Reduction of cancer-specific thought intrusions and anxiety symptoms with a stress management intervention among women undergoing treatment for breast cancer

被引:174
作者
Antoni, Michael H.
Wimberly, Sarah R.
Lechner, Suzanne C.
Kazi, Aisha
Sifre, Tammy
Urcuyo, Kenya R.
Phillips, Kristin
Smith, Roselyn G.
Petronis, Vida M.
Guellati, Sophie
Wells, Kurrie A.
Blomberg, Bonnie
Carver, Charles S.
机构
[1] Univ Miami, Dept Psychol, Coral Gables, FL 33124 USA
[2] Univ Miami, Sch Med, Sylvester Canc Ctr, Coral Gables, FL 33124 USA
关键词
D O I
10.1176/appi.ajp.163.10.1791
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: After surgery for breast cancer, many women experience anxiety relating to the cancer that can adversely affect quality of life and emotional functioning during the year postsurgery. Symptoms such as intrusive thoughts may be ameliorated during this period with a structured, group-based cognitive behavior intervention. Method: A 10-week group cognitive behavior stress management intervention that included anxiety reduction ( relaxation training), cognitive restructuring, and coping skills training was tested among 199 women newly treated for stage 0-111 breast cancer. They were then followed for 1 year after recruitment. Results: The intervention reduced reports of thought intrusion, interviewer ratings of anxiety, and emotional distress across 1 year significantly more than was seen with the control condition. The beneficial effects were maintained well past the completion of adjuvant therapy. Conclusions: Structured, group-based cognitive behavior stress management may ameliorate cancer-related anxiety during active medical treatment for breast cancer and for 1 year following treatment. Group-based cognitive behavior stress management is a clinically useful adjunct to offer to women treated for breast cancer.
引用
收藏
页码:1791 / 1797
页数:7
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