A Controlled Trial of Group Cognitive Behavior Therapy for Irish Breast Cancer Patients
Journal of psychosocial oncology
ASTRACT Objective: The aim was to evaluate the effectivenss of a manualised six week cognitive behavioural programme for early-stage breast cancer patients. Method: 69 women diagnosed with early-stage breast cancer were recruited not later than one year post completion of radiotherapy at an Irish national specialist oncology hospital and assigned to a six week cognitive behaviour group therapy programme or an educational control group. Patients were assessed before and after treatment, and at
... treatment, and at six months followup. Results: Groups X Time (2 X 3) analyses of variance showed that the Time to Adjust Programme did not lead to significantly greater improvement on standardised measures of coping, quality of life or mood compared with the educational control group. Regression analyses showed that maladaptive coping and psychological distress at baseline were predictive of psychological adjustment at six months follow-up, accounting for between 28-38% of the variance. Psychological distress at baseline was also predictive of quality of life at six months follow-up, accounting for about 12% of the variance. Repeated measures analyses of variance of data from cases in the intervention group across test occasions showed that patients who completed the Time to Adjust Programme showed significant improvement in problem severity, impact of problems, coping ability and goal attainment from pre-treatment to post-treatment, and these gains were maintained at follow-up for problem severity and impact of problems, but not for coping ability or goal attainment. Participation in the Time to Adjust Programme did not lead to significantly less health service usage during the period from baseline to six months follow-up, compared with the educational control group Conclusion. A controlled evaluation of the Time to Adjust Programme provided no evidence for the effectiveness of brief cognitive behaviour intervention in enhancing psychological adjustment of early-stage breast cancer patients with normal levels of psychological distress. Future research should evaluate the effectiveness of the programme for patients with clinically significant levels of psychological distress and limited coping resources.