cancer anxiery

cancer anxiery - Article Reduction of Cancer-Specific...

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Am J Psychiatry 163:10, October 2006 1791 Article Reduction of Cancer-Specific Thought Intrusions and Anxiety Symptoms With a Stress Management Intervention Among Women Undergoing Treatment for Breast Cancer Michael H. Antoni, Ph.D. Sarah R. Wimberly, M.S. Suzanne C. Lechner, Ph.D. Aisha Kazi, M.S. Tammy Sifre, Ph.D. Kenya R. Urcuyo, M.S. Kristin Phillips, M.S. Roselyn G. Smith, Ph.D. Vida M. Petronis, Ph.D. Sophie Guellati, Ph.D. Kurrie A. Wells, M.S. Bonnie Blomberg, Ph.D. Charles S. Carver, Ph.D. Objective: After surgery for breast can- cer, many women experience anxiety relating to the cancer that can adversely affect quality of life and emotional func- tioning during the year postsurgery. Symptoms such as intrusive thoughts may be ameliorated during this period with a structured, group-based cognitive behav- ior intervention. Method: A 10-week group cognitive be- havior stress management intervention that included anxiety reduction (relax- ation training), cognitive restructuring, and coping skills training was tested among 199 women newly treated for stage 0-III breast cancer. They were then followed for 1 year after recruitment. Results: The intervention reduced re- ports of thought intrusion, interviewer ratings of anxiety, and emotional distress across 1 year significantly more than was seen with the control condition. The ben- eficial effects were maintained well past the completion of adjuvant therapy. Conclusions: Structured, group-based cognitive behavior stress management may ameliorate cancer-related anxiety during active medical treatment for breast cancer and for 1 year following treatment. Group-based cognitive behav- ior stress management is a clinically use- ful adjunct to offer to women treated for breast cancer. (Am J Psychiatry 2006; 163:1791–1797) A pproximately 216,000 new cases of breast cancer were diagnosed in the United States in 2004 (1). Diagnosis and treatment of breast cancer are clearly stressful events (2) in- volving invasive medical procedures with aversive side ef- fects of treatment such as pain, nausea, vomiting, and fatigue (3). Recurring thoughts about the diagnosis and treatment are common (4). Although diagnostic levels of posttraumatic stress disorder (PTSD) are relatively rare (5), PTSD-like symp- toms and subthreshold levels of PTSD are more frequent (6, 7). After treatment, many survivors experience residual psy- chological strain from the diagnosis, shifts in social support, fear of recurrence, and fear of death (8). Factors that influence distress after breast cancer treat- ment include coping style and social support (6, 9, 10). Prospective studies reveal that optimism (11), coping strategies such as positive reframing and acceptance (11, 12), and social support (13) yield less distress in the months after treatment. Similarly, psychosocial interven- tions that foster optimistic appraisals, build coping strate- gies, and bolster social support should benefit women treated for breast cancer (14).
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This note was uploaded on 03/06/2011 for the course PSYCH 212 taught by Professor Dansullivan during the Spring '11 term at NYU.

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cancer anxiery - Article Reduction of Cancer-Specific...

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