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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.
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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