Research: PHILLIPS and COLLEAGUES,

Listed in Issue 167

Abstract

PHILLIPS and COLLEAGUES,  Department of Psychology, University of Miami, Coral Gables, Florida 33124, USA studied the effects of Cognitive Behavioural Stress Management (CBSM) upon cortisol and relaxation parameters in women being treated for breast cancer.

Background

To examine the effects of a cognitive-behavioural stress management (CBSM) intervention, which was composed of relaxation, cognitive restructuring, and coping skills training on late afternoon serum cortisol and relaxation indicators in women who were undergoing treatment for nonmetastatic breast cancer.

Methodology

Participants (N = 128) were randomly assigned to receive a 10-week CBSM group intervention or a 1-day psychoeducation seminar. Serum cortisol was collected and ability to relax was assessed at study entry and again at 6- and 12-month follow-up visits. Data were analyzed using latent growth curve modelling.

Results

There was a significant effect of study condition on change across time for both cortisol and perceived ability to relax. Women receiving CBSM had significantly greater reductions in cortisol levels across the 12 months compared with those in the control group, who had no appreciable decline. Women receiving CBSM reported greater increases in ability to relax than controls across time. Perceived ability to relax did not mediate CBSM-related reductions in cortisol.

Conclusion

Women who participate in a 10-week CBSM intervention during treatment for breast cancer show decreases in physiological stress in parallel with increases in perceived relaxation skills. This is the first study demonstrating well-maintained reductions in cortisol after a CBSM intervention in cancer patients during and just after treatment.

References

Phillips KM, Antoni MH, Lechner SC, Blomberg BB, Llabre MM, Avisar E,  Gluck S, DerHagopian R and Carver CS. Stress management intervention reduces serum cortisol and increases relaxation during treatment for nonmetastatic breast cancer. Psychosomatic Medicine. 70(9): 1044-9. Nov 2008.

Munro Hall Clinic 2019

IJCA 2018 New Skyscraper

Scientific and Medical Network 2

Cycle India 2020

Walk on the Wide Side Trek Kenya 2020

Big Heart Bike Ride South Africa 2020

top of the page