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Cited by 84Cancer survivorship and careAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and Access

Can a brief psychological intervention prevent anxiety or depressive disorders in cancer patients? A randomised controlled trial

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Pitceathly, C., Maguire, P., Fletcher, I., Parle, M., Tomenson, B., Creed, F.·2009·Annals of Oncology
DOI 10.1093/annonc/mdn708
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Abstract

Background We tested whether a brief psychological intervention could prevent anxiety or depressive disorders among newly diagnosed cancer patients.Patients and methods Patients free of anxiety or depressive disorder were randomised to receive immediate intervention (start of cancer treatment), delayed intervention (8 weeks after starting treatment) or usual care. They were stratified according to risk of developing anxiety or depressive disorders. Primary outcome was measured using a standardised psychiatric interview to detect any anxiety or depressive disorder at 6 and 12 months following the cancer diagnosis. Analyses used conditional odds logistic regression models adjusting for age, gender, concerns and past history to compare outcome of all intervention patients with usual care.Results A total of 465 patients were recruited. In all, 313 (79%) of the 397 well enough to be interviewed completed the study. At 12 months, there was no difference between the groups receiving the intervention and usual care [odds ratio (OR) = 0.69, 95% confidence interval (CI) 0.41-1.17, P = 0.17]. In high-risk patients, those who received the intervention were less likely to develop an anxiety or depressive disorder compared with those who received usual care (OR = 0.54, 95% CI 0.29-1.00, P = 0.050). In low-risk patients, there was no difference (OR = 1.50, 95% CI 0.51-4.43, P = 0.47).Conclusion A brief intervention, delivered by nonspecialists, promoted adjustment among newly diagnosed cancer patients at high risk of developing anxiety or depressive disorders.

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  • CBT may benefit advanced-stage cancer patients by reducing anxiety symptoms, improving quality of life, and decreasing psychiatric disorders.

    “Evidence suggests that CBT may benefit advanced-stage cancer patients by reducing anxiety symptoms, improving QL [33], and decreasing psychiatric disorders, which have been observed in cancer patients who were classified as high-risk for the development of such disorders [25].”

    From A phase II study in advanced cancer patients to evaluate the early transition to palliative care (the PREPArE trial): protocol study for a randomized controlled trial. (2015) · cites this paper as [25]

    The ‘outcome: odds of developing anxiety or depressive disorder’ section (page unavailable) reports lower odds after the CBT-based intervention among high-risk patients than with usual care (OR 0.54, P = 0.050). But the ‘patients and methods sample’ section describes newly diagnosed patients, not an advanced-stage cohort, so the advanced-stage qualifier is unsupported. The quality-of-life claim is attached to a different citation [33], not this paper. (LLM, conf=0.86)

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Research works printed but not linked: 1

  1. Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive Therapy of Depression: A Treatment Manual. Philadelphia: University of Pennsylvania Press 1978.

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Authors
Pitceathly, C., Maguire, P., Fletcher, I., Parle, M., Tomenson, B., & Creed, F.
Affiliations
  • The Christie Hospital (GB)
  • University of Liverpool (GB)
  • University of Manchester (GB)
Corresponding author
Pitceathly, C.
ORCID
Venue
Annals of Oncology
Publisher
Elsevier BV
Published
2009-05
Volume
20
Issue
5
Pages
928-934
ISSN
0923-7534 (ISSN-L)
DOI
10.1093/annonc/mdn708
OpenAlex
W2167914357
Cited by
84
References
30
Citations by year
2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 1 · 2019: 5 · 2018: 11 · 2017: 8 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 8 · 2012: 11
FWCI
4.32
Type
journal article
Language
en
Open access
Licence
Locations
  • Annals of Oncology (publishedVersion)
  • PubMed (publishedVersion)
  • Lancaster EPrints (Lancaster University) (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
Funders
Cancer Research UK (C322/A5888)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
cancer patients, anxiety disorders, depressive disorders, brief psychological intervention, prevention, newly diagnosed cancer, risk stratification, psychological adjustment, psycho-oncology
MeSH terms
Adaptation, Psychological, Adult, Aged, Anxiety, Depression, Female, Humans, Male, Middle Aged, Neoplasms, Psychiatric Status Rating Scales, Psychotherapy, Brief, Referral and Consultation, Time Factors, Logistic Models, Odds Ratio, Treatment Outcome, Risk Assessment, Young Adult

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