{"id":"https://openalex.org/W7141449876","doi":"https://doi.org/10.1016/j.ctim.2026.103375","title":"Cognitive-behavioral therapy with abdominal breathing and music therapy for anxiety, depression, and well-being in glioma patients undergoing chemotherapy: A factorial design analysis","display_name":"Cognitive-behavioral therapy with abdominal breathing and music therapy for anxiety, depression, and well-being in glioma patients undergoing chemotherapy: A factorial design analysis","publication_year":2026,"publication_date":"2026-03-28","ids":{"openalex":"https://openalex.org/W7141449876","doi":"https://doi.org/10.1016/j.ctim.2026.103375","pmid":"https://pubmed.ncbi.nlm.nih.gov/41905675"},"language":"en","primary_location":{"id":"doi:10.1016/j.ctim.2026.103375","doi":"https://doi.org/10.1016/j.ctim.2026.103375","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ctim.2026.103375","pdf_url":null,"source":{"id":"https://openalex.org/S7715451","display_name":"Complementary Therapies in Medicine","issn_l":"0965-2299","issn":["0965-2299","1873-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Complementary Therapies in Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.ctim.2026.103375","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Chi Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210133534","display_name":"Henan Provincial People's Hospital","ror":"https://ror.org/03f72zw41","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210133534"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Chi Zhang","raw_affiliation_strings":["Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 453000, China. Electronic address: zhangchiluck@163.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 453000, China. Electronic address: zhangchiluck@163.com","institution_ids":["https://openalex.org/I4210133534"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130770087","display_name":"Haixin Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210133534","display_name":"Henan Provincial People's Hospital","ror":"https://ror.org/03f72zw41","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210133534"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Haixin Zhang","raw_affiliation_strings":["Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 453000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 453000, China","institution_ids":["https://openalex.org/I4210133534"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130801106","display_name":"Lulu Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210133534","display_name":"Henan Provincial People's Hospital","ror":"https://ror.org/03f72zw41","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210133534"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lulu Li","raw_affiliation_strings":["Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 453000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 453000, China","institution_ids":["https://openalex.org/I4210133534"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130740948","display_name":"Jian Xu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210133534","display_name":"Henan Provincial People's Hospital","ror":"https://ror.org/03f72zw41","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210133534"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jian Xu","raw_affiliation_strings":["Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 453000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 453000, China","institution_ids":["https://openalex.org/I4210133534"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083199500","display_name":"Yingpu Feng","orcid":"https://orcid.org/0009-0005-0693-1150","observed_orcids":["https://orcid.org/0009-0005-0693-1150"]},"institutions":[{"id":"https://openalex.org/I4210133534","display_name":"Henan Provincial People's Hospital","ror":"https://ror.org/03f72zw41","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210133534"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yingpu Feng","raw_affiliation_strings":["Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 453000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 453000, China","institution_ids":["https://openalex.org/I4210133534"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210133534"],"apc_list":{"value":2760,"currency":"USD","value_usd":2760},"apc_paid":{"value":2760,"currency":"USD","value_usd":2760},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.16584896,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"98","issue":null,"first_page":"103375","last_page":"103375"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.7490000128746033,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.7490000128746033,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11768","display_name":"Music