahwa CBT merupakan intervensi psikoterapi berbasis bukti yang menjanjikan bagi perempuan dengan kanker payudara, namun keberagaman metode antar studi menegaskan perlunya penelitian lebih lanjut dengan desain yang lebih kuat dan terstandarisasi.

Referensi

Akkol‐Solakoglu, S., & Hevey, D. (2023). Internet‐delivered cognitive behavioural therapy for depression and anxiety in breast cancer survivors: Results from a randomised controlled trial. Psycho‐Oncology, 32(3), 446–456. https://doi.org/10.1002/pon.6101

Aisy, R. (2020). Insomnia pada penderita kanker payudara yang sedang menjalani kemoterapi. Jurnal Medika: Karya Ilmiah Kesehatan, 5(1). https://doi.org/10.35728/jmkik.v5i1.126

Arikan, F., Korukcu, O., Kucukcakal, A., & Coskun, H. S. (2020). Determination of self-efficacy, body image and sexual adjustment of women with breast cancer. European Journal of Breast Health, 16(4), 282–289. https://doi.org/10.5152/ejbh.2020.5188

Bateni Moghadam, N., Heidari, H., Zare Bahram Abadi, M., & Hamidi Pour, R. (2023). Evaluating the effectiveness of cognitive-behavioral therapy on disease perception, body image and fear of cancer recurrence in women with breast cancer. Journal of Health Reports and Technology, 9(2). https://doi.org/10.5812/jhrt-136699

Beck, J. S., & Fleming, S. (2021). A brief history of Aaron T. Beck, MD, and cognitive behavior therapy. Clinical Psychology in Europe, 3(2), e6701. https://doi.org/10.32872/cpe.6701

Bhattacharya, S., Goicoechea, C., Heshmati, S., Carpenter, J. K., & Hofmann, S. G. (2023). Efficacy of cognitive behavioral therapy for anxiety-related disorders: A meta-analysis of recent literature. Current Psychiatry Reports, 25(1), 19–30. https://doi.org/10.1007/s11920-022-01402-8

Biering, K., Frydenberg, M., Pappot, H., & Hjollund, N. H. (2020). The long-term course of fatigue following breast cancer diagnosis. Journal of Patient-Reported Outcomes, 4(1), 37. https://doi.org/10.1186/s41687-020-00187-9

Chand, S. P., Kuckel, D. P., & Huecker, M. R. (2023). Cognitive Behavior Therapy. In StatPearls. StatPearls Publishing.

Chhikara, B. S., & Parang, K. (2023). Global cancer statistics 2022: The trends projection analysis.

Civilotti, C., Acquadro Maran, D., Santagata, F., Varetto, A., & Stanizzo, M. R. (2020). The use of the Distress Thermometer and the Hospital Anxiety and Depression Scale for screening of anxiety and depression in Italian women newly diagnosed with breast cancer. Supportive Care in Cancer, 28(10), 4997–5004. https://doi.org/10.1007/s00520-020-05343-x

Elyasi, F., Taghizadeh, F., Zarghami, M., Moosazadeh, M., Abdollahi Chirani, S., & Babakhanian, M. (2021). Cognitive-behavioral therapy and hypnosis intervention on anxiety, depression, and quality of life in patients with breast cancer undergoing chemotherapy: A clinical trial. Middle East Journal of Cancer, 12(2), 236–248. https://doi.org/10.30476/mejc.2020.83225.1149

Getu, M. A., Chen, C., Panpan, W., Mboineki, J. F., Dhakal, K., & Du, R. (2021). The effect of cognitive behavioral therapy on the quality of life of breast cancer patients: A systematic review and meta-analysis of randomized controlled trials. Quality of Life Research, 30(2), 367–384. https://doi.org/10.1007/s11136-020-02665-5

Jelvehzadeh, F., Dogaheh, E. R., Bernstein, C., Shakiba, S., & Ranjbar, H. (2022). The effect of a group cognitive behavioral therapy on the quality of life and emotional disturbance of women with breast cancer. Supportive Care in Cancer, 30(1), 305–312. https://doi.org/10.1007/s00520-021-06421-4

