Effects of cancer rehabilitation on problem-solving, anxiety and depression: a RCT comparing physical and cognitive-behavioural training versus physical training

Irene Korstjens, Ilse Mesters, Anne M May, Ellen van Weert, Johanna H C van den Hout, Wynand Ros, Josette E H M Hoekstra-Weebers, Cees van der Schans, Bart van den Borne

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

We tested the effects on problem-solving, anxiety and depression of 12-week group-based self-management cancer rehabilitation, combining comprehensive physical training (PT) and cognitive-behavioural problem-solving training (CBT), compared with PT. We expected that PT + CBT would outperform PT in improvements in problem-solving (Social Problem-Solving Inventory-Revised (SPSI-R)), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), and that more anxious and/or depressed participants would benefit most from adding CBT to PT. Cancer survivors (aged 48.8 ± 10.9 years, all cancer types, medical treatment completed) were randomly assigned to PT + CBT (n = 76) or PT (n = 71). Measurement occasions were: before and post-rehabilitation (12 weeks), 3- and 9-month follow-up. A non-randomised usual care comparison group (UCC) (n = 62) was measured at baseline and after 12 weeks. Longitudinal intention-to-treat analyses showed no differential pattern in change between PT + CBT and PT. Post-rehabilitation, participants in PT and PT + CBT reported within-group improvements in problem-solving (negative problem orientation; p < 0.01), anxiety (p < 0.001) and depression (p < 0.001), which were maintained at 3- and 9-month follow-up (p < 0.05). Compared with UCC post-rehabilitation, PT and PT + CBT only improved in anxiety (p < 0.05). CBT did not add to the effects of PT and had no extra benefits for higher distressed participants. PT was feasible and sufficient for durably reducing cancer survivors' anxiety.

Original languageEnglish
Pages (from-to)63-82
JournalPsychology & health
Volume26 Suppl 1
DOIs
Publication statusPublished - 2011

Keywords

  • adult
  • anxiety
  • cognitive therapy
  • depression
  • female
  • humans
  • male
  • middle aged
  • neoplasms
  • physical therapy modalities
  • problem solving
  • treatment outcome
  • journal article
  • multicenter study
  • randomized controlled trial
  • research support, non-U.S. Gov't

Cite this

Korstjens, Irene ; Mesters, Ilse ; May, Anne M ; van Weert, Ellen ; van den Hout, Johanna H C ; Ros, Wynand ; Hoekstra-Weebers, Josette E H M ; van der Schans, Cees ; van den Borne, Bart. / Effects of cancer rehabilitation on problem-solving, anxiety and depression : a RCT comparing physical and cognitive-behavioural training versus physical training. In: Psychology & health. 2011 ; Vol. 26 Suppl 1. pp. 63-82.
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Effects of cancer rehabilitation on problem-solving, anxiety and depression : a RCT comparing physical and cognitive-behavioural training versus physical training. / Korstjens, Irene; Mesters, Ilse; May, Anne M; van Weert, Ellen; van den Hout, Johanna H C; Ros, Wynand; Hoekstra-Weebers, Josette E H M; van der Schans, Cees; van den Borne, Bart.

In: Psychology & health, Vol. 26 Suppl 1, 2011, p. 63-82.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Effects of cancer rehabilitation on problem-solving, anxiety and depression

T2 - a RCT comparing physical and cognitive-behavioural training versus physical training

AU - Korstjens, Irene

AU - Mesters, Ilse

AU - May, Anne M

AU - van Weert, Ellen

AU - van den Hout, Johanna H C

AU - Ros, Wynand

AU - Hoekstra-Weebers, Josette E H M

AU - van der Schans, Cees

AU - van den Borne, Bart

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N2 - We tested the effects on problem-solving, anxiety and depression of 12-week group-based self-management cancer rehabilitation, combining comprehensive physical training (PT) and cognitive-behavioural problem-solving training (CBT), compared with PT. We expected that PT + CBT would outperform PT in improvements in problem-solving (Social Problem-Solving Inventory-Revised (SPSI-R)), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), and that more anxious and/or depressed participants would benefit most from adding CBT to PT. Cancer survivors (aged 48.8 ± 10.9 years, all cancer types, medical treatment completed) were randomly assigned to PT + CBT (n = 76) or PT (n = 71). Measurement occasions were: before and post-rehabilitation (12 weeks), 3- and 9-month follow-up. A non-randomised usual care comparison group (UCC) (n = 62) was measured at baseline and after 12 weeks. Longitudinal intention-to-treat analyses showed no differential pattern in change between PT + CBT and PT. Post-rehabilitation, participants in PT and PT + CBT reported within-group improvements in problem-solving (negative problem orientation; p < 0.01), anxiety (p < 0.001) and depression (p < 0.001), which were maintained at 3- and 9-month follow-up (p < 0.05). Compared with UCC post-rehabilitation, PT and PT + CBT only improved in anxiety (p < 0.05). CBT did not add to the effects of PT and had no extra benefits for higher distressed participants. PT was feasible and sufficient for durably reducing cancer survivors' anxiety.

AB - We tested the effects on problem-solving, anxiety and depression of 12-week group-based self-management cancer rehabilitation, combining comprehensive physical training (PT) and cognitive-behavioural problem-solving training (CBT), compared with PT. We expected that PT + CBT would outperform PT in improvements in problem-solving (Social Problem-Solving Inventory-Revised (SPSI-R)), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), and that more anxious and/or depressed participants would benefit most from adding CBT to PT. Cancer survivors (aged 48.8 ± 10.9 years, all cancer types, medical treatment completed) were randomly assigned to PT + CBT (n = 76) or PT (n = 71). Measurement occasions were: before and post-rehabilitation (12 weeks), 3- and 9-month follow-up. A non-randomised usual care comparison group (UCC) (n = 62) was measured at baseline and after 12 weeks. Longitudinal intention-to-treat analyses showed no differential pattern in change between PT + CBT and PT. Post-rehabilitation, participants in PT and PT + CBT reported within-group improvements in problem-solving (negative problem orientation; p < 0.01), anxiety (p < 0.001) and depression (p < 0.001), which were maintained at 3- and 9-month follow-up (p < 0.05). Compared with UCC post-rehabilitation, PT and PT + CBT only improved in anxiety (p < 0.05). CBT did not add to the effects of PT and had no extra benefits for higher distressed participants. PT was feasible and sufficient for durably reducing cancer survivors' anxiety.

KW - adult

KW - anxiety

KW - cognitive therapy

KW - depression

KW - female

KW - humans

KW - male

KW - middle aged

KW - neoplasms

KW - physical therapy modalities

KW - problem solving

KW - treatment outcome

KW - journal article

KW - multicenter study

KW - randomized controlled trial

KW - research support, non-U.S. Gov't

KW - volwassene

KW - angst

KW - cognitieve therapie

KW - depressie

KW - vrouwelijk

KW - mensen

KW - mannelijk

KW - middelbaar

KW - neoplasma's

KW - fysieke therapie modaliteiten

KW - probleemoplossend

KW - behandelingsresultaat

KW - tijdschriftartikel

KW - multicenter studie

KW - gerandomiseeerd controle onderzoek

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DO - 10.1080/08870441003611569

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VL - 26 Suppl 1

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JO - Psychology & health

JF - Psychology & health

SN - 0887-0446

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