Effects and moderators of coping skills training on symptoms of depression and anxiety in patients with cancer: Aggregate data and individual patient data meta-analyses

Buffart, Laurien M.; Schreurs, Maartje A. C.; Abrahams, H.J.G.; Kalter, Joeri; Aaronson, Neil K.; Jacobsen, Paul B.; Newton, Robert U.; Courneya, Kerry S.; Armes, Jo; Arving, Cecilia; Braamse, Annemarie; Brandberg, Yvonne; Dekker, Joost; Ferguson, Robert J.; Gielissen, Marieke; Glimelius, Bengt; Goedendorp, Martine M.; Graves, Kristi D.; Heiney, Sue P.; Horne, Rob; Hunter, Myra; Johansson, Birgitta; Northouse, Laurel; Oldenburg, Hester S. A.; Prins, Judith B.; Savard, Josée; Beurden, Marc van; Berg, Sanne W. van den; Brug, Johannes; Knoop, Hans; Leeuw, Irma M. Verdonck‐de

doi:10.1016/j.cpr.2020.101882

Cited by 12 publications

(4 citation statements)

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“…That is, psychological interventions aim to induce behavioral, cognitive and/or emotional changes that are targeted to help attain good health and therefore improve general wellbeing and quality of life [cf. 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Re-evaluating randomized clinical trials of psychological interventions: Impact of response shift on the interpretation of trial results

et al. 2021

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Background Effectiveness of psychological treatment is often assessed using patient-reported health evaluations. However, comparison of such scores over time can be hampered due to a change in the meaning of self-evaluations, called ‘response shift’. Insight into the occurrence of response shift seems especially relevant in the context of psychological interventions, as they often purposefully intend to change patients’ frames of reference. Aims The overall aim is to gain insight into the general relevance of response shift for psychological health intervention research. Specifically, the aim is to re-analyse data of published randomized controlled trials (RCTs) investigating the effectiveness of psychological interventions targeting different health aspects, to assess (1) the occurrence of response shift, (2) the impact of response shift on interpretation of treatment effectiveness, and (3) the predictive role of clinical and background variables for detected response shift. Method We re-analysed data from RCTs on guided internet delivered cognitive behavioural treatment (CBT) for insomnia in the general population with and without elevated depressive symptoms, an RCT on meaning-centred group psychotherapy targeting personal meaning for cancer survivors, and an RCT on internet-based CBT treatment for persons with diabetes with elevated depressive symptoms. Structural equation modelling was used to test the three objectives. Results We found indications of response shift in the intervention groups of all analysed datasets. However, results were mixed, as response shift was also indicated in some of the control groups, albeit to a lesser extent or in opposite direction. Overall, the detected response shifts only marginally impacted trial results. Relations with selected clinical and background variables helped the interpretation of detected effects and their possible mechanisms. Conclusion This study showed that response shift effects can occur as a result of psychological health interventions. Response shift did not influence the overall interpretation of trial results, but provide insight into differential treatment effectiveness for specific symptoms and/or domains that can be clinically meaningful.

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Section: Introductionmentioning

confidence: 99%

“…2 measured with the anxiety subscale of the hospital anxiety and depression scale (HADS-A).https://doi.org/10.1371/journal.pone.0252035 1. measured with the personal meaning profile (PMP).…”

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Re-evaluating randomized clinical trials of psychological interventions: Impact of response shift on the interpretation of trial results

et al. 2021

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“…The effectiveness of adaptive coping strategies, particularly those focused on problem-solving, has been consistently demonstrated in alleviating symptoms associated with anxiety (Buffart et al, 2020). Engaging in active problem-solving empowers individuals to confront stressors directly, disrupting the cycle of anxious thoughts and fostering a sense of control over their circumstances.…”

Section: Coping Skills and Anxietymentioning

confidence: 99%

Examining Coping Skills, Anxiety, and Depression Dynamics Amidst the COVID-19 Pandemic

