乳腺癌（BC）诊断和治疗的副作用极大地影响患有该疾病的妇女的日常生活，并带来相关的心理和认知后果。多项研究已经报道了接受BC诊断的心理影响。此外，接受抗癌治疗的女性可能会出现认知障碍，这是治疗的副作用。这些患者接受认知康复和心理治疗的资源通常受到限制；育龄妇女经常遇到完成需要进入护理机构的康复计划的困难。远程医疗利用信息和通信技术提供医疗服务，是克服这些限制的有用工具。特别是，远程医疗可能是保证BC患者得到认知康复、心理支持和恢复的最佳途径。以前的研究已经回顾了使用远程医疗改善BC患者心理健康的情况，少数已经研究了远程康复对认知缺陷的影响。本研究系统地回顾了远程医疗对BC患者认知和心理影响的证据。当前的证据表明，远程医疗可能是管理乳腺癌患者某些心理问题的有希望的工具，但需要进行更多的对照研究来阐明其有效性，尤其是对于认知缺陷。结果还讨论了可能调节治疗的副作用和干预效果的中介和调节因素。

The diagnosis and side effects of breast cancer (BC) treatments greatly affect the everyday lives of women suffering from this disease, with relevant psychological and cognitive consequences. Several studies have reported the psychological effects of receiving a diagnosis of BC. Moreover, women undergoing anticancer therapies may exhibit cognitive impairment as a side effect of the treatments. The access to cognitive rehabilitation and psychological treatment for these patients is often limited by resources; women of childbearing age often encounter difficulties in completing rehabilitation programs requiring access to care institutions. Telemedicine, which provides health services using information and communication technologies, is a useful tool to overcome these limitations. In particular, telemedicine may represent an optimal way to guarantee cognitive rehabilitation, psychological support, and recovery to BC patients. Previous studies have reviewed the use of telemedicine to improve psychological well-being in BC patients, and a few have investigated the effect of telerehabilitation on cognitive deficits. This study systematically reviewed the evidence on the cognitive and psychological effects of telemedicine in BC patients. Current evidence suggests that telemedicine may represent a promising tool for the management of some psychological problems experienced by breast cancer patients, but more controlled studies are needed to clarify its effectiveness, especially for cognitive deficits. The results are also discussed in light of the intervening and modulating factors that may mediate both side effect occurrence and the success of the interventions.