Treatment of depressive symptoms in patients with breast cancer: A randomized controlled trial comparing cognitive therapy and bright light therapy
| Autor: | Hans Ivers, Caroline Desautels, Aude Caplette-Gingras, Marie-Hélène Savard, Josée Savard |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent medicine.medical_treatment Breast Neoplasms Context (language use) Hospital Anxiety and Depression Scale law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Breast cancer Randomized controlled trial Rating scale law Internal medicine medicine Humans Applied Psychology Depression (differential diagnoses) Aged Cognitive Behavioral Therapy Depression business.industry Middle Aged Phototherapy medicine.disease 3. Good health Cognitive behavioral therapy Psychiatry and Mental health Treatment Outcome 030220 oncology & carcinogenesis Cognitive therapy Physical therapy Female business 030217 neurology & neurosurgery |
| Zdroj: | Health Psychology. 37:1-13 |
| ISSN: | 1930-7810 0278-6133 |
| Popis: | Objective This randomized controlled trial (RCT), conducted in patients with breast cancer, aimed to compare the effects of cognitive therapy (CT), bright light therapy (BLT), and a waiting-list control condition (WLC) on depressive symptoms. Method Sixty-two women were randomly assigned to an 8-week CT (n = 25), BLT (n = 26), or WLC (n = 11). Participants completed the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D), the Beck Depression Inventory-II (BDI-II), and the Hamilton Depression Rating Scale (HDRS) at pre- and posttreatment (and postwaiting for WLC), as well as 3 and 6 months later. Results At posttreatment, CT patients had a significantly greater reduction of depressive symptoms than WLC on the HADS-D and the BDI-II. BLT patients had a greater reduction of depressive symptoms than WLC on the HADS-D only. After WLC participants were reassigned to CT or BLT, a superiority of CT over BLT was found on the BDI-II at posttreatment. Patients of both active conditions showed a good sustainment of treatment gains at follow-ups. Conclusions Although replication with larger samples is needed, these results confirm the efficacy of CT for depression in the context of breast cancer and suggest that BLT could be of some utility when CT is not available or desired. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
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