Therapy and Health","score":0.24889999628067017,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12372","display_name":"Art Therapy and Mental Health","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/1206","display_name":"Conservation"},"field":{"id":"https://openalex.org/fields/12","display_name":"Arts and Humanities"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cognitive-behavioral-therapy","display_name":"cognitive behavioral therapy","score":0.9950000047683716},{"id":"https://openalex.org/keywords/music-therapy","display_name":"music therapy","score":1.0},{"id":"https://openalex.org/keywords/glioma","display_name":"glioma","score":0.949999988079071},{"id":"https://openalex.org/keywords/chemotherapy","display_name":"chemotherapy","score":0.8799999952316284},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.9570000171661377},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":1.0},{"id":"https://openalex.org/keywords/subjective-well-being","display_name":"subjective well-being","score":0.9909999966621399},{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"psychological intervention","score":0.4650000035762787},{"id":"https://openalex.org/keywords/cancer-patients","display_name":"cancer patients","score":0.4440000057220459}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9829000234603882},{"id":"https://openalex.org/C2779284498","wikidata":"https://www.wikidata.org/wiki/Q209642","display_name":"Music therapy","level":2,"score":0.527999997138977},{"id":"https://openalex.org/C2778227246","wikidata":"https://www.wikidata.org/wiki/Q1365309","display_name":"Glioma","level":2,"score":0.4968000054359436},{"id":"https://openalex.org/C39300077","wikidata":"https://www.wikidata.org/wiki/Q9530","display_name":"Breathing","level":2,"score":0.4869999885559082},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.4442000091075897},{"id":"https://openalex.org/C2909060799","wikidata":"https://www.wikidata.org/wiki/Q9530","display_name":"Breathing exercises","level":2,"score":0.414900004863739},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.3921999931335449},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.37860000133514404},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3783999979496002},{"id":"https://openalex.org/C169222746","wikidata":"https://www.wikidata.org/wiki/Q4116558","display_name":"Factorial experiment","level":2,"score":0.3562000095844269},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3427000045776367},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.29899999499320984},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2930000126361847},{"id":"https://openalex.org/C20463939","wikidata":"https://www.wikidata.org/wiki/Q811123","display_name":"Diaphragmatic breathing","level":3,"score":0.27219998836517334},{"id":"https://openalex.org/C2986548036","wikidata":"https://www.wikidata.org/wiki/Q726474","display_name":"Factorial analysis","level":2,"score":0.2709999978542328}],"mesh":[{"descriptor_ui":"D000092862","descriptor_name":"Psychological Well-Being","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001007","descriptor_name":"Anxiety","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D001945","descriptor_name":"Breathing Exercises","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005910","descriptor_name":"Glioma","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D005910","descriptor_name":"Glioma","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D005910","descriptor_name":"Glioma","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009147","descriptor_name":"Music Therapy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D015928","descriptor_name":"Cognitive Behavioral Therapy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.ctim.2026.103375","doi":"https://doi.org/10.1016/j.ctim.2026.103375","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ctim.2026.103375","pdf_url":null,"source":{"id":"https://openalex.org/S7715451","display_name":"Complementary Therapies in Medicine","issn_l":"0965-2299","issn":["0965-2299","1873-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Complementary Therapies in Medicine","raw_type":"journal-article"},{"id":"pmid:41905675","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41905675","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Complementary therapies in