RCT of a psychological intervention for patients with cancer: I. Mechanisms of change.

Andersen, Barbara L.; Shelby, Rebecca A.; Golden-Kreutz, Deanna M.

doi:10.1037/0022-006x.75.6.927

Cited by 76Cancer survivorship and carePsychotherapy Techniques and ApplicationsMindfulness and Compassion Interventions

RCT of a psychological intervention for patients with cancer: I. Mechanisms of change.

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Andersen, Barbara L., Shelby, Rebecca A., Golden-Kreutz, Deanna M.·2007·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.75.6.927PMC PMC2441974

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Abstract

Little is known about the therapeutic processes contributing to efficacy of psychological interventions for patients with cancer. Data from a randomized clinical trial yielding robust biobehavioral and health effects (B. L. Andersen et al., 2004, 2007) were used to examine associations between process variables, treatment utilization, and outcomes. Novel findings emerged. Patients were highly satisfied with the treatment, but their higher levels of felt support (group cohesion) covaried with lower distress and fewer symptoms. Also, specific treatment strategies were associated with specific outcomes, including lower distress, improved dietary habits, reduced symptomatology, and higher chemotherapy dose intensity. These data provide a comprehensive test of multiple therapeutic processes and mechanisms for biobehavioral change with an intervention including both intensive and maintenance phases.

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Several specific cognitive behavioral strategies (e.g., relaxation) increased over time and may be correlated with and underlie clinical improvements.
“Several specific cognitive behavioral strategies (e.g., relaxation) increased over time and may be correlated with and underlie clinical improvements [37].”
From Novel patient-reported outcomes (PROs) used in a pilot and feasibility study of a Cognitive Behavioral Coping Skills (CBCS) group intervention for patients with chronic hepatitis C (2018) · cites this paper as [37]
The Results (page unavailable) associate use of several strategies, including relaxation, with reductions in symptoms and signs; the Discussion says relaxation practice likely contributed to reduced distress. However, the paper does not establish that use of several strategies increased over time: it assumes no technique use at baseline and examines use during the intervention. (LLM, conf=0.83)
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Authors: Andersen, B. L., Shelby, R. A., & Golden-Kreutz, D. M.
Affiliations: The Ohio State University (US)
ORCID: Andersen, Barbara L.
Shelby, Rebecca A.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2007
Volume: 75
Issue: 6
Pages: 927-938
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.75.6.927
PMC: PMC2441974
OpenAlex: W2034656913
Cited by: 76
References: 59
Citations by year: 2026: 2 · 2025: 3 · 2024: 2 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 4 · 2015: 5 · 2014: 4 · 2013: 2 · 2012: 15
FWCI: 3.20
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: American Cancer Society (PBR-89)
Longaberger Company--American Cancer Society (PBR-89A)
US Army Medical Research Acquisition Activity (DAMD17-94-J-4165; DAMD17-96-1-6294; DAMD17-97-1-7062)
National Institute of Mental Health (RO1MH51487)
National Cancer Institute (R01CA92704; K05 CA098133)
Ohio State University (P30 CA16058)
Walther Cancer Institute
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Keywords: psychological intervention, cancer patients, mechanisms of change, therapeutic process, treatment satisfaction, group cohesion, distress, symptom management, dietary habits, chemotherapy dose intensity, maintenance phase
MeSH terms: Adult, Aged, Aged, 80 and over, Breast Neoplasms, Major Depressive Disorder, Female, Humans, Middle Aged, Patient Compliance, Psychotherapy, Treatment Outcome

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