A Randomized Controlled Trial: Evaluating Whether a Cognitive Behavioral Internet-Delivered Intervention Targeting Emotion Regulation Improves Health-Related Quality of Life in Cancer Survivors.
Objective: Cancer survivors experience reduced overall health-related quality of life (HRQoL) compared to the general population. This research assesses and compares the efficacy of an emotion-focused (CanCopeMind [CM]) and lifestyle (CanCopeLifestyle [CL]) intervention to improve HRQoL among cancer...
| Publicado en: | Health Psychology Vol. 44; no. 10; pp. 909 - 922 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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American Psychological Association
Oct2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=187784668&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 187784668 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02786133 82X jtl: Health Psychology issn: 02786133 maglogo: N pubinfo: dt: Oct2025 vid: 44 iid: 10 pid: 34 pub: American Psychological Association artinfo: ui: 187784668 10.1037/hea0001497 ppf: 909 ppct: 13 formats: tig: atl: A Randomized Controlled Trial: Evaluating Whether a Cognitive Behavioral Internet-Delivered Intervention Targeting Emotion Regulation Improves Health-Related Quality of Life in Cancer Survivors. aug: au: Wallace, Rebecca Smith, Isabelle Day, Daphne Alexander, Marliese Weihs, Karen L. Wiley, Joshua F. affil: School of Psychological Sciences, Turner Institute for Brain & Mental Health, Monash University Department of Oncology, Monash Health, Melbourne, Australia Sir Peter MacCallum Department of Oncology, The University of Melbourne Pharmacy Department, Peter MacCallum Cancer Centre, Melbourne, Australia Department of Psychiatry, College of Medicine, University of Arizona su: Australia Canada United States United Kingdom New Zealand Psychotherapy Self-evaluation Behavior modification Exercise Medical care Internet Randomized controlled trials Psychological well-being Health behavior Quality of life Sleep Cognitive therapy Cognition Social participation Mental depression Emotion regulation Scale analysis (Psychology) Statistical sampling Questionnaires Treatment effectiveness Descriptive statistics Functional status Pre-tests & post-tests Longitudinal method Cancer pain Cancer patient psychology Comparative studies Data analysis software Confidence intervals Cancer fatigue Diet Relaxation techniques Regression analysis sug: subj: Psychotherapy Self-evaluation Behavior modification Exercise Medical care Internet Randomized controlled trials Psychological well-being Health behavior Quality of life Sleep Cognitive therapy Cognition Social participation Mental depression Australia Canada United States United Kingdom New Zealand Internet Publishing and Broadcasting and Web Search Portals Wired Telecommunications Carriers Marketing Research and Public Opinion Polling Emotion regulation Scale analysis (Psychology) Statistical sampling Questionnaires Treatment effectiveness Descriptive statistics Functional status Pre-tests & post-tests Longitudinal method Cancer pain Cancer patient psychology Comparative studies Data analysis software Confidence intervals Cancer fatigue Diet Relaxation techniques Regression analysis keyword: cancer survivors emotion regulation health-related quality of life Unified Protocol cancer survivors emotion regulation health-related quality of life Unified Protocol ab: Objective: Cancer survivors experience reduced overall health-related quality of life (HRQoL) compared to the general population. This research assesses and compares the efficacy of an emotion-focused (CanCopeMind [CM]) and lifestyle (CanCopeLifestyle [CL]) intervention to improve HRQoL among cancer survivors. Method: This 8-week, internet-delivered, randomized controlled trial compared CM (n = 110) and CL (n = 114) on self-reported HRQoL (range −0.022 = indicating a state akin to dead to 1.0 representing perfect health) at baseline, postintervention, and 3-month follow-up. CM, adapted from the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders, targeted core emotion regulation skills (understanding emotions, mindfulness, flexible thinking, and changing behaviors). CL, the active control, targeted healthy lifestyle domains (diet, exercise, relaxation, and sleep). Results: HRQoL increased in both groups from baseline to postintervention (CM, p <.001, SMD = 0.54; CL, p <.001, SMD = 0.40), and these improvements were sustained at follow-up (CM, p <.001, SMD = 0.52; CL, p =.005, SMD = 0.33). The difference between each group was not significant at either postintervention (p =.095, SMD = 0.19) or follow-up (p =.081, SMD = 0.23). Subgroup analyses revealed no moderation by cancer stage, treatment type, months since treatment, cancer type or sex. Conclusion: The findings indicate that an accessible, internet-delivered emotion-focused and lifestyle interventions hold promise for improving HRQoL among cancer survivors. Public Significance Statement: This is the first study to directly compare the impact of an internet-delivered emotion-focused intervention with a lifestyle-focused intervention on the health-related quality of life of cancer survivors. We found that health-related quality of life improved after both interventions, with greater improvements in cognitive function, social roles and activities, and depression symptoms after the emotion-focused program. These findings underscore the potential of online programs as an accessible option to support cancer survivors. By enhancing emotional and overall well-being, these interventions may promote recovery and long-term quality of life after cancer, offering scalable solutions that can be implemented widely. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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