Molly Ream, Chloe J Taub, Hermioni L Amonoo, Emily A Walsh, Paula Popok, Rachel Plotke, Jamie M Jacobs, Lisa M Gudenkauf, Frank J Penedo, Daniel O'Neil, Gail Ironson, Steven A Safren, Michael H Antoni
{"title":"术后应激管理干预对激素受体阳性乳腺癌辅助内分泌治疗妇女积极心理健康和自我效能的影响","authors":"Molly Ream, Chloe J Taub, Hermioni L Amonoo, Emily A Walsh, Paula Popok, Rachel Plotke, Jamie M Jacobs, Lisa M Gudenkauf, Frank J Penedo, Daniel O'Neil, Gail Ironson, Steven A Safren, Michael H Antoni","doi":"10.1002/pon.70267","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Women prescribed adjuvant endocrine therapy (AET) for nonmetastatic breast cancer may experience a decline in positive psychological well-being (PPWB) and self-efficacy. Brief cognitive behavioral therapy (CBT) and relaxation training (RT) interventions have shown short-term efficacy in reducing distress, but their impact on PPWB and self-efficacy over longer periods among women prescribed AET is unknown.</p><p><strong>Aims: </strong>We aimed to investigate longitudinal effects of CBT and RT on PPWB and self-efficacy among women prescribed AET.</p><p><strong>Methods: </strong>This secondary analysis of a randomized controlled trial comparing 5-session CBT versus RT versus a time-matched health education (HE) control for women with nonmetastatic breast cancer examined PPWB (positive affect, benefit finding, positive states of mind, optimism), coping self-efficacy, and relaxation self-efficacy at four timepoints over the first-year post-diagnosis and at median 8-year follow-up. Piecewise hierarchical linear modeling tested intervention effects on longitudinal trajectories among women prescribed AET from the parent study (N = 135).</p><p><strong>Results: </strong>Over the first-year post-surgery, positive affect and relaxation self-efficacy increased across all conditions (ps < 0.03). Women in CBT reported enhanced positive states of mind compared to those in HE (p = 0.044) and enhanced coping self-efficacy versus those in RT (p = 0.029). Women in HE reported enhanced coping self-efficacy versus those in RT (p = 0.043). All intervention effects persisted at 8-year follow-up. There were no significant effects on optimism or benefit finding.</p><p><strong>Conclusions: </strong>Brief interventions may bolster aspects of PPWB and self-efficacy in women prescribed AET. Testing is warranted to determine whether more PPWB components can be incorporated into these interventions to further enhance outcomes.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70267"},"PeriodicalIF":3.5000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373568/pdf/","citationCount":"0","resultStr":"{\"title\":\"Brief Post-Surgical Stress Management Intervention Effects on Positive Psychological Well-Being and Self-Efficacy in Women Being Treated With Adjuvant Endocrine Therapy for Hormone-Receptor Positive Breast Cancer.\",\"authors\":\"Molly Ream, Chloe J Taub, Hermioni L Amonoo, Emily A Walsh, Paula Popok, Rachel Plotke, Jamie M Jacobs, Lisa M Gudenkauf, Frank J Penedo, Daniel O'Neil, Gail Ironson, Steven A Safren, Michael H Antoni\",\"doi\":\"10.1002/pon.70267\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Women prescribed adjuvant endocrine therapy (AET) for nonmetastatic breast cancer may experience a decline in positive psychological well-being (PPWB) and self-efficacy. Brief cognitive behavioral therapy (CBT) and relaxation training (RT) interventions have shown short-term efficacy in reducing distress, but their impact on PPWB and self-efficacy over longer periods among women prescribed AET is unknown.</p><p><strong>Aims: </strong>We aimed to investigate longitudinal effects of CBT and RT on PPWB and self-efficacy among women prescribed AET.</p><p><strong>Methods: </strong>This secondary analysis of a randomized controlled trial comparing 5-session CBT versus RT versus a time-matched health education (HE) control for women with nonmetastatic breast cancer examined PPWB (positive affect, benefit finding, positive states of mind, optimism), coping self-efficacy, and relaxation self-efficacy at four timepoints over the first-year post-diagnosis and at median 8-year follow-up. Piecewise hierarchical linear modeling tested intervention effects on longitudinal trajectories among women prescribed AET from the parent study (N = 135).</p><p><strong>Results: </strong>Over the first-year post-surgery, positive affect and relaxation self-efficacy increased across all conditions (ps < 0.03). Women in CBT reported enhanced positive states of mind compared to those in HE (p = 0.044) and enhanced coping self-efficacy versus those in RT (p = 0.029). Women in HE reported enhanced coping self-efficacy versus those in RT (p = 0.043). All intervention effects persisted at 8-year follow-up. There were no significant effects on optimism or benefit finding.</p><p><strong>Conclusions: </strong>Brief interventions may bolster aspects of PPWB and self-efficacy in women prescribed AET. Testing is warranted to determine whether more PPWB components can be incorporated into these interventions to further enhance outcomes.</p>\",\"PeriodicalId\":20779,\"journal\":{\"name\":\"Psycho‐Oncology\",\"volume\":\"34 8\",\"pages\":\"e70267\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373568/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psycho‐Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/pon.70267\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psycho‐Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pon.70267","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
Brief Post-Surgical Stress Management Intervention Effects on Positive Psychological Well-Being and Self-Efficacy in Women Being Treated With Adjuvant Endocrine Therapy for Hormone-Receptor Positive Breast Cancer.
Background: Women prescribed adjuvant endocrine therapy (AET) for nonmetastatic breast cancer may experience a decline in positive psychological well-being (PPWB) and self-efficacy. Brief cognitive behavioral therapy (CBT) and relaxation training (RT) interventions have shown short-term efficacy in reducing distress, but their impact on PPWB and self-efficacy over longer periods among women prescribed AET is unknown.
Aims: We aimed to investigate longitudinal effects of CBT and RT on PPWB and self-efficacy among women prescribed AET.
Methods: This secondary analysis of a randomized controlled trial comparing 5-session CBT versus RT versus a time-matched health education (HE) control for women with nonmetastatic breast cancer examined PPWB (positive affect, benefit finding, positive states of mind, optimism), coping self-efficacy, and relaxation self-efficacy at four timepoints over the first-year post-diagnosis and at median 8-year follow-up. Piecewise hierarchical linear modeling tested intervention effects on longitudinal trajectories among women prescribed AET from the parent study (N = 135).
Results: Over the first-year post-surgery, positive affect and relaxation self-efficacy increased across all conditions (ps < 0.03). Women in CBT reported enhanced positive states of mind compared to those in HE (p = 0.044) and enhanced coping self-efficacy versus those in RT (p = 0.029). Women in HE reported enhanced coping self-efficacy versus those in RT (p = 0.043). All intervention effects persisted at 8-year follow-up. There were no significant effects on optimism or benefit finding.
Conclusions: Brief interventions may bolster aspects of PPWB and self-efficacy in women prescribed AET. Testing is warranted to determine whether more PPWB components can be incorporated into these interventions to further enhance outcomes.
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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