Skip to main content
Erschienen in: Journal of Behavioral Medicine 3/2014

01.06.2014

An online stress management workbook for breast cancer

verfasst von: Kelly M. Carpenter, Susan A. Stoner, KrisAnn Schmitz, Bonnie A. McGregor, Ardith Z. Doorenbos

Erschienen in: Journal of Behavioral Medicine | Ausgabe 3/2014

Einloggen, um Zugang zu erhalten

Abstract

Cognitive behavioral stress management groups have been shown to be decrease psychological symptoms and increase adaptive coping in breast cancer patients, but dissemination of this effective intervention has been challenging. The goal of the present project was to develop an online cognitive behavioral stress management intervention for early stage breast cancer survivors and evaluate its effectiveness using a 2 group × 3 time randomized, waitlist-controlled design. Intervention and waitlist control group participants were assessed at three time points: at baseline; at 10 weeks, after which only intervention participants had used the workbook; and at 20 weeks, after which both groups had used the workbook. Results indicate that at 10 weeks intervention participants showed improved self-efficacy for coping with their cancer and for regulating negative mood and lower levels of cancer-related post-traumatic symptoms as compared to the control group, suggesting that an internet stress management intervention could be effective for helping breast cancer patients increase their confidence in their ability to cope with stress.
Literatur
Zurück zum Zitat Antoni, M. H. (2003). Stress management and intervention for women with breast cancer. Washington DC: American Psychological Association.CrossRef Antoni, M. H. (2003). Stress management and intervention for women with breast cancer. Washington DC: American Psychological Association.CrossRef
Zurück zum Zitat Antoni, M. H., Lechner, S. C., Kaxi, A., Wimberly, S. R., Sifre, T., Urcuyo, K. R., et al. (2006a). How stress management improves quality of life after treatment for breast cancer. Journal of Consulting and Clinical Psychology, 74, 1143–1152. doi:10.1037/0022-006X.74.6.1152 PubMedCrossRef Antoni, M. H., Lechner, S. C., Kaxi, A., Wimberly, S. R., Sifre, T., Urcuyo, K. R., et al. (2006a). How stress management improves quality of life after treatment for breast cancer. Journal of Consulting and Clinical Psychology, 74, 1143–1152. doi:10.​1037/​0022-006X.​74.​6.​1152 PubMedCrossRef
Zurück zum Zitat Antoni, M. H., Lehman, J. M., Kilbourn, K. M., Boyers, A. E., Culver, J. L., Alferi, S. M., et al. (2001). Cognitive–behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychology, 20, 20–32.PubMedCrossRef Antoni, M. H., Lehman, J. M., Kilbourn, K. M., Boyers, A. E., Culver, J. L., Alferi, S. M., et al. (2001). Cognitive–behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychology, 20, 20–32.PubMedCrossRef
Zurück zum Zitat Antoni, M. H., Wimberly, S. R., Lechner, S. C., Kazi, A., Sifre, T., Urcuyo, K. R., et al. (2006b). Reduction of cancer-specific thought intrusions and anxiety symptoms with a stress management intervention among women undergoing treatment for breast cancer. The American Journal of Psychiatry, 163, 1791–1797. doi:10.1176/appi.ajp.163.10.1791 PubMedCrossRef Antoni, M. H., Wimberly, S. R., Lechner, S. C., Kazi, A., Sifre, T., Urcuyo, K. R., et al. (2006b). Reduction of cancer-specific thought intrusions and anxiety symptoms with a stress management intervention among women undergoing treatment for breast cancer. The American Journal of Psychiatry, 163, 1791–1797. doi:10.​1176/​appi.​ajp.​163.​10.​1791 PubMedCrossRef
Zurück zum Zitat Bandura, A. (1991). Social cognitive theory of self-regulation. Organizational Behavioral and Human Decision Processes, 50, 248–257.CrossRef Bandura, A. (1991). Social cognitive theory of self-regulation. Organizational Behavioral and Human Decision Processes, 50, 248–257.CrossRef