Johns, S. A., Stutz, P. V., Talib, T. L., Cohee, A. A., Beck-Coon, K. A., Brown, L. F., … Giesler, R. B. (2020). Acceptance and commitment therapy for breast cancer survivors with fear of cancer recurrence: A 3-arm pilot randomized controlled trial. Cancer, 126(1), 211–218. https://doi.org/10.1002/cncr.32518

Mansouri, A., Javedani, M., Rezazadeh Yazd, S. A., Nikandish, M., Khataei, A., Atrian, A., Moradi, F., Moghbeli, N., & Seifi, Z. (2023). The Efficacy of Cognitive-Behavioral Group Therapy on Depression, Anxiety, and Pain-Coping Strategies in Women With Breast Cancer. Journal of Nervous and Mental Disease, 211(11). https://doi.org/10.1097/NMD.0000000000001713

Marthalila, E. P., Novieastari, E., Hargiana, G., & Gayatri, D. (2025). Cognitive Behavior Therapy untuk Mengatasi Masalah Psikologis Pasien Kanker. Jurnal Penelitian Kesehatan" SUARA FORIKES"(Journal of Health Research" Forikes Voice"), 16(1), 310-315. http://dx.doi.org/10.33846/sf16163

Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive–behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. BioPsychoSocial Medicine, 15(1), 16. https://doi.org/10.1186/s13030-021-00219-w

Nomiko, D. (2020). Faktor-faktor yang berhubungan dengan kualitas hidup pasien kanker payudara di RSUD Raden Mattaher Jambi. Jurnal Ilmiah Universitas Batanghari Jambi, 20(3), 990. https://doi.org/10.33087/jiubj.v20i3.1089

Savard, J., Ivers, H., Savard, M.-H., Morin, C. M., Caplette-Gingras, A., Bouchard, S., & Lacroix, G. (2021). Efficacy of a stepped care approach to deliver cognitive-behavioral therapy for insomnia in cancer patients: A noninferiority randomized controlled trial. Sleep, 44(11), zsab166. https://doi.org/10.1093/sleep/zsab166

Sheikhzadeh, M., Zanjani, Z., & Baari, A. (2021). Efficacy of mindfulness-based cognitive therapy and cognitive behavioral therapy for anxiety, depression, and fatigue in cancer patients: A randomized clinical trial. Iran Journal of Psychiatry, 16(3), 271–280.

Tisnasari, I. A. M. A. S., Nuraini, T., & Afiyanti, Y. (2022). Penerapan cognitive behaviour therapy pada pasien kanker. Journal of Telenursing (JOTING), 4(1), 177–187. https://doi.org/10.31539/joting.v4i1.3429

Utami, R. R., Iswinarti, I., & Djudiah, D. (2020). Membangun body image melalui Acceptance and Commitment Therapy (ACT) pada pasien kanker payudara. Jurnal Intervensi Psikologi (JIP), 12(1), 13–26.

World Health Organization. (2025, February 3). Cancer. https://www.who.int/news-room/fact-sheets/detail/cancer

Wang, A. W., Bouchard, L. C., Gudenkauf, L. M., Jutagir, D. R., Fisher, H. M., Jacobs, J. M., ... & Antoni, M. H. (2018). Differential psychological effects of cognitive-behavioral stress management among breast cancer patients with high and low initial cancer-specific distress. Journal of psychosomatic research, 113, 52-57. https://doi.org/10.1016/j.jpsychores.2018.07.011

Zachariae, R., Amidi, A., Damholdt, M. F., Clausen, C. D., Dahlgaard, J., Lord, H., ... & Ritterband, L. M. (2018). Internet-delivered cognitive-behavioral therapy for insomnia in breast cancer survivors: a randomized controlled trial. JNCI: Journal of the National Cancer Institute, 110(8), 880-887

Diterbitkan

28-11-2025

Cara Mengutip

Prasetio, A., & Widiasavitri, P. N. . (2025). Cognitive Behavioral Therapy dalam Menangani Gangguan Psikologis pada Pasien Kanker Payudara: A Narrative Literature Review. Jurnal Penelitian Inovatif, 5(4), 3287–3298. https://doi.org/10.54082/jupin.2017