Evaluating an engaging and coach-assisted online cognitive behavioral therapy for depression among adolescent and young adult cancer survivors: A pilot feasibility trial.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL Journal of Psychosocial Oncology Pub Date : 2023-01-01 Epub Date: 2022-01-18 DOI:10.1080/07347332.2021.2011530

Anao Zhang, Addie Weaver, Emily Walling, Brad Zebrack, Nina Jackson Levin, Beth Stuchell, Joseph Himle

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引用次数: 7

Abstract

Objectives: Technology-assisted Cognitive Behavioral Therapy (tCBT) has significant potentials to provide engaging and accessible depression treatment for adolescents and young adults (AYAs) coping with cancer. This study evaluated the feasibility and preliminary efficacy of an engaging and tailorable tCBT - Mind Your Total Health (MYTH) - for AYA cancer survivors' depression.

Methods: Seventeen AYAs diagnosed with cancer were randomly assigned to either the intervention (MYTH) or control group. The intervention group (n = 10) received eight weekly 30-35 minutes coach-assisted tCBT (MYTH), while the control group (n = 7) received active control, BeatingtheBlues (BtB).

Results: Eight out of ten participants in the MYTH group completed at least six out of eight sessions, suggesting strong feasibility (80% completion rate) among AYAs with cancer. Efficacy outcomes indicated that participants in the MYTH group reported significant pre- and post-treatment reduction in depression, t(9) = 5.25, p < 0.001, and anxiety, t(9)=5.07, p < 0.001. Notably, participants in the MYTH group reported significantly lower post-treatment depression than participants in the BtB group, t(15) = 2.40, p < 0.05. The between-group difference reflected a significant between-group treatment effect size, d = 1.12, p < 0.05.

Discussion: This engaging, tailorable, and coach-assisted tCBT intervention is promising in alleviating depression and anxiety among AYA cancer survivors. Future research needs to include larger sample size and a more diverse patient population.

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在青少年和年轻癌症幸存者中评估参与和教练辅助的在线认知行为疗法：一项试点可行性试验。

目的：技术支持的认知行为治疗（tCBT）在为应对癌症的青少年和年轻人（AYA）提供参与和可获得的抑郁症治疗方面具有重要潜力。这项研究评估了参与和可定制的tCBT——注意你的总体健康（MYTH）——治疗AYA癌症幸存者抑郁症的可行性和初步疗效。方法：将17例诊断为癌症的AYA随机分为干预组（MYTH）和对照组。干预组（n = 10）收到8周30-35 分钟教练辅助tCBT（MYTH），而对照组（n = 7）获得主动控制，击败蓝调（BtB）。结果：在MYTH组中，十分之八的参与者至少完成了八次会议中的六次，这表明在患有癌症的AYA中具有很强的可行性（完成率为80%）。疗效结果表明，MYTH组的参与者在治疗前和治疗后抑郁症状显著减少，t（9）=5.25，p t（9）=5.07，p t（15）=2.40，p d = 1.12，p 讨论：这种引人入胜、可定制和教练辅助的tCBT干预有望缓解AYA癌症幸存者的抑郁和焦虑。未来的研究需要包括更大的样本量和更多样化的患者群体。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.