Goal-Focused Emotion-Regulation Therapy (GET) in Young Adult Testicular Cancer Survivors: A Randomized Pilot Study
Open accessAbstract
Background: Young adult testicular cancer survivors experience adverse impacts after treatment. We developed Goal-focused Emotion-regulation Therapy (GET) to improve distress symptoms, emotion regulation, and goal navigation skills. Purpose: This pilot study examined GET versus an active control intervention in young adult survivors of testicular cancer. Methods: Seventy-five eligible survivors treated with chemotherapy were randomized to receive GET or Individual Supportive Listening (ISL). Study acceptability, engagement, and tolerability were examined, and intervention fidelity and therapeutic alliance were compared between arms. Preliminary efficacy was evaluated by effect sizes for between-group changes in primary (anxiety and depressive symptoms) and secondary (career confusion, goal navigation, and emotion regulation) outcomes from baseline to immediately and 3-month post-intervention. Results: Among the 38 men randomized to GET, 81.1% completed all study sessions compared with 82.4% of the 37 men assigned to ISL. Fidelity to the intervention was 87% in GET. Therapeutic alliance wassignificantly higher among those receiving GET versus ISL. Participants exhibited a medium group-by-time effect size with greater reductions in depressive (d = 0.45) and anxiety (d = 0.29) symptoms for those in GET versus ISL, with a similar pattern at 3 months for depressive (d = 0.46) and anxiety (d = 0.46) symptoms. Conclusions: GET is a feasible and acceptable intervention for reducing adverse outcomes after testicular cancer for young adults. Observed effect sizes preliminarily suggest meaningful change, though should be interpreted with caution in small samples. GET may be a developmentally-matched behavioral approach to improve psychosocial function in this cancer group. Clinical Trial information: Clinicaltrials.gov, NCT04150848. Registered on October 28, 2019.
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The 40.5% consent rate is slightly higher, though similar, to recruitment metrics for other behavioral interventions targeting YA cancer survivors and studies involving patient-reported outcomes.
“This number is slightly higher, though similar, to recruitment metrics for other behavioral interventions targeting YA cancer survivors [91, 92] and studies involving patient-reported outcomes [93]”
From Improving symptom management for survivors of young adult cancer: rationale and study protocol for a pilot randomized controlled trial (2024) · cites this paper as [92]
Goal-focused Emotionregulation Therapy (GET) has shown in pilot work to reduce psychological distress after testicular cancer.
“One existing option for men with TC may be Goal-focused Emotionregulation Therapy (GET; characterised by goal setting derived by values combined with emotion regulation skills) that has shown in pilot work to reduce psychological distress after TC. 40”
From Malignancy, masculinities, and psychological distress: Comparisons made between men with testicular cancer and healthy controls (2024) · cites this paper as [40]
Psychological distress results may be affected by limited measurement of other externalising symptoms in depression (e.g., risk-taking) and somatic symptoms for anxiety (e.g., nausea) more commonly reported by young men.
“Finally, whilst PROMIS captured some externalising symptoms (e.g., anger) psychological distress results may be affected by limited measurement of other externalising symptoms in depression (e.g., risk-taking) and somatic symptoms for anxiety (e.g., nausea) more commonly reported by young men.38,39”
From Malignancy, masculinities, and psychological distress: Comparisons made between men with testicular cancer and healthy controls (2024) · cites this paper as [39]
The Outcome measures section says this study measured anxiety and depression with the Hospital Anxiety and Depression Scale, not PROMIS. Our copy does not discuss whether limited measurement of risk-taking, nausea, or other symptoms more commonly reported by young men could affect distress results (searched: externalising symptoms, risk-taking, somatic anxiety, nausea, and measurement limitations). (LLM, conf=0.76)
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Self-citation
- Authors
- Hoyt, M. A., Wang, A. W.-T., Ceja, R. C., Cheavens, J. S., Daneshvar, M. A., Feldman, D. R., Funt, S. A., & Nelson, C. J.
- Affiliations
- University of California, Irvine (US)
- Soochow University (TW)
- The Ohio State University (US)
- Memorial Sloan Kettering Cancer Center (US)
- Corresponding author
- Hoyt, Michael A
- ORCID
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2023-04-20
- Volume
- 57
- Issue
- 9
- Pages
- 777-786
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- PMC
- PMC10441857
- OpenAlex
- W4366463010
- Cited by
- 17
- References
- 72
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 3 · 2023: 4
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Center for Research Resources
- National Center for Advancing Translational Sciences (UL1TR000457, UL1TR001414)
- National Institutes of Health (P30CA062203)
- Memorial Sloan Kettering (P30CA008748)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- testicular cancer survivors, young adults, emotion regulation, anxiety, depressive symptoms, therapeutic relationship, intervention fidelity, treatment acceptability, psychosocial outcomes
- MeSH terms
- Emotional Regulation, Goals, Humans, Male, Neoplasms, Germ Cell and Embryonal, Pilot Projects, Testicular Neoplasms, Survivors, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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