medicine","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:5e954e07ba8c4889a89d78f885dc52d2","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/5e954e07ba8c4889a89d78f885dc52d2","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Complementary Therapies in Medicine, Vol 98, Iss , Pp 103375- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.ctim.2026.103375","doi":"https://doi.org/10.1016/j.ctim.2026.103375","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ctim.2026.103375","pdf_url":null,"source":{"id":"https://openalex.org/S7715451","display_name":"Complementary Therapies in Medicine","issn_l":"0965-2299","issn":["0965-2299","1873-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Complementary Therapies in Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W1534497265","https://openalex.org/W1969547130","https://openalex.org/W1979494212","https://openalex.org/W2036735145","https://openalex.org/W2067248665","https://openalex.org/W2513562188","https://openalex.org/W2621012322","https://openalex.org/W2889223427","https://openalex.org/W3022507370","https://openalex.org/W3105716709","https://openalex.org/W3109759816","https://openalex.org/W3204339337","https://openalex.org/W3216414976","https://openalex.org/W4221011962","https://openalex.org/W4225383678","https://openalex.org/W4293067951","https://openalex.org/W4387329303","https://openalex.org/W4402312414","https://openalex.org/W4403824274","https://openalex.org/W4404900506","https://openalex.org/W4412728246"],"related_works":["https://openalex.org/W4408728441","https://openalex.org/W3032302005","https://openalex.org/W3133575284","https://openalex.org/W6957966257","https://openalex.org/W4416140802","https://openalex.org/W7204570975","https://openalex.org/W4388286183","https://openalex.org/W4384656200","https://openalex.org/W2361183217","https://openalex.org/W3029732671"],"abstract_inverted_index":{"OBJECTIVE:":[0],"This":[1],"study":[2,116],"evaluated":[3],"the":[4,91,106,110,125,135,168,189,209],"effects":[5],"of":[6,232],"cognitive-behavioral":[7],"therapy":[8,18],"(CBT)":[9],"combined":[10,73,130,169,201,214],"with":[11,208,215,236],"abdominal":[12],"breathing":[13],"training":[14],"(ABT)":[15],"and/or":[16],"music":[17],"(MT)":[19],"on":[20],"negative":[21],"emotions":[22],"and":[23,72,85,100,108,121,129,139,149,155,161,200,223,234],"subjective":[24,86,240],"well-being":[25,87,185,254],"in":[26,124,188,225,255],"glioma":[27,226],"patients":[28,33,227],"undergoing":[29,228],"chemotherapy.":[30,229],"METHODS:":[31],"Glioma":[32],"receiving":[34],"first-time":[35],"chemotherapy":[36,112],"at":[37,251],"Henan":[38],"Provincial":[39],"People's":[40],"Hospital":[41],"from":[42],"January":[43],"2022":[44],"to":[45,54,134],"December":[46],"2023":[47],"were":[48,51,88],"enrolled.":[49],"Participants":[50],"randomly":[52],"assigned":[53],"control":[55,136,210],"(routine":[56,59,66,74],"nursing),":[57],"ABT":[58,79,216,233],"nursing":[60,67,75],"+":[61,63,68,70,76,78,80],"CBT":[62,69,77,213,237],"ABT),":[64],"MT":[65,218,235],"MT),":[71],"MT)":[81],"groups.":[82],"Anxiety,":[83],"depression,":[84],"assessed":[89],"using":[90],"Self-Rating":[92,96],"Anxiety":[93],"Scale":[94,98,103],"(SAS),":[95],"Depression":[97],"(SDS),":[99],"General":[101],"Well-being":[102],"(GWBS)":[104],"after":[105,109],"first":[107],"fourth":[111],"cycles.":[113],"RESULTS:":[114],"The":[115,230],"included":[117],"43,":[118],"45,":[119],"44,":[120],"42":[122],"participants":[123],"control,":[126],"ABT,":[127],"MT,":[128],"groups,":[131],"respectively.":[132],"Compared":[133],"group,":[137],"CBT+MT":[138,190],"CBT+ABT":[140,195],"interventions":[141,249],"significantly":[142,173,186,238],"reduced":[143],"anxiety":[144,175,222],"(-16.90%,":[145],"P":[146,151,158,163,192,197,203],"<":[147,159,164,193,198],"0.001,":[148,160,165],"-22.90%,":[150],"=":[152,177,182,204],"0.003,":[153],"respectively)":[154],"depression":[156,180,224],"(-20.52%,":[157],"-14.00%,":[162],"respectively).":[166],"However,":[167],"intervention":[170],"did":[171],"not":[172],"reduce":[174],"(P":[176,181],"0.486)":[178],"or":[179,217],"0.313).":[183],"Subjective":[184],"improved":[187,239],"(+25.26%,":[191],"0.001),":[194,199],"(+25.92%,":[196],"(+34.50%,":[202],"0.009)":[205],"groups":[206],"compared":[207],"group.":[211],"CONCLUSIONS:":[212],"may":[219],"effectively":[220],"alleviate":[221],"combination":[231],"well-being.":[241],"These":[242],"findings":[243],"provide":[244],"a":[245],"reference":[246],"for":[247],"clinical":[248],"aimed":[250],"enhancing":[252],"emotional":[253],"this":[256],"patient":[257],"population.":[258]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-03-28T00:00:00"}
