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Gepubliceerd in: Cognitive Therapy and Research 6/2011

01-12-2011 | Brief Report

Stress Management Skills and Reductions in Serum Cortisol Across the Year After Surgery for Non-Metastatic Breast Cancer

Auteurs: Kristin M. Phillips, Michael H. Antoni, Charles S. Carver, Suzanne C. Lechner, Frank J. Penedo, Michael E. McCullough, Stefan Gluck, Robert P. Derhagopian, Bonnie B. Blomberg

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2011

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Abstract

Treatment for breast cancer affects psychological adaptation and related neuroendocrine stress indicators. Previously, a 10-week cognitive behavioral stress management (CBSM) group intervention decreased cortisol over 12-months among women receiving treatment for breast cancer. The current re-analysis tested whether changes in stress management skills at 6-month follow-up predict the magnitude of cortisol reductions at 12-months in a time-lagged analysis. Women (N = 128) with non-metastatic breast cancer recruited post-surgery were randomized to the CBSM intervention or 1-day psychoeducational seminar. Participants reported perceived CBSM skills and provided late afternoon blood samples for serum cortisol at baseline and 6- and 12-month follow-ups. Improved perceived ability to relax and use cognitive reappraisal skills at 6-months statistically mediated intervention-associated cortisol reduction from 6- to 12-months. This is the first study showing that improved perceived CBSM skills predict the magnitude of cortisol reductions over 1 year in this population and may guide development of more focused interventions.
Literatuur
go back to reference Andersen, B. L., Kiecolt-Glaser, J. K., & Glaser, R. (1994). A biobehavioral model of cancer stress and disease course. American Psychologist, 49(5), 389–404. PubMedCrossRef Andersen, B. L., Kiecolt-Glaser, J. K., & Glaser, R. (1994). A biobehavioral model of cancer stress and disease course. American Psychologist, 49(5), 389–404. PubMedCrossRef
go back to reference Andersen, B. L., Yang, H. C., Farrar, W. B., Golden-Kreutz, D. M., Emery, C. F., Thornton, L. M., et al. (2008). Psychologic intervention improves survival for breast cancer patients. Cancer, 113, 3450–3458. doi: 10.​1002/​cncr.​23969. PubMedCrossRef Andersen, B. L., Yang, H. C., Farrar, W. B., Golden-Kreutz, D. M., Emery, C. F., Thornton, L. M., et al. (2008). Psychologic intervention improves survival for breast cancer patients. Cancer, 113, 3450–3458. doi: 10.​1002/​cncr.​23969. PubMedCrossRef
go back to reference Antoni, M. H. (2003). Stress management intervention for women with breast cancer. Washington, DC: American Psychological Association Press. CrossRef Antoni, M. H. (2003). Stress management intervention for women with breast cancer. Washington, DC: American Psychological Association Press. CrossRef
go back to reference Antoni, M. H., Lechner, S. C., Kazi, A., Wimberly, S. R., Sifre, T., Urcuyo, K. R., et al. (2006a). How stress management improves quality of life after treatment for breast cancer. Journal of Clinical and Counseling Psychology, 74, 1143–1152. doi: 10.​1037/​0022-006X.​74.​6.​1152. CrossRef Antoni, M. H., Lechner, S. C., Kazi, A., Wimberly, S. R., Sifre, T., Urcuyo, K. R., et al. (2006a). How stress management improves quality of life after treatment for breast cancer. Journal of Clinical and Counseling Psychology, 74, 1143–1152. doi: 10.​1037/​0022-006X.​74.​6.​1152. CrossRef
go back to reference Antoni, M. H., Lutgendorf, S., Cole, S., Dhabhar, F., Sephton, S., McDonald, P., et al. (2006b). The influence of biobehavioral factors on tumor biology, pathways and mechanisms. Nature Reviews Cancer, 6, 240–248. doi: 10.​1038/​nrc1820. PubMedCrossRef Antoni, M. H., Lutgendorf, S., Cole, S., Dhabhar, F., Sephton, S., McDonald, P., et al. (2006b). The influence of biobehavioral factors on tumor biology, pathways and mechanisms. Nature Reviews Cancer, 6, 240–248. doi: 10.​1038/​nrc1820. PubMedCrossRef
go back to reference Faul, L. A., Jim, H. S., Williams, C., Loftus, L., & Jacobsen, P. B. (2010). Relationship of stress management skill to psychological distress and quality of life in adults with cancer. Psycho-Oncology, 19, 102–109. doi: 10.​1002/​pon.​1547. PubMedCrossRef Faul, L. A., Jim, H. S., Williams, C., Loftus, L., & Jacobsen, P. B. (2010). Relationship of stress management skill to psychological distress and quality of life in adults with cancer. Psycho-Oncology, 19, 102–109. doi: 10.​1002/​pon.​1547. PubMedCrossRef
go back to reference Jacobsen, P. B., Widows, M. R., Hann, D., Andrykowski, M. A., Kronish, L. E., & Fields, K. K. (1998). Posttraumatic stress disorder symptoms after bone marrow transplantation for breast cancer. Psychosomatic Medicine, 60(3), 366–371. PubMed Jacobsen, P. B., Widows, M. R., Hann, D., Andrykowski, M. A., Kronish, L. E., & Fields, K. K. (1998). Posttraumatic stress disorder symptoms after bone marrow transplantation for breast cancer. Psychosomatic Medicine, 60(3), 366–371. PubMed
