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Ann Behav Med. 2015 Dec;49(6):873-84. doi: 10.1007/s12160-015-9726-z.

Cognitive Behavioral Stress Management for Healthy Women at Risk for Breast Cancer: a Novel Application of a Proven Intervention.

Author information

1
Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, M3-B232, Seattle, WA, 98109, USA. mcgregor@fredhutch.org.
2
Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, WA, USA. mcgregor@fredhutch.org.
3
Shelter Research and Development, American Society for the Prevention of Cruelty to Animals, New York, NY, USA.
4
Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, M3-B232, Seattle, WA, 98109, USA.
5
Anschutz Medical Campus, University of Colorado Denver, Denver, CO, USA.
6
Lombardi Cancer Center, Georgetown University, Washington, DC, USA.
7
Clinical Research, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, M3-B232, Seattle, WA, 98109, USA.
8
Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, WA, USA.

Abstract

BACKGROUND:

Women at risk for breast cancer report elevated psychological distress, which has been adversely associated with cancer-relevant behaviors and biology.

PURPOSE:

The present study sought to examine the effects of a 10-week cognitive behavioral stress management (CBSM) group intervention on distress among women with a family history of breast cancer.

METHODS:

Participants were randomly assigned to CBSM (N = 82) or a wait-list comparison group (N = 76). Baseline to postintervention effects of CBSM on depressive symptoms and perceived stress were examined using hierarchical regression.

RESULTS:

CBSM participants reported significantly lower posttreatment depressive symptoms (β = -0.17, p < 0.05) and perceived stress (β = -0.23, p < 0.05) than wait-list comparison participants. Additionally, greater relaxation practice predicted lower distress.

CONCLUSIONS:

Group-based CBSM intervention is feasible and can reduce psychological distress among women with a family history of breast cancer. The present findings represent an encouraging avenue for the future application of CBSM. ( Clinicaltrials.gov number NCT00121160).

KEYWORDS:

Breast neoplasms risk; Cognitive behavioral stress management; Distress; Female; Group psychotherapy; Relaxation practice

PMID:
26290001
PMCID:
PMC4739817
DOI:
10.1007/s12160-015-9726-z
[Indexed for MEDLINE]
Free PMC Article

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