Randomized controlled trial of cognitive behavioral stress management in breast cancer: A brief report of effects on 5-year depressive symptoms.
Open accessAbstract
OBJECTIVE: Survivors of breast cancer experience stress and are at risk for depressive symptoms following primary treatment. Group-based interventions such as cognitive-behavioral stress management (CBSM) delivered postsurgery for nonmetastatic breast cancer (BCa) were previously associated with fewer depressive symptoms over a 12-month follow-up; few studies have examined the longer-term benefits of such psychosocial interventions. This 5-year follow-up study of a previously conducted trial (#NCT01422551) tested whether group-based CBSM following surgery for nonmetastatic BCa was associated with fewer depressive symptoms. METHODS: Women (N = 240) with Stage 0-IIIb BCa were recruited 2-10 weeks postsurgery and randomized to a 10-week CBSM intervention group or a 1-day psycho-educational control group. Women were recontacted 5 years poststudy enrollment and reconsented to participate in the follow-up study (N = 130). Depressive symptomatology was assessed using the Center for Epidemiologic Studies-Depression scale (CES-D). ANOVA and ANCOVA analyses were employed to test for group differences on the CES-D at 5-year follow-up accounting for relevant covariates. RESULTS: Participants assigned to CBSM reported significantly fewer depressive symptoms (M = 9.99, SE = 0.93) at the follow-up compared with those in the control group (M = 12.97, SE = 0.99), p = .030. With covariates, the group difference remained significant, p = .012. CONCLUSION: Women who received CBSM postsurgery for BCa reported fewer depressive symptoms than those in the control group in this 5-year follow-up. Psychosocial interventions early in treatment may influence long-term psychological well-being in BCa survivors.
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In studies not screening patients for enrollment, CBT plus BT (relaxation) and education plus self-care significantly improved depression.
“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 [100]
The Study Conditions and Results > Intervention Effects sections report that CBT-based stress management with relaxation training produced significantly fewer depressive symptoms than the psychoeducational control at five years. The Participants and Procedures section lists present or past major depressive disorder among the exclusion criteria, so the study does not fully support describing enrollment as unscreened. The separately cited education-plus-self-care claim is not attributed to this paper. (LLM, conf=0.82)
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- Authors
- Stagl, J. M., Antoni, M. H., Lechner, S. C., Bouchard, L. C., Blomberg, B. B., Glück, S., Derhagopian, R. P., & Carver, C. S.
- Affiliations
- Sylvester Comprehensive Cancer Center (US)
- Venue
- Health Psychology
- Published
- 2015
- Volume
- 34
- Issue
- 2
- Pages
- 176-180
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- PMC
- PMC5761723
- OpenAlex
- W2091916253
- Cited by
- 55
- References
- 23
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 8 · 2020: 5 · 2019: 11 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 5 · 2014: 1
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R01-CA-064710)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- breast cancer survivors, cognitive-behavioral stress management, depressive symptoms, psychosocial interventions, group intervention, long-term mental health outcomes, non-metastatic breast cancer
- MeSH terms
- Breast Neoplasms, Depression, Female, Follow-Up Studies, Humans, Middle Aged, Stress, Psychological, Cognitive Behavioral Therapy, Single-Blind Method, Survivors
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