Brief cognitive-behavioral and relaxation training interventions for breast cancer: A randomized controlled trial.

Autor:	Gudenkauf LM; Department of Psychology, University of Miami., Antoni MH; Department of Psychology, University of Miami., Stagl JM; Department of Psychology, University of Miami., Lechner SC; Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine., Jutagir DR; Department of Psychology, University of Miami., Bouchard LC; Department of Psychology, University of Miami., Blomberg BB; Sylvester Cancer Center, University of Miami Miller School of Medicine., Glück S; Celgene Corporation., Derhagopian RP; Baptist Health Breast Center., Giron GL; Baptist Health Breast Center., Avisar E; Sylvester Cancer Center, University of Miami Miller School of Medicine., Torres-Salichs MA; Breast Cancer Center of Miami., Carver CS; Department of Psychology, University of Miami.
Jazyk:	angličtina
Zdroj:	Journal of consulting and clinical psychology [J Consult Clin Psychol] 2015 Aug; Vol. 83 (4), pp. 677-688. Date of Electronic Publication: 2015 May 04.
DOI:	10.1037/ccp0000020
Abstrakt:	Objective: Women with breast cancer (BCa) report elevated distress postsurgery. Group-based cognitive-behavioral stress management (CBSM) following surgery improves psychological adaptation, though its key mechanisms remain speculative. This randomized controlled dismantling trial compared 2 interventions featuring elements thought to drive CBSM effects: a 5-week cognitive-behavioral training (CBT) and 5-week relaxation training (RT) versus a 5-week health education (HE) control group. Method: Women with stage 0-III BCa (N = 183) were randomized to CBT, RT, or HE condition 2-10 weeks postsurgery. Psychosocial measures were collected at baseline (T1) and postintervention (T2). Repeated-measures analyses of variance (ANOVAs) tested whether CBT and RT treatments improved primary measures of psychological adaptation and secondary measures of stress management resource perceptions from pre- to postintervention relative to HE. Results: Both CBT and RT groups reported reduced depressive affect. The CBT group reported improved emotional well-being/quality of life and less cancer-specific thought intrusions. The RT group reported improvements on illness-related social disruption. Regarding stress management resources, the CBT group reported increased reliability of social support networks, while the RT group reported increased confidence in relaxation skills. Psychological adaptation and stress management resource constructs were unchanged in the HE control group. Conclusions: Nonmetastatic breast cancer patients participating in 2 forms of brief, 5-week group-based stress management intervention after surgery showed improvements in psychological adaptation and stress management resources compared with an attention-matched control group. Findings provide preliminary support suggesting that using brief group-based stress management interventions may promote adaptation among nonmetastatic breast cancer patients. ((c) 2015 APA, all rights reserved).)
Databáze:	MEDLINE
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