Mediators of a coping and communication-enhancing intervention and a supportive counseling intervention among women diagnosed with gynecological cancers.
Open accessAbstract
The authors evaluated mechanisms of change for a coping and communication-enhancing intervention (CCI) and supportive counseling (SC). They proposed that the effects of CCI on depressive symptoms would be mediated by psychological processes targeted by CCI, namely increases in the following: positive reappraisal, acceptance, planful problem solving, attempts to understand emotional reactions to cancer, emotional expression, seeking of emotional and instrumental support, and self-esteem. The authors hypothesized that the effects of SC on depressive symptoms would be mediated by the processes encouraged by SC, in this case increases in the following: expression of emotions, attempts to understand emotional reactions to cancer, and self-esteem. Three hundred fifty-three women were randomized to a CCI, SC, or usual care control group and completed measures at preintervention and 3, 6, and 9 months later. The effects of CCI were fully mediated by positive reappraisal, problem solving, and self-esteem and partially mediated by emotional expression. The effects of SC were partially mediated by positive reappraisal. These findings provide support for hypothesized mediators for CCI. The authors were less able to identify mediators for SC. Future research might benefit from identifying SC mediators.
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Particularly well-supported change processes from newer forms of CBT include cognitive defusion and non-reactivity.
“Particularly well-supported change processes from newer forms of CBT include cognitive defusion 74 (which is the ability to experience thoughts with a sense of distance from them, so as to diminish their automatic behavioral impact) and non-reactivity 75,76 (which is allowing cognitive or other experiences to come and go without reacting in an effort to change them).”
From “Third-wave” cognitive and behavioral therapies and the emergence of a process-based approach to intervention in psychiatry (2021) · cites this paper as [76]
The Methods section measures acceptance of cancer-related events, not non-reactivity to thoughts or other experiences. The Discussion reports that acceptance did not mediate the intervention’s effects; neither that section nor the passages retrieved for non-reactivity and related terms address whether non-reactivity is a well-supported change process. (LLM, conf=0.75)
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- Authors
- Manne, S. L., Winkel, G., Rubin, S., Edelson, M., Rosenblum, N., Bergman, C., Hernandez, E., Carlson, J., & Rocereto, T.
- Affiliations
- Fox Chase Cancer Center (US)
- City University of New York (US)
- University of Pennsylvania (US)
- Thomas Jefferson University (US)
- Drexel University (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2008
- Volume
- 76
- Issue
- 6
- Pages
- 1034-1045
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC2710766
- OpenAlex
- W2066547945
- Cited by
- 36
- References
- 46
- Citations by year
- 2026: 2 · 2025: 2 · 2021: 2 · 2019: 3 · 2018: 5 · 2016: 1 · 2015: 3 · 2014: 2 · 2013: 4 · 2012: 5
- FWCI
- 1.23
- 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
- National Cancer Institute (CA85066; CA006927)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- gynecologic cancer, women with cancer, coping interventions, supportive counseling, depressive symptoms, mechanisms of change, mediation analysis, positive reappraisal, problem solving, self-esteem, emotional expression, social support seeking
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Communication, Counseling, Depression, Female, Genital Neoplasms, Female, Humans, Middle Aged, Problem Solving, Surveys and Questionnaires, Speech Therapy, Models, Statistical, Young Adult
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