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Brief cognitive-behavioral and relaxation training interventions for breast cancer: a randomized controlled trial
Open accessAbstract
OBJECTIVE: Women with breast cancer (BCa) report elevated distress postsurgery. Group-based cognitive-behavioral stress management (CBSM) following surgery improves psychological adaptation, though its key mechanisms remain speculative. This randomized controlled dismantling trial compared 2 interventions featuring elements thought to drive CBSM effects: a 5-week cognitive-behavioral training (CBT) and 5-week relaxation training (RT) versus a 5-week health education (HE) control group. METHOD: Women with stage 0-III BCa (N = 183) were randomized to CBT, RT, or HE condition 2-10 weeks postsurgery. Psychosocial measures were collected at baseline (T1) and postintervention (T2). Repeated-measures analyses of variance (ANOVAs) tested whether CBT and RT treatments improved primary measures of psychological adaptation and secondary measures of stress management resource perceptions from pre- to postintervention relative to HE. RESULTS: Both CBT and RT groups reported reduced depressive affect. The CBT group reported improved emotional well-being/quality of life and less cancer-specific thought intrusions. The RT group reported improvements on illness-related social disruption. Regarding stress management resources, the CBT group reported increased reliability of social support networks, while the RT group reported increased confidence in relaxation skills. Psychological adaptation and stress management resource constructs were unchanged in the HE control group. CONCLUSIONS: Nonmetastatic breast cancer patients participating in 2 forms of brief, 5-week group-based stress management intervention after surgery showed improvements in psychological adaptation and stress management resources compared with an attention-matched control group. Findings provide preliminary support suggesting that using brief group-based stress management interventions may promote adaptation among nonmetastatic breast cancer patients.
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From Psychological interventions for women with non-metastatic breast cancer (2023) · cites this paper as Gudenkauf 2015
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“The parent study is powered to detect effect sizes consistent with the medium effect sizes generally observed in other studies of psychosocial interventions in cancer patients [34–39].”
From Living Well: Protocol for a web-based program to improve quality of life in rural and urban ovarian cancer survivors (2024) · cites this paper as [37]
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From Psychological interventions for women with non-metastatic breast cancer (2023) · cites this paper as Gudenkauf 2015
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“In studies not screening patients for enrollment, CBT plus BT (relaxation) 77,100 and education plus self-care 123 significantly improved depression.”
From Management of Anxiety and Depression in Adult Survivors of Cancer: ASCO Guideline Update (2023) · cites this paper as [77]
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“while other studies show several types of psychosocial interventions that can reduce fatigue, namely education on fatigue, self-care and coping techniques and activity management [81].”
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Metadata
- Authors
- Gudenkauf, L. M., Antoni, M. H., Stagl, J. M., Lechner, S. C., Jutagir, D. R., Bouchard, L. C., Blomberg, B. B., Glück, S., Derhagopian, R. P., Giron, G. L., Avisar, E., Torres-Salichs, M. A., & Carver, C. S.
- Affiliations
- University of Miami (US)
- Celgene (United States) (US)
- ORCID
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2015-08
- Volume
- 83
- Issue
- 4
- Pages
- 677-688
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC4516670
- OpenAlex
- W2342311501
- Cited by
- 108
- References
- 53
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 7 · 2023: 9 · 2022: 13 · 2021: 19 · 2020: 12 · 2019: 13 · 2018: 8 · 2017: 6 · 2016: 6
- FWCI
- 2.91
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (2R01-CA-064710)
- Sylvester Comprehensive Cancer Center
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- breast cancer, cognitive-behavioral training, relaxation training, stress management, psychological adjustment, depressive affect, quality of life, social support, relaxation techniques, health education, group intervention
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Breast Neoplasms, Female, Humans, Interpersonal Relations, Middle Aged, Neoplasm Staging, Psychotherapy, Brief, Quality of Life, Relaxation Therapy, Social Support, Stress, Psychological, Cognitive Behavioral Therapy, Single-Blind Method
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