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Effects of cancer rehabilitation on problem-solving, anxiety and depression: A RCT comparing physical and cognitive-behavioural training versus physical training

Korstjens, I., Mesters, I., May, A. M., van Weert, E., van den Hout, J. H. C., Ros, W., Hoekstra-Weebers, J. E. H. M., van der Schans, C. P. & van den Borne, B., 2011, In : Psychology & Health. 26, p. 63-82 20 p.

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DOI

  • Irene Korstjens
  • Ilse Mesters
  • Anne M. May
  • Ellen van Weert
  • Johanna H. C. van den Hout
  • Wynand Ros
  • Josette E. H. M. Hoekstra-Weebers
  • Cees P. van der Schans
  • Bart van den Borne

We tested the effects on problem-solving, anxiety and depression of 12-week group-based self-management cancer rehabilitation, combining comprehensive physical training (PT) and cognitive-behavioural problem-solving training (CBT), compared with PT. We expected that PT + CBT would outperform PT in improvements in problem-solving (Social Problem-Solving Inventory-Revised (SPSI-R)), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), and that more anxious and/or depressed participants would benefit most from adding CBT to PT. Cancer survivors (aged 48.8 +/- 10.9 years, all cancer types, medical treatment completed) were randomly assigned to PT + CBT (n = 76) or PT (n = 71). Measurement occasions were: before and post-rehabilitation (12 weeks), 3- and 9-month follow-up. A non-randomised usual care comparison group (UCC) (n = 62) was measured at baseline and after 12 weeks. Longitudinal intention-to-treat analyses showed no differential pattern in change between PT + CBT and PT. Post-rehabilitation, participants in PT and PT + CBT reported within-group improvements in problem-solving (negative problem orientation; p

Original languageEnglish
Pages (from-to)63-82
Number of pages20
JournalPsychology & Health
Volume26
Publication statusPublished - 2011

    Keywords

  • cancer, distress, oncology, problem-solving, rehabilitation, RANDOMIZED CONTROLLED-TRIAL, QUALITY-OF-LIFE, BREAST-CANCER, HOSPITAL ANXIETY, SURVIVORS, INTERVENTIONS, THERAPY, METAANALYSIS, ADJUSTMENT, PROGRAM

ID: 5539557