Stress management training for breast cancer surgery patients
- 1 March 2012
- journal article
- research article
- Published by Wiley in Psycho‐Oncology
- Vol. 22 (3), 572-580
- https://doi.org/10.1002/pon.3034
Abstract
Objective This study evaluated the psychological effects of a pre‐surgical stress management training (SMT) in cancer patients. Methods Stress management training comprised four sessions in total: on 5 days and 1 day pre‐surgery and on 2 days and 1 month post‐surgery. Patients also received audio CDs with relaxation and coping skills exercises. Patients were randomly assigned to the SMT (N = 34) or a regular care condition (N = 36). Depression, anxiety, quality of life, perception of control, fatigue, pain, sleep problems, and surgery‐related somatic symptoms were measured at Day 6 and Day 1 pre‐surgery, and Day 2, 5, 30 and 90 post‐surgery. Results Depression and fatigue decreased in the intervention group and increased in the control group, leading to significant group differences at Day 2 (fatigue) and Day 5 post‐surgery (fatigue and depression). It also appeared that surgery‐related symptoms had increased more in the control group 3 months post‐surgery than in the SMT group. No intervention effects were observed for anxiety, pain, and sleep problems. Conclusion The use of a short psychological intervention is effective in reducing depression and fatigue in the post‐surgical period, although the effects are of short duration. Copyright © 2012 John Wiley & Sons, Ltd.Funding Information
- Dutch Cancer Society (HDI 1999-2085.)
This publication has 35 references indexed in Scilit:
- Psychological interventions for distress in cancer patients: a review of reviewsAnnals of Behavioral Medicine, 2006
- Pessimism as a predictor of emotional morbidity one year following breast cancer surgeryPsycho‐Oncology, 2003
- Early psychological adjustment in breast cancer patientsJournal of Psychosomatic Research, 2002
- Appraisal and psychological distress six months after diagnosis of breast cancerBritish Journal of Health Psychology, 2002
- Biobehavioral outcomes following psychological interventions for cancer patients.Journal of Consulting and Clinical Psychology, 2002
- Systematic Review of Psychological Therapies for Cancer Patients: Overview and Recommendations for Future ResearchJNCI Journal of the National Cancer Institute, 2002
- Group Interventions with Cancer PatientsJournal of Psychosocial Oncology, 2000
- Psychological functioning and quality of life following bone marrow transplantationJournal of Psychosomatic Research, 2000
- The effect of psychological interventions on anxiety and depression in cancer patients: results of two meta-analysesBritish Journal of Cancer, 1999
- Coping and Psychosocial AdaptationPsychosomatic Medicine, 1997