Does the Broaden-and-Build Theory Explain Reduction in Social Disruption After a Brief Relaxation Intervention for Women With Breast Cancer Undergoing Treatment?

Autor: Fisher HM; Duke University Medical Center. Electronic address: hannah.fisher@duke.edu., Taub CJ; Northwestern University Feinberg School of Medicine., Lechner SC; Research Advisor LLC, Hallandale Beach, FL., Heller AS; University of Miami; Sylvester Cancer Center, University of Miami Miller School of Medicine., Lee DJ; University of Miami Miller School of Medicine., Antoni MH; University of Miami; Sylvester Cancer Center, University of Miami Miller School of Medicine.
Jazyk: angličtina
Zdroj: Behavior therapy [Behav Ther] 2022 Sep; Vol. 53 (5), pp. 995-1008. Date of Electronic Publication: 2022 Apr 19.
DOI: 10.1016/j.beth.2022.04.002
Abstrakt: Women with breast cancer experience social disruption during and after treatment. Brief cognitive-behavioral (CBT) and relaxation (RT) interventions may improve social disruption by increasing positive affect. Using the Broaden-and-Build Theory as a framework, this study examined whether short-term CBT- and RT-related increases in positive affect mediate long-term reductions in social disruption in women with breast cancer undergoing treatment (N = 183). This secondary analysis used latent change score and growth models to test 6- and 12-month intervention effects on positive affect and social disruption, respectively; a parallel-process model assessed mediation. RT demonstrated larger reductions in social disruption across 12 months compared to CBT and a health education control. Six-month latent change in positive affect was significant but not driven by condition. There was a significant direct effect linking the latent slopes of positive affect and social disruption but meditation was not observed. These preliminary findings hint at the value of promoting positive affect and inform the development of brief behavioral interventions that aim to augment social functioning among women surviving breast cancer.
Competing Interests: Conflict of Interest Statement Michael Antoni, Ph.D. reports receiving royalties from a book on stress management and breast cancer. The other authors have no relevant financial or non-financial interests to disclose.
(Copyright © 2022. Published by Elsevier Ltd.)
Databáze: MEDLINE
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