Internet-Delivered Cognitive Behavioral Therapy and Psychoeducation Program for Patients with Gastrointestinal Stromal Tumors.

Autor: Carbajal-López EB; Psychology School, Fundación GIST Mexico, Universidad Autónoma de Nuevo León, Monterrey, Mexico., Juárez-García DM; Psychology School, Universidad Autónoma de Nuevo León, Monterrey, Mexico. dehisy_jg@yahoo.com.mx.; Health Psychology Unit, Center for Research and Development in Health Sciences, Universidad Autónoma de Nuevo León, Dr. Carlos Canseco s/n, Mitras Centro, 64460, Monterrey, NL, Mexico. dehisy_jg@yahoo.com.mx., Espinoza-Velazco A; UMAE High Specialty Hospital 25, Instituto Mexicano del Seguro Social, Monterrey, Mexico., Calderillo-Ruiz G; Instituto Nacional de Cancerología, Ciudad de México, Mexico.
Jazyk: angličtina
Zdroj: Journal of cancer education : the official journal of the American Association for Cancer Education [J Cancer Educ] 2022 Jun; Vol. 37 (3), pp. 668-674.
DOI: 10.1007/s13187-020-01866-3
Abstrakt: Gastrointestinal stromal tumors (GIST) account for 0.2-3% of all cancer diagnoses and are thus considered a rare type of cancer. Severe levels of fatigue occur in 33% of patients on imatinib, but besides treatment, fatigue is also associated with psychological distress. As far as we know, only one previous study has reported on the design of a psychoeducational intervention for caregivers and patients with GIST. The current study was conducted to compare the preliminary effectiveness of an Internet-delivered cognitive behavioral stress management intervention and psychoeducation program for anxiety, depression, fatigue, and quality of life in patients with gastrointestinal stromal tumors (GIST). This study had an experimental pre-test post-test design with a control group. Ninety-nine patients were randomly allocated to an Internet-delivered cognitive program (n = 50) or psychoeducation control group (n = 49). Participants completed the questionnaires at three time points (pre-test, post-test, and 3-month follow-up). Twenty-seven participants completed the intervention. A significant interaction effect between groups and time was found for general fatigue [F(2, 28) = 8.2, p < 0.001, ƞ 2 p  = 0.25], reduced motivation [F(2, 28) = 3.5, p < 0.05, ƞ 2 p  = 0.12], distress [F(2, 28) = 3.4, p < 0.05, ƞ 2 p  = 0.12], and global health status [F(2, 28) = 3.8, p < 0.05, ƞ 2 p  = 0.13]. Both intervention programs showed reductions in the dimensions of fatigue and improvements in distress and dimensions of quality of life. Additional research on a larger sample size is needed to confirm the effects obtained in this study.
(© 2020. American Association for Cancer Education.)
Databáze: MEDLINE
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