Premium
Cognitive Behavioral Stress Management intervention in Mexican colorectal cancer patients: Pilot study
Author(s) -
AcevedoIbarra Jessica Noemí,
JuárezGarcía Dehisy Marisol,
EspinozaVelazco Absalón,
BuenaventuraCisneros Sergio
Publication year - 2019
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.5094
Subject(s) - psychoeducation , optimism , quality of life (healthcare) , colorectal cancer , medicine , intervention (counseling) , distress , randomized controlled trial , stress management , cognition , physical therapy , clinical psychology , cancer , psychology , psychotherapist , psychiatry , nursing
Objective Determine the feasibility and the preliminary effects of brief cognitive behavioral stress management (CBSM) intervention, compared with psychoeducation (PE) group in posttraumatic stress, distress, optimism, and quality of life in patients with colorectal cancer. Methods Ninety‐four patients were randomized: 40 in CBSM intervention and 54 in PE. They answered psychological questionnaires before and after the intervention and 3 months later for follow‐up. Results Of the included participants, 23.40% (22) completed the sessions (11 in each group). A significant effect was obtained in the variable of optimism F 2,28 = 4.0, P = 0.03, ƞ 2 p = 0.22 and a significant interaction effect between the groups in the avoidance behavior F 2,28 = 6.0, P = 0.01, ƞ 2 p = 0.30 and hyperactivation F 2,30 = 3.91, P = 0.03, ƞ 2 p = 0.20, with a large effect size in both. A significant interaction effect was found in the quality of life symptoms subscale for patients with colorectal cancer with a stoma F 3,20 = 21.8, P = 0.00, ƞ 2 p = 0.68. Conclusions The CBSM intervention and PE are feasible therapies, albeit with some modifications. Preliminary effects are observed in the dimensions of posttraumatic stress and symptoms of quality of life.