Cognitive Behavioral Stress Management intervention in Mexican colorectal cancer patients: Pilot study.

Autor: Acevedo-Ibarra JN; Universidad Autónoma de Nuevo León, Faculty of Psychology, Monterrey, México.; UMAE Hospital de Especialidades No. 25, Centro Médico Nacional del Noreste, Instituto Mexicano del Seguro Social, Department of Oncology, Monterrey, México., Juárez-García DM; Universidad Autónoma de Nuevo León, Faculty of Psychology, Monterrey, México., Espinoza-Velazco A; UMAE Hospital de Especialidades No. 25, Centro Médico Nacional del Noreste, Instituto Mexicano del Seguro Social, Department of Oncology, Monterrey, México., Buenaventura-Cisneros S; UMAE Hospital de Especialidades No. 25, Centro Médico Nacional del Noreste, Instituto Mexicano del Seguro Social, Department of Oncology, Monterrey, México.
Jazyk: angličtina
Zdroj: Psycho-oncology [Psychooncology] 2019 Jul; Vol. 28 (7), pp. 1445-1452. Date of Electronic Publication: 2019 May 03.
DOI: 10.1002/pon.5094
Abstrakt: Objective: Determine the feasibility and the preliminary effects of brief cognitive behavioral stress management (CBSM) intervention, compared with psychoeducation (PE) group in posttraumatic stress, distress, optimism, and quality of life in patients with colorectal cancer.
Methods: Ninety-four patients were randomized: 40 in CBSM intervention and 54 in PE. They answered psychological questionnaires before and after the intervention and 3 months later for follow-up.
Results: Of the included participants, 23.40% (22) completed the sessions (11 in each group). A significant effect was obtained in the variable of optimism F 2,28  = 4.0, P = 0.03, ƞ 2 p  = 0.22 and a significant interaction effect between the groups in the avoidance behavior F 2,28  = 6.0, P = 0.01, ƞ 2 p  = 0.30 and hyperactivation F 2,30  = 3.91, P = 0.03, ƞ 2 p  = 0.20, with a large effect size in both. A significant interaction effect was found in the quality of life symptoms subscale for patients with colorectal cancer with a stoma F 3,20  = 21.8, P = 0.00, ƞ 2 p  = 0.68.
Conclusions: The CBSM intervention and PE are feasible therapies, albeit with some modifications. Preliminary effects are observed in the dimensions of posttraumatic stress and symptoms of quality of life.
(© 2019 John Wiley & Sons, Ltd.)
Databáze: MEDLINE
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