go back to reference Penedo, F. J., Molton, I., Dahn, J. R., Shen, B.-J., Kinsinger, D., Traeger, L., et al. (2006). A randomized clinical trial of group-based cognitive-behavioral stress management in localized prostate cancer: Development of stress management skills improves quality of life and benefit finding. Annals of Behavioral Medicine, 31, 261–270. doi: 10.​1207/​s15324796abm3103​_​8. PubMedCrossRef Penedo, F. J., Molton, I., Dahn, J. R., Shen, B.-J., Kinsinger, D., Traeger, L., et al. (2006). A randomized clinical trial of group-based cognitive-behavioral stress management in localized prostate cancer: Development of stress management skills improves quality of life and benefit finding. Annals of Behavioral Medicine, 31, 261–270. doi: 10.​1207/​s15324796abm3103​_​8. PubMedCrossRef
go back to reference Phillips, K. M., Antoni, M. H., Lechner, S. C., Blomberg, B. B., Llabre, M. M., Avisar, E., et al. (2008). Stress management intervention reduces serum cortisol and increases relaxation during treatment for nonmetastatic breast cancer. Psychosomatic Medicine, 70, 1044–1049. doi: 10.​1097/​PSY.​0b013e318186fb27​. PubMedCrossRef Phillips, K. M., Antoni, M. H., Lechner, S. C., Blomberg, B. B., Llabre, M. M., Avisar, E., et al. (2008). Stress management intervention reduces serum cortisol and increases relaxation during treatment for nonmetastatic breast cancer. Psychosomatic Medicine, 70, 1044–1049. doi: 10.​1097/​PSY.​0b013e318186fb27​. PubMedCrossRef
go back to reference Rogers, L. Q., Hopkins-Price, P., Vicari, S., Markwell, S., Pamenter, R., Courneya, K. S., et al. (2009). Physical activity and health outcomes three months after completing a physical activity behavior change intervention: Persistent and delayed effects. Cancer Epidemiology, Biomarkers and Prevention, 18, 1410–1418. doi: 10.​1158/​1055-9965.​EPI-08-1045. PubMedCrossRef Rogers, L. Q., Hopkins-Price, P., Vicari, S., Markwell, S., Pamenter, R., Courneya, K. S., et al. (2009). Physical activity and health outcomes three months after completing a physical activity behavior change intervention: Persistent and delayed effects. Cancer Epidemiology, Biomarkers and Prevention, 18, 1410–1418. doi: 10.​1158/​1055-9965.​EPI-08-1045. PubMedCrossRef
go back to reference Scheier, M. F., Helgeson, V. S., Schulz, R., Colvin, S., Berga, S., Bridges, M. W., et al. (2005). Interventions to enhance physical and psychological functioning among younger women who are ending nonhormonal adjuvant treatment for early-stage breast cancer. Journal of Clinical Oncology, 23, 4298–4311. doi: 10.​1200/​JCO.​2005.​05.​362. PubMedCrossRef Scheier, M. F., Helgeson, V. S., Schulz, R., Colvin, S., Berga, S., Bridges, M. W., et al. (2005). Interventions to enhance physical and psychological functioning among younger women who are ending nonhormonal adjuvant treatment for early-stage breast cancer. Journal of Clinical Oncology, 23, 4298–4311. doi: 10.​1200/​JCO.​2005.​05.​362. PubMedCrossRef
go back to reference Sephton, S. E., Sapolsky, R. M., Kraemer, H. C., & Spiegel, D. (2000). Diurnal cortisol rhythm as a predictor of breast cancer survival. Journal of the National Cancer Institute, 92(12), 994–1000. PubMedCrossRef Sephton, S. E., Sapolsky, R. M., Kraemer, H. C., & Spiegel, D. (2000). Diurnal cortisol rhythm as a predictor of breast cancer survival. Journal of the National Cancer Institute, 92(12), 994–1000. PubMedCrossRef
go back to reference Spencer, S. M., Lehman, J. M., Wynings, C., Arena, P., Carver, C. S., Antoni, M. H., et al. (1999). Concerns about breast cancer and relations to psychosocial well-being in a multi-ethnic sample of early stage patients. Health Psychology, 18(2), 159–168. PubMedCrossRef Spencer, S. M., Lehman, J. M., Wynings, C., Arena, P., Carver, C. S., Antoni, M. H., et al. (1999). Concerns about breast cancer and relations to psychosocial well-being in a multi-ethnic sample of early stage patients. Health Psychology, 18(2), 159–168. PubMedCrossRef
go back to reference Yehuda, R. (2003). Hypothalamic-pituitary-adrenal alterations in PTSD: Are they relevant to understanding cortisol alterations in cancer? Brain, Behavior, and Immunity, 17(Suppl 1), S73–S83. PubMedCrossRef Yehuda, R. (2003). Hypothalamic-pituitary-adrenal alterations in PTSD: Are they relevant to understanding cortisol alterations in cancer? Brain, Behavior, and Immunity, 17(Suppl 1), S73–S83. PubMedCrossRef
Metagegevens
Titel
Stress Management Skills and Reductions in Serum Cortisol Across the Year After Surgery for Non-Metastatic Breast Cancer
Auteurs
Kristin M. Phillips
Michael H. Antoni
Charles S. Carver
Suzanne C. Lechner
Frank J. Penedo
Michael E. McCullough
Stefan Gluck
Robert P. Derhagopian
Bonnie B. Blomberg
Publicatiedatum
01-12-2011
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 6/2011
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-011-9398-3