Randomized controlled trial of a brief cognitive‐behavioral strategies intervention for the pain, fatigue, and sleep disturbance symptom cluster in advanced cancer

Kwekkeboom, Kristine L.; Zhang, Yingzi; Campbell, Toby C.; Coe, Christopher L.; Costanzo, Erin S.; Serlin, Ronald C.; Ward, Sandra E.

doi:10.1002/pon.4883

Cited by 64 publications

(54 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They resulted in the reduction of anxiety and in positively affecting quality of life, cancer treatment side effects and health behaviour (Greer et al, 2012; Guo et al, 2013; Willems et al, 2017). One intervention type is relaxation therapy, which shows good effects on reducing emotional stress (Arakawa, 1997; Kwekkeboom et al, 2018) and physical tension, which intensifies symptom perception (Kwekkeboom et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Development of the health behaviour scale for cancer patients (HBSCP), analysis of its factorial structure and evaluation of its psychometric properties

et al. 2021

View full text Add to dashboard Cite

Health behaviour has been associated with the incidence and mortality of various cancers (Kerr et al., 2017). Due to the importance of lifestyle behaviours in both preventing cancer and in improving recovery and survival, more attention has been given to assessing the health behaviour of cancer patients and survivors (Mayer et al., 2007) and in promoting healthy lifestyle behaviours (Doyle et al., 2006). In the following, we present studies on health behaviour that have been found to be associated with cancer mortality or to

show abstract

Section: Introductionmentioning

confidence: 99%

Development of the health behaviour scale for cancer patients (HBSCP), analysis of its factorial structure and evaluation of its psychometric properties

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Guided relaxation appears to be effective in the treatment of pain [ 34 ••, 35 , 36 ] while the findings regarding self-administered relaxation show inconsistencies [ 37 , 38 •]. One study examined the efficacy of progressive muscle relaxation (PMR) and interactive guided imagery (IGI) on pain in patients with advanced cancer [ 34 ••].…”

Section: Resultsmentioning

confidence: 99%

“…While the aforementioned studies explored the effects of live guided relaxation, Kwekkeboom et al examined the efficacy of self-administered mp3-recorded exercises consisting of relaxation, imagery, and distraction techniques. In a pilot study [ 37 ] and a full-scale RCT [ 38 •], advanced cancer patients received an introductory therapeutic session and were encouraged to complete at least 1 of the 12 exercises on their own each day. Two weeks later, pain severity decreased in the intervention group of the pilot study in comparison with the waitlist controls.…”

Section: Resultsmentioning

confidence: 99%

“…Relaxation techniques, in general, showed a promising potential in improving symptom distress by pain in advanced cancer patients, although studies showed some inconsistencies. Our descriptive analyses suggest that personally guided techniques [ 34 ••, 35 , 36 ] may be more effective than self-administered relaxation [ 37 , 38 •]. One possible explanation is that the effort of self-administration itself may bind attention that could make it more difficult to focus on the actual relaxation.…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Psychosocial Interventions for Pain Management in Advanced Cancer Patients: a Systematic Review and Meta-analysis

et al. 2020

View full text Add to dashboard Cite

Purpose of Review This systematic review and meta-analysis aimed to synthesize the evidence on the effects of psychosocial interventions on pain in advanced cancer patients. Recent Findings The included studies investigated the effects of relaxation techniques, cognitive-behavioral therapy, music therapy, mindfulness- and acceptance-based interventions, and supportive-expressive group therapy. Overall, we found a small, but significant effect on pain intensity (d = − 0.29, CI = − 0.54 to − 0.05). Effect sizes were highly heterogeneous between studies. We did not find evidence for the superiority of any of the intervention types. However, psychosocial interventions may be more effective if they specifically targeted pain distress as the primary outcome. Summary Although findings were mixed, psychosocial interventions can be recommended to complement comprehensive care to alleviate pain in patients facing an advanced or terminal stage of the disease. Future research should develop innovative interventions tailored specifically for pain relief.

show abstract

“…Identifying the interrelationship between symptoms in a cluster can aid in more effective symptom management. For instance, symptoms may cluster together through a shared etiology such as neuroinflammation ( 55 ) or because they share the same triggering symptom ( 56 ). Identifying symptom clusters in individuals who report persistent symptoms following treatment for LB could aid in more effective symptom management through identifying triggering symptoms or an underlying etiology.…”

Section: Introductionmentioning

confidence: 99%

Symptom Clusters and Functional Impairment in Individuals Treated for Lyme Borreliosis

et al. 2020

View full text Add to dashboard Cite

Context: Persistent fatigue, pain, and neurocognitive impairment are common in individuals following treatment for Lyme borreliosis (LB). Poor sleep, depression, visual disturbance, and sensory neuropathies have also been reported. The cause of these symptoms is unclear, and widely accepted effective treatment strategies are lacking. Objectives: To identify symptom clusters in people with persistent symptoms previously treated for LB and to examine the relationship between symptom severity and perceived disability. Methods: This was a retrospective chart review of individuals with a history of treatment of LB referred to The Dean Center for Tick-Borne Illness at Spaulding Rehabilitation Hospital between 2015 and 2018 (n = 270) because of persistent symptoms. Symptoms and functional impairment were collected using the General Symptom Questionnaire-30 (GSQ-30), and the Sheehan Disability Scale. Clinical tests were conducted to evaluate for tick-borne co-infections and to rule out medical disorders that could mimic LB symptomatology. Exploratory factor analysis was performed to identify symptom clusters. Results: Five symptom clusters were identified. Each cluster was assigned a name to reflect the possible underlying etiology and was based on the majority of the symptoms in the cluster: the neuropathy symptom cluster, sleep-fatigue symptom cluster, migraine symptom cluster, cognitive symptom cluster, and mood symptom cluster. Symptom severity for each symptom cluster was positively associated with global functional impairment (p < 0.001). Conclusion: Identifying the interrelationship between symptoms in post-treatment LB in a cluster can aid in the identification of the etiological basis of these symptoms and could lead to more effective symptom management strategies. Zubcevik et al. Symptom Clusters in Lyme Borreliosis Key Message: This article describes symptom clusters in individuals with a history of Lyme borreliosis. Five clusters were identified: sleep-fatigue, neuropathy, migrainelike, cognition, and mood clusters. Identifying the interrelationship between symptoms in each of the identified clusters could aid in more effective symptom management through identifying triggering symptoms or an underlying etiology.

show abstract

Randomized controlled trial of a brief cognitive‐behavioral strategies intervention for the pain, fatigue, and sleep disturbance symptom cluster in advanced cancer

Cited by 64 publications

References 33 publications

Development of the health behaviour scale for cancer patients (HBSCP), analysis of its factorial structure and evaluation of its psychometric properties

Development of the health behaviour scale for cancer patients (HBSCP), analysis of its factorial structure and evaluation of its psychometric properties

Psychosocial Interventions for Pain Management in Advanced Cancer Patients: a Systematic Review and Meta-analysis

Symptom Clusters and Functional Impairment in Individuals Treated for Lyme Borreliosis

Contact Info

Product

Resources

About