An effectiveness study of a CBT group program for women with breast cancer
Abstract
Cognitive Behaviour Stress Management for women with breast cancer has demonstrable empirical efficacy, however its effectiveness in the applied clinical setting has not been examined to date in an Australian setting. A 10-week group program was offered to five women with early stage breast cancer. Clinical changes in distress, coping, and social support from pre-test, to post-test and 1-month follow-up are reported. Overall, the group yielded strong favourable effect sizes indicating clinical improvement over time in PTSD symptoms and social support, but strong unfavourable effect sizes in cognitive avoidance. In terms of clinical cut-offs, all women met criteria for PTSD at baseline, with two women recovering at follow-up. The two participants with highest baseline distress experienced large improvements in depression, anxiety and PTSD at post-treatment, but rebounded to baseline at follow-up. Women qualitatively reported the major benefits of the program to be acquiring skills in relaxation and cognitive restructuring, and obtaining social support. This case study provides preliminary support that a CBSM program can improve PTSD and social support, however it raises concerns regarding the deteriorations observed in cognitive avoidance. Ways of addressing cognitive avoidance and the maintenance of gains warrants further investigation.
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CBSM seems effective in applied clinical settings with cancer patients.
“CBSM also seems effective in applied clinical settings with cancer patients (e.g., Beatty & Koczwara, 2010).”
From An online stress management workbook for breast cancer (2014) · cites this paper as Beatty & Koczwara, 2010
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- Authors
- Beatty, L., & Koczwara, B.
- Affiliations
- Flinders University (AU)
- Venue
- Clinical Psychologist
- Publisher
- Informa UK Limited
- Published
- 2010-07-01
- Volume
- 14
- Issue
- 2
- Pages
- 45-53
- ISSN
- 1328-4207 (ISSN-L)
- 1742-9552
- OpenAlex
- W2172108684
- Cited by
- 18
- References
- 37
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 2 · 2020: 1 · 2019: 2 · 2017: 2 · 2015: 4 · 2013: 1 · 2012: 1
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Clinical Psychologist (publishedVersion)
- Flinders Academic Commons (Flinders University) (submittedVersion)
- 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 › Posttraumatic Stress Disorder Research
- Keywords
- breast cancer, group therapy, post-traumatic stress disorder, psychological distress, coping, social support, cognitive avoidance, depression, anxiety, early breast cancer, women, maintenance of treatment gains
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