612P Efficacy of dance-based interventions on psychosocial outcomes and fatigue in breast cancer survivors: A systematic review and meta-analysis

Background: Patients with cancer experience various psychological challenges due to their disease and long-term treatment processes.In recent years, narrative interventions have become increasingly common.Although the number of studies is increasing, evidence regarding the effectiveness of interventions remains limited.This systematic review and meta-analysis aim to examine the effects of narrative interventions on the psychological outcomes of patients with cancer.Methods: Seven databases were searched without any year restrictions.The CMA was used for the analysis, and the random effects model was used to determine the effects of narrative interventions.The Cochrane Risk of Bias tool RoB2 is used for assessing the risk of bias.The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was utilized in reporting the study.The study protocol has been registered in the PROSPERO database. Results:Eleven randomized controlled studies included in the meta-analysis were conducted between 2011 and 2025 in China, the United States of America, and Spain.The studies found a significantly higher effect on anxiety (Hedge's g= -2.396, 95% CI: -3.845 to -0.947, p=0.001), depression (Hedge's g= -1.473, 95% CI: -2.493 to -0.452, p=0.005), psychological resilience (Hedge's g= 1.430, 95% CI: 0.695 to 2.165, p< 0.001), self-efficacy (Hedge's g= 1.595, 95% CI: 1.024 to 2.165, p< 0.001), sleep quality (Hedge's g=1.292, 95% CI: 0.537 to 2.048, p=0.001), and quality of life (Hedge's g=1.216, 95% CI: 0.714 to 1.718, p<0.001) in the intervention group compared to the control group.In terms of psychological outcomes, and have not been effective in reducing the fear of cancer recurrence (Hedge's g= -0.915, 95% CI : -2.499 to 0.669, p=0.257). Conclusions:The findings of this systematic review and meta-analysis indicated that narrative interventions were effective in decreasing anxiety and depression, improving psychological resilience, self-efficacy, sleep quality, and quality of life in patients with cancer.The results of our study strengthen the current literature by synthesizing the effects of narrative interventions on the psychological outcomes of patients with cancer.