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Test of mindfulness and hope components in a psychological intervention for women with cancer recurrence.

Publication ,  Journal Article
Thornton, LM; Cheavens, JS; Heitzmann, CA; Dorfman, CS; Wu, SM; Andersen, BL
Published in: J Consult Clin Psychol
December 2014

OBJECTIVE: Psychological interventions can attenuate distress and enhance coping for those with an initial diagnosis of cancer, but there are few intervention options for individuals with cancer recurrence. To address this gap, we developed and tested a novel treatment combining Mindfulness, Hope Therapy, and biobehavioral components. METHOD: An uncontrolled, repeated measures design was used. Women (N = 32) with recurrent breast or gynecologic cancers were provided 20 treatment sessions in individual (n = 12) or group (n = 20) formats. On average, participants were middle aged (M = 58) and Caucasian (81%). Independent variables (i.e., hope and mindfulness) and psychological outcomes (i.e., depression, negative mood, worry, and symptoms of generalized anxiety disorder) were assessed pre-treatment and 2, 4, and 7 months later. Session-by-session therapy process (positive and negative affect, quality-of-life) and mechanism (use of intervention-specific skills) measures were also included. RESULTS: Distress, anxiety, and negative affect decreased, whereas positive affect and mental-health-related quality-of-life increased over the course of treatment, as demonstrated in mixed-effects models with the intent-to-treat sample. Both hope and mindfulness increased, and use of mindfulness skills was related to decreased anxiety. CONCLUSIONS: This treatment was feasible to deliver and was acceptable to patients. The trial serves as preliminary evidence for a multi-component intervention tailored to treat difficulties specific to recurrent cancer. The blending of the components was novel as well as theoretically and practically consistent. A gap in the literature is addressed, providing directions for testing interventions designed for patients coping with the continuing stressors and challenges of cancer recurrence.

Duke Scholars

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Published In

J Consult Clin Psychol

DOI

EISSN

1939-2117

Publication Date

December 2014

Volume

82

Issue

6

Start / End Page

1087 / 1100

Location

United States

Related Subject Headings

  • Stress, Psychological
  • Neoplasm Recurrence, Local
  • Negativism
  • Mindfulness
  • Middle Aged
  • Mental Health
  • Humans
  • Hope
  • Genital Neoplasms, Female
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Thornton, L. M., Cheavens, J. S., Heitzmann, C. A., Dorfman, C. S., Wu, S. M., & Andersen, B. L. (2014). Test of mindfulness and hope components in a psychological intervention for women with cancer recurrence. J Consult Clin Psychol, 82(6), 1087–1100. https://doi.org/10.1037/a0036959
Thornton, Lisa M., Jennifer S. Cheavens, Carolyn A. Heitzmann, Caroline S. Dorfman, Salene M. Wu, and Barbara L. Andersen. “Test of mindfulness and hope components in a psychological intervention for women with cancer recurrence.J Consult Clin Psychol 82, no. 6 (December 2014): 1087–1100. https://doi.org/10.1037/a0036959.
Thornton LM, Cheavens JS, Heitzmann CA, Dorfman CS, Wu SM, Andersen BL. Test of mindfulness and hope components in a psychological intervention for women with cancer recurrence. J Consult Clin Psychol. 2014 Dec;82(6):1087–100.
Thornton, Lisa M., et al. “Test of mindfulness and hope components in a psychological intervention for women with cancer recurrence.J Consult Clin Psychol, vol. 82, no. 6, Dec. 2014, pp. 1087–100. Pubmed, doi:10.1037/a0036959.
Thornton LM, Cheavens JS, Heitzmann CA, Dorfman CS, Wu SM, Andersen BL. Test of mindfulness and hope components in a psychological intervention for women with cancer recurrence. J Consult Clin Psychol. 2014 Dec;82(6):1087–1100.

Published In

J Consult Clin Psychol

DOI

EISSN

1939-2117

Publication Date

December 2014

Volume

82

Issue

6

Start / End Page

1087 / 1100

Location

United States

Related Subject Headings

  • Stress, Psychological
  • Neoplasm Recurrence, Local
  • Negativism
  • Mindfulness
  • Middle Aged
  • Mental Health
  • Humans
  • Hope
  • Genital Neoplasms, Female
  • Female