Tailored internet-delivered cognitive behavior therapy for breast cancer patients: a randomized controlled trial with an active control group.

IF 3.4 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive Behaviour Therapy Pub Date : 2026-02-24 DOI:10.1080/16506073.2026.2635464

Gerhard Andersson, Anton Käll, Manja Enström, Lena Jonsson, Karolina Ehnsiö, Elisabeth Nilsson-Ihrfelt, Per Carlbring, Marie-Louise Fjällskog

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引用次数: 0

Abstract

Psychological distress is common among breast cancer survivors. Psychosocial interventions can be effective but rarely consider heterogeneity of symptoms. The present study investigated the effects of therapist-supported tailored internet-delivered cognitive behavioral therapy (ICBT) for cancer-related psychological symptoms in breast cancer survivors. Seventy breast cancer survivors reporting elevated levels of depressive and/or anxiety symptoms were recruited and randomized to take part in either ICBT (n = 35) or a moderated online discussion forum (n = 35). The ICBT condition was tailored according to the problems reported by the participant. Questionnaires assessing psychiatric and cancer-related psychological symptoms, quality of life, and benefit finding were used. Data were collected before and after the treatment phase at week 10, as well as after six months, and the study was completed back in 2008. The results at the posttreatment indicated significant differences across all outcomes favoring the ICBT condition. Effect sizes ranged between small (Cohen's d = -0.35) for body change stress, and large for symptoms of depression and anxiety (Cohen's d = -0.89). Symptom levels were sustained for the ICBT group at follow-up but with few between-group differences. The results indicate that tailored ICBT can help breast cancer patients who experience psychological distress following medical treatment.

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为乳腺癌患者量身定制的互联网认知行为疗法：一项随机对照试验，有一个积极的对照组。

心理困扰在乳腺癌幸存者中很常见。社会心理干预可能有效，但很少考虑到症状的异质性。本研究调查了治疗师支持的定制网络传递认知行为疗法（ICBT）对乳腺癌幸存者癌症相关心理症状的影响。招募了70名报告抑郁和/或焦虑症状升高的乳腺癌幸存者，并随机分组参加ICBT （n = 35）或主持的在线讨论论坛（n = 35）。ICBT条件是根据参与者报告的问题量身定制的。使用问卷评估精神和癌症相关的心理症状、生活质量和获益情况。数据是在治疗阶段的第10周前后以及6个月后收集的，研究于2008年完成。治疗后的结果表明，所有结果都有显著差异，有利于ICBT条件。对身体变化压力的影响较小（Cohen’s d = -0.35），对抑郁和焦虑症状的影响较大（Cohen’s d = -0.89）。在随访中，ICBT组的症状水平维持不变，但组间差异不大。结果表明，量身定制的ICBT可以帮助在医学治疗后经历心理困扰的乳腺癌患者。

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

Cognitive Behaviour Therapy PSYCHOLOGY, CLINICAL-

CiteScore

9.20

自引率

0.00%

发文量

期刊介绍： Cognitive Behaviour Therapy is a peer reviewed, multidisciplinary journal devoted to the application of behavioural and cognitive sciences to clinical psychology and psychotherapy. The journal publishes state-of-the-art scientific articles within: - clinical and health psychology - psychopathology - behavioural medicine - assessment - treatment - theoretical issues pertinent to behavioural, cognitive and combined cognitive behavioural therapies With the number of high quality contributions increasing, the journal has been able to maintain a rapid publication schedule, providing readers with the latest research in the field.