Moment

2024

GradStudentJofPsych

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This cross-sectional study, conducted amid the COVID-19 pandemic, delves into the intricate connections between coping strategies and levels of anxiety and depression, presenting vital implications for medical, clinical, and broader societal contexts. As crises like the pandemic highlight the importance of adaptive coping, this investigation underscores the imperative to comprehend and address maladaptive coping strategies. The study utilized a diverse sample of 386 participants during the pandemic's peak, employing online platforms for recruitment and ensuring broad demographic representation. Data were collected through self-report measures, including the Patient Health Questionnaire-4 (PHQ-4) for depression and anxiety symptoms and the Brief Coping Orientation to Problems Experienced (COPE) inventory to assess coping skills across various domains. The coping skills assessment measured strategies such as Self-Distraction, Active Coping, Denial, Substance Use, Emotional and Instrumental Support, Behavioral Disengagement, Venting, Positive Reframing, Planning, Humor, Acceptance, Religion, and Self-Blame. The Colorado Multiple Institutional Review Board prioritized and approved ethical considerations, and participants provided informed consent. Data analysis involved rigorous cleaning, recoding, and quantitative analysis using SPSS. Descriptive statistics, regression analyses, and correlation analyses were employed to uncover nuanced relationships between coping strategies and mental health outcomes, contributing to understanding the phenomena under investigation within the context of the pandemic. The findings highlight the pivotal role of individualized approaches and the potential of humor as an essential coping mechanism, emphasizing the need for tailored interventions during crises.

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“…Patients with cancer who uptake psycho-social support services improve their quality of life, emotional and social function, and reduce distress, depression and anxiety (Buffart et al 2020 ; Goodwin et al 2001 ; Kalter et al 2018 ; Marchioro et al 1996 ; Warth et al 2020 ). For these reasons, psycho-social support services are an integral part of cancer care in many countries, and are available in both in- and outpatient facilities (Herschbach and Mandel 2011 ).…”

Section: Introductionmentioning

confidence: 99%

Experience of office-based haematologists and oncologists with outpatient psycho-social support services for cancer patients with and without migration background in Germany

Riccetti¹,

Hempler²,

Hermes-Moll³

et al. 2022

J Cancer Res Clin Oncol

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Purpose We compared the perception of office-based haematologists and oncologists regarding the availability of outpatient psycho-social support services (PSSS) for patients with cancer and a migration background, as well as their different experiences with these services. Methods Data were collected via an online survey addressing the doctors’ socio-demographic characteristics and their perception of-and experience with PSSS. The association between socio-demographic characteristics of the doctors and their experiences with PSSS was tested using Pearson’s chi-squared test and Kruskal–Wallis test. Results A total of 55 doctors were included in this study. More than three doctors in four reported non-sufficient presence of PSSS in foreign languages in their region; one in two reported that the services for patients with migration background should be improved. Most doctors reported missing PSSS in Turkish and Arabic in their region. Doctors with less experience referred patients more often to PSSS hosted in patients’ associations (75% vs 25%; p = 0.02), than doctors with more experience. Doctors working in larger cities referred patients less often to PSSS in cancer counselling centres (12% vs 88%; p = 0.01), than doctors working in small or middle-large cities. Male doctors were more satisfied with the network of PSSS’ providers, than female doctors (mean score = 2.8 vs 2.2; p = 0.05). Conclusions Our results suggest that efforts should be made for a higher regional availability of overall and specific PSSS for non-German speaking patients (especially for Turkish- and Arabic-speaking patients). The experience with PSSS was associated with the doctors’ work experience and gender, as well as the location of the practice.

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Effects and moderators of coping skills training on symptoms of depression and anxiety in patients with cancer: Aggregate data and individual patient data meta-analyses

Cited by 12 publications

References 90 publications

Re-evaluating randomized clinical trials of psychological interventions: Impact of response shift on the interpretation of trial results

Re-evaluating randomized clinical trials of psychological interventions: Impact of response shift on the interpretation of trial results

Examining Coping Skills, Anxiety, and Depression Dynamics Amidst the COVID-19 Pandemic

Experience of office-based haematologists and oncologists with outpatient psycho-social support services for cancer patients with and without migration background in Germany

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