Targeting emotional regulation using an Internet-delivered psychological intervention for cancer survivors: A randomized controlled trial

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2023-07-12 DOI:10.1111/bjhp.12679

Isabelle S. Smith, Marie-Abèle Bind, Karen L. Weihs, Bei Bei, Joshua F. Wiley

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引用次数: 1

Abstract

Objectives

This trial assessed the efficacy of an emotion-focused, modular, Internet-delivered adaptation of the Unified Protocol (UP) in improving cancer survivors' emotion regulation strategies.

Design

A two-arm randomized controlled trial (1:1) was used to compare the efficacy of two Internet-based interventions: UP-adapted CanCope Mind (CM) and lifestyle-focused active control CanCope Lifestyle (CL).

Methods

N = 224 cancer survivors randomized to CM or CL were assessed at baseline, between-modules, at post-intervention and 3-month follow-up on emotion regulation outcomes targeted by each CM module (Module 1: beliefs about emotions; Module 2: mindfulness; Module 3: cognitive reappraisal skills, catastrophizing, refocus on planning; Module 4: experiential avoidance). Primary analyses were intention-to-treat linear regressions using Fisher randomization tests for p-values and intervals were used to compare groups with standardized mean difference (SMD) effect sizes.

Results

CanCope Mind participants (n = 61 completers) experienced moderate-to-large improvements (SMDs from .44–.88) across all outcomes at post-intervention. CM's effects were larger than CL's (n = 75 completers) immediately post-intervention and at 3-month follow-up for beliefs about emotions, mindfulness, cognitive reappraisals and experiential avoidance (all p's < .05). CM experienced greater improvements in catastrophizing immediately post-intervention, with a trending effect at follow-up. However, we could not reject the null hypothesis of identical between-group effects for refocusing on planning both immediately post-intervention and at follow-up. Exploratory analyses revealed inconsistent between-module effects.

Conclusions

In its entirety, CM is a promising intervention for improving and maintaining cancer survivors' adaptive emotion regulation, especially for mindfulness and experiential avoidance. This may have important clinical implications for promoting cancer survivors’ emotional functioning and general well-being.

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癌症幸存者使用互联网提供的心理干预进行情绪调节：一项随机对照试验。

目的：本试验评估了以情绪为中心、模块化、互联网传递的统一协议（UP）适应在改善癌症幸存者情绪调节策略方面的有效性。设计：采用一项双臂随机对照试验（1:1）比较两种基于互联网的干预措施的疗效：UP适应型CanCope Mind（CM）和生活方式专注型主动对照CanCope lifestyle（CL） = 224名被随机分配到CM或CL的癌症幸存者在基线、模块间、干预后和3个月的随访中评估了每个CM模块针对的情绪调节结果（模块1：关于情绪的信念；模块2：正念；模块3：认知重新评估技能、灾难化、重新关注计划；模块4：经验回避）。主要分析是使用p值的Fisher随机化检验来处理线性回归，并使用区间来比较具有标准化平均差（SMD）效应大小的组。结果：CanCope Mind参与者（n = 61名完成者）在干预后的所有结果中都经历了中到大的改善（SMD从.44-.88）。CM的效应大于CL（n = 75名完成者）在干预后立即进行，并在对情绪、正念、认知重新评估和经验回避的信念进行3个月的随访时（均为p 结论：总体而言，CM是改善和维持癌症幸存者适应性情绪调节的一种很有前途的干预措施，尤其是在正念和经验回避方面。这可能对促进癌症幸存者的情绪功能和总体健康具有重要的临床意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.