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psychological intervention (conquerfear) for treating fear of cancer recurrence: mediators and moderators of treatment efficacy
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نویسنده
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sharpe louise ,thewes b. ,tesson s. ,day s