Zurück zum Zitat Beatty, L., & Koczwara, B. (2010). An effectiveness study of a CBT group program for women with breast cancer. Clinical Psychologist, 14, 45–53.CrossRef Beatty, L., & Koczwara, B. (2010). An effectiveness study of a CBT group program for women with breast cancer. Clinical Psychologist, 14, 45–53.CrossRef
Zurück zum Zitat Beatty, L., Koczwara, B., & Wade, T. (2011). Cancer coping online: A pilot trial of a self-guided CBT internet intervention for cancer-related distress. Electronic Journal of Applied Psychology, 7, 17–25. Beatty, L., Koczwara, B., & Wade, T. (2011). Cancer coping online: A pilot trial of a self-guided CBT internet intervention for cancer-related distress. Electronic Journal of Applied Psychology, 7, 17–25.
Zurück zum Zitat Boehmke, M. M., & Brown, J. K. (2005). Predictors of symptom distress in women with breast cancer during the first chemotherapy cycle. Canadian Oncology Nursing Journal, 15, 215–227.PubMedCrossRef Boehmke, M. M., & Brown, J. K. (2005). Predictors of symptom distress in women with breast cancer during the first chemotherapy cycle. Canadian Oncology Nursing Journal, 15, 215–227.PubMedCrossRef
Zurück zum Zitat Brady, M. J., Cella, D. F., Mo, F., Bonomi, A. E., Tulsky, D. S., Lloyd, S. R., et al. (1997). Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. Journal of Clinical Oncology, 15, 974–986.PubMed Brady, M. J., Cella, D. F., Mo, F., Bonomi, A. E., Tulsky, D. S., Lloyd, S. R., et al. (1997). Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. Journal of Clinical Oncology, 15, 974–986.PubMed
Zurück zum Zitat Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.
Zurück zum Zitat Cunningham, A. J., Lockwood, G. A., & Edmonds, C. V. (1993). Which cancer patients benefit most from a brief, group, coping skills program? International Journal of Psychiatry in Medicine, 23, 383–398.PubMedCrossRef Cunningham, A. J., Lockwood, G. A., & Edmonds, C. V. (1993). Which cancer patients benefit most from a brief, group, coping skills program? International Journal of Psychiatry in Medicine, 23, 383–398.PubMedCrossRef
Zurück zum Zitat Ellis, P., Robinson, P., Ciliska, D., Armour, T., Brouwers, M., O’Brien, M. A., et al. (2005). A systematic review of studies evaluating diffusion and dissemination of selected cancer control interventions. Health Psychology, 24, 488–500. doi:10.1037/0278-6133.24.5.488 PubMedCrossRef Ellis, P., Robinson, P., Ciliska, D., Armour, T., Brouwers, M., O’Brien, M. A., et al. (2005). A systematic review of studies evaluating diffusion and dissemination of selected cancer control interventions. Health Psychology, 24, 488–500. doi:10.​1037/​0278-6133.​24.​5.​488 PubMedCrossRef
Zurück zum Zitat Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.PubMedCrossRef Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.PubMedCrossRef
Zurück zum Zitat Fry, J. P., & Neff, R. A. (2009). Periodic prompts and reminders in health promotion and health behavior interventions: Systematic review. Journal of Medical Internet Research, 11, e16.PubMedCentralPubMedCrossRef Fry, J. P., & Neff, R. A. (2009). Periodic prompts and reminders in health promotion and health behavior interventions: Systematic review. Journal of Medical Internet Research, 11, e16.PubMedCentralPubMedCrossRef
Zurück zum Zitat Giese-Davis, J., Koopman, C., Butler, L. D., Classen, C., Morrow, G. R., & Spiegel, D. (1999). Self-efficacy with emotions predicts higher quality of life in primary breast cancer patients. In self-efficacy and cancer: Theory, assessment and treatment. Symposium conducted at the Annual Meeting of the Society of Behavioral Medicine, San Diego, CA. Giese-Davis, J., Koopman, C., Butler, L. D., Classen, C., Morrow, G. R., & Spiegel, D. (1999). Self-efficacy with emotions predicts higher quality of life in primary breast cancer patients. In self-efficacy and cancer: Theory, assessment and treatment. Symposium conducted at the Annual Meeting of the Society of Behavioral Medicine, San Diego, CA.
Zurück zum Zitat Glanz, K., & Lerman, C. (1992). Psychosocial impact of breast cancer: A critical review. Annals of Behavioral Medicine, 14, 204–212. Glanz, K., & Lerman, C. (1992). Psychosocial impact of breast cancer: A critical review. Annals of Behavioral Medicine, 14, 204–212.
Zurück zum Zitat Hegel, M. T., Moore, C. P., Collins, E. D., Kearing, S., Gillock, K. L., Riggs, R. L., et al. (2006). Distress, psychiatric syndromes, and impairment of function in women with newly diagnosed breast cancer. Cancer, 107, 2924–2931. doi:10.1002/cncr.22335 PubMedCrossRef Hegel, M. T., Moore, C. P., Collins, E. D., Kearing, S., Gillock, K. L., Riggs, R. L., et al. (2006). Distress, psychiatric syndromes, and impairment of function in women with newly diagnosed breast cancer. Cancer, 107, 2924–2931. doi:10.​1002/​cncr.​22335 PubMedCrossRef
Zurück zum Zitat Holland, J. C. (1998). Psycho-Oncology. New York: Oxford University Press. Holland, J. C. (1998). Psycho-Oncology. New York: Oxford University Press.
Zurück zum Zitat Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.PubMedCrossRef Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.PubMedCrossRef
Zurück zum Zitat Institute of Medicine (IOM). (2008). Cancer care for the whole patient: Meeting psychosocial health needs. In N. E. Adler & A. E. K. Page (Eds.). Washington, DC: The National Academies Press. Institute of Medicine (IOM). (2008). Cancer care for the whole patient: Meeting psychosocial health needs. In N. E. Adler & A. E. K. Page (Eds.). Washington, DC: The National Academies Press.
Zurück zum Zitat Khan, F., Amatya, B., Pallant, J. F., & Rajapaksa, I. (2012). Factors associated with long-term functional outcomes and psychological sequelae in women after breast cancer. Breast. doi:10.1016/j.breast.2012.01.013 Khan, F., Amatya, B., Pallant, J. F., & Rajapaksa, I. (2012). Factors associated with long-term functional outcomes and psychological sequelae in women after breast cancer. Breast. doi:10.​1016/​j.​breast.​2012.​01.​013
Zurück zum Zitat Kincaid, J. P., & et al. (1975). Derivation of new readability formulas (Automated Readability Index, Fog Count and Flesch Reading Ease Formula) for Navy Enlisted Personnel (pp. Research Branch Report 8–75): National Technical Information Service, Springfield, Virginia 22151 (AD-A006 655/5GA). Kincaid, J. P., & et al. (1975). Derivation of new readability formulas (Automated Readability Index, Fog Count and Flesch Reading Ease Formula) for Navy Enlisted Personnel (pp. Research Branch Report 8–75): National Technical Information Service, Springfield, Virginia 22151 (AD-A006 655/5GA).
Zurück zum Zitat Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.
Zurück zum Zitat Mackinnon, A., Jorm, A. F., Christensen, H., Korten, A. E., Jacomb, P. A., & Rodgers, B. (1999). A short form of the positive and negative affect schedule: Evaluation of factorial validity and invariance across demographic variables in a community sample. Personality and Individual Differences, 27, 405–416. doi:10.1016/s0191-8869(98)00251-7 CrossRef Mackinnon, A., Jorm, A. F., Christensen, H., Korten, A. E., Jacomb, P. A., & Rodgers, B. (1999). A short form of the positive and negative affect schedule: Evaluation of factorial validity and invariance across demographic variables in a community sample. Personality and Individual Differences, 27, 405–416. doi:10.​1016/​s0191-8869(98)00251-7 CrossRef
Zurück zum Zitat McGregor, B., Antoni, M., Boyers, A., Alferi, S., Blomberg, B., & Carver, C. (2004). Cognitive-behavioral stress management increases benefit-finding and immune function among women with early-stage breast cancer. Journal of Psychosomatic Research, 56, 1–8.PubMedCrossRef McGregor, B., Antoni, M., Boyers, A., Alferi, S., Blomberg, B., & Carver, C. (2004). Cognitive-behavioral stress management increases benefit-finding and immune function among women with early-stage breast cancer. Journal of Psychosomatic Research, 56, 1–8.PubMedCrossRef
Zurück zum Zitat Mehnert, A., & Koch, U. (2007). Prevalence of acute and post-traumatic stress disorder and comorbid mental disorders in breast cancer patients during primary cancer care: A prospective study. Psycho-Oncology, 16, 181–188. doi:10.1002/pon.1057 PubMedCrossRef Mehnert, A., & Koch, U. (2007). Prevalence of acute and post-traumatic stress disorder and comorbid mental disorders in breast cancer patients during primary cancer care: A prospective study. Psycho-Oncology, 16, 181–188. doi:10.​1002/​pon.​1057 PubMedCrossRef
Zurück zum Zitat Merluzzi, T. V., & Martinez Sanchez, M. A. (1997). Assessment of self-efficacy and coping with cancer: Development and validation of the cancer behavior inventory. Health Psychology, 16, 163–170.PubMedCrossRef Merluzzi, T. V., & Martinez Sanchez, M. A. (1997). Assessment of self-efficacy and coping with cancer: Development and validation of the cancer behavior inventory. Health Psychology, 16, 163–170.PubMedCrossRef
Zurück zum Zitat Merluzzi, T. V., Nairn, R. C., Hegde, K., Martinez Sanchez, M. A., & Dunn, L. (2001). Self-efficacy for coping with cancer: Revision of the cancer behavior inventory (Version 2.0). Psycho-Oncology, 10, 206–217. Merluzzi, T. V., Nairn, R. C., Hegde, K., Martinez Sanchez, M. A., & Dunn, L. (2001). Self-efficacy for coping with cancer: Revision of the cancer behavior inventory (Version 2.0). Psycho-Oncology, 10, 206–217.
Zurück zum Zitat Owen, J., Klapow, J., Roth, D., Shuster, J., Bellis, J., Meredith, R., et al. (2005). Randomized pilot of a self-guided internet coping group for women with early-stage breast cancer. Annals of Behavioral Medicine, 30, 54–64. doi:10.1207/s15324796abm3001_7 PubMedCrossRef Owen, J., Klapow, J., Roth, D., Shuster, J., Bellis, J., Meredith, R., et al. (2005). Randomized pilot of a self-guided internet coping group for women with early-stage breast cancer. Annals of Behavioral Medicine, 30, 54–64. doi:10.​1207/​s15324796abm3001​_​7 PubMedCrossRef
Zurück zum Zitat Spek, V., Cuijpers, P., Nyklicek, I., Riper, H., Keyzer, J., & Pop, V. (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine, 37, 319–328. doi:10.1017/S0033291706008944 PubMedCrossRef Spek, V., Cuijpers, P., Nyklicek, I., Riper, H., Keyzer, J., & Pop, V. (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine, 37, 319–328. doi:10.​1017/​S003329170600894​4 PubMedCrossRef
Zurück zum Zitat Telch, C. F., & Telch, M. J. (1986). Group coping skills instruction and supportive group therapy for cancer patients: A comparison of strategies. Journal of Consulting and Clinical Psychology, 54, 802–808.PubMedCrossRef Telch, C. F., & Telch, M. J. (1986). Group coping skills instruction and supportive group therapy for cancer patients: A comparison of strategies. Journal of Consulting and Clinical Psychology, 54, 802–808.PubMedCrossRef
Zurück zum Zitat Weiss, D., & Marmar, C. (1997). The impact of event scale-revised. In J. Wilson & T. Keane (Eds.), Assessing psychological trauma. New York: The Guilford Press. Weiss, D., & Marmar, C. (1997). The impact of event scale-revised. In J. Wilson & T. Keane (Eds.), Assessing psychological trauma. New York: The Guilford Press.
Zurück zum Zitat Yates, P., Aranda, S., Hargraves, M., Mirolo, B., Clavarino, A., McLachlan, S., et al. (2005). Randomized controlled trial of an educational intervention for managing fatigue in women receiving adjuvant chemotherapy for early-stage breast cancer. Journal of Clinical Oncology, 23, 6027–6036. doi:10.1200/JCO.2005.01.271 PubMedCrossRef Yates, P., Aranda, S., Hargraves, M., Mirolo, B., Clavarino, A., McLachlan, S., et al. (2005). Randomized controlled trial of an educational intervention for managing fatigue in women receiving adjuvant chemotherapy for early-stage breast cancer. Journal of Clinical Oncology, 23, 6027–6036. doi:10.​1200/​JCO.​2005.​01.​271 PubMedCrossRef
Metadaten
Titel
An online stress management workbook for breast cancer
verfasst von
Kelly M. Carpenter
Susan A. Stoner
KrisAnn Schmitz
Bonnie A. McGregor
Ardith Z. Doorenbos
Publikationsdatum
01.06.2014
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 3/2014
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-012-9481-6

Weitere Artikel der Ausgabe 3/2014

Journal of Behavioral Medicine 3/2014 Zur Ausgabe

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.