Efficacy of cognitive therapy for depression among women with metastatic cancer: a single-case experimental study

Lévesque, M.; Savard, Josée; Simard, Sébastien; Gauthier, Janel; Ivers, Hans

doi:10.1016/j.jbtep.2004.05.002

Cited by 54 publications

(26 citation statements)

References 52 publications

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“…Using CBT skills (eg, relaxation and worry management), participants in a six‐session intervention reported lowered anxiety compared with controls . Depression in advanced disease is associated with demoralization, frustration with functional limitations, and feelings of “being a burden.” Yet few controlled studies have examined CBT for mood‐related distress in patients with advanced cancer …”

Section: Introductionmentioning

confidence: 99%

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Pilot randomized controlled trial of a symptom cluster intervention in advanced cancer

et al. 2018

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Objective This study evaluated a three‐session acceptance‐based cognitive behavioral ‐acceptance and commitment therapy (CBT‐ACT) intervention targeting a common symptom cluster in advanced cancer—worry‐insomnia‐depression‐fatigue. Methods Twenty‐eight patients with advanced cancer were randomly assigned to the CBT‐ACT intervention or waitlist. At preintervention, participants completed a psychodiagnostic interview, standardized questionnaires, and a sleep diary. Intervention and waitlist groups were reassessed after 6 weeks, at which point the waitlist group completed the intervention. Results Participants receiving the intervention demonstrated improved sleep efficiency (P = 0.0062, d = 1.08), sleep latency (P = 0.028, d = −0.86), insomnia severity (P = 0.0047, d = −1.18), and worry (P = 0.026, d = −0.89) compared with waitlist controls. They also demonstrated a 7‐point reduction on depression (P = 0.03, d = −0.88), reduced hyperarousal (P = 0.005, d = −1.51), and a decrease in distress (P = 0.032, d = −0.83). Effects were maintained for the whole sample in sensitivity analyses. Effects on uncertainty intolerance approached significance (P = 0.058). No effect was found on fatigue. Conclusions The CBT‐ACT group performed significantly better than the waitlist control group. CBT‐ACT yielded strong effects for worry, sleep, depression, emotional distress, total distress, and hyperarousal. Future studies will enhance the fatigue and uncertainty tolerance components of the intervention.

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Section: Introductionmentioning

confidence: 99%

“…19 Yet few controlled studies have examined CBT for moodrelated distress in patients with advanced cancer. 8,20 Fatigue, which may contribute to depressive symptoms, is pervasive among those with advanced cancer. 21,22 Strategies for addressing cancer-related fatigue (eg, exercise) have demonstrated benefits.…”

Section: Introductionmentioning

confidence: 99%

Pilot randomized controlled trial of a symptom cluster intervention in advanced cancer

et al. 2018

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“…Many published articles have outlined research conducted using these approaches, including in psychotherapy research (Kellett & Beail, 1997), insomnia and brain injury (Ouellet & Morin, 2004), and depression and cancer (Levesque, Savard, Simard, Gauthier, & Ives, 2004). Arguments have been made for the use of the methodology within different settings, for example in mental health nursing (Ricketts, 1998), mental health practice (Long & Hollin, 1995), psychotherapy (Turpin, 2001), and rehabilitation (Ottenbacher, 1990;& Ottenbacher & Hinderer, 2001).…”

Section: Single Case Methodologymentioning

confidence: 99%

Evaluating innovative treatments in forensic mental health: A role for single case methodology?

Davies

Howells

Jones

2007

Journal of Forensic Psychiatry & Psychology

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The rapid development of new forensic mental health services and treatments has created a demand for research and evidence relating to the effectiveness of interventions. Unfortunately, the literature on outcomes of treatments for mentally disordered offenders is sparse, compared with the substantial 'what works' literature regarding non-disordered offenders in the criminal justice system. In this paper we propose that single case research methodologies have a part to play in remedying this unsatisfactory state of affairs. The strengths and limitations of single case methods are discussed and comparisons made with RCTs, particularly in the context of dangerous and severe personality disorder (DSPD) services in England and Wales. Important strategic decisions that need to be made in relation to the implementation of single case experimental methods are outlined.

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“…En una revisión literaria realizada por los autores de este trabajo entre septiembre y diciembre de 2012 en los siguientes buscadores: Pubmed/Medline, PsycInfo, Cochrane y Redalyc, se encontró que se han publicado doce estudios que han evaluado el efecto de la terapia cognitivo conductual (TCC) para el manejo de la ansiedad en pacientes con cáncer terminal con una expectativa de vida alrededor de seis meses (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29) , sin embargo, solamente seis estudios utilizaron diseños experimentales, para evaluar el efecto de la terapia (22,(25)(26)(27)(28)(29) . De los seis trabajos experimentales, en cinco se reportó que disminuyeron de manera estadísticamente significativa los puntajes de ansiedad entre la pre evaluación y post evaluación, lo cual parece indicar que la TCC es una muy buena opción para el manejo de ansiedad en esta población (25)(26)(27)(28)(29) .…”

Section: Introductionunclassified

Descripción de la terapia cognitivo-conductual para la ansiedad en pacientes con cáncer terminal

et al. 2014

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El presente trabajo forma parte de la investigación doctoral del primer autor bajo la dirección del último. Resumen El objetivo de este trabajo es describir los principales componentes y características de la terapia cognitivo conductual cuando se utiliza para tratar problemas de ansiedad en pacientes con cáncer terminal. A lo largo del escrito se describen los cuatro componentes que más se han utilizados en las investigaciones en este área: 1) principios de la terapia cognitivo conductual 2) técnicas de relajación 3) identificación y reestructuración de pensamientos negativos 4) planeación de actividades. De igual forma, se describe el promedio de duración de la terapia cognitivo conductual, número de sesiones, intervalos de aplicación y los principales problemas reportados cuando se aplica la terapia. Finalmente, se especifican recomendaciones para la aplicación de la terapia y para el desarrollo de líneas futuras de investigación en el área.

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Efficacy of cognitive therapy for depression among women with metastatic cancer: a single-case experimental study

Cited by 54 publications

References 52 publications

Pilot randomized controlled trial of a symptom cluster intervention in advanced cancer

Pilot randomized controlled trial of a symptom cluster intervention in advanced cancer

Evaluating innovative treatments in forensic mental health: A role for single case methodology?

Descripción de la terapia cognitivo-conductual para la ansiedad en pacientes con cáncer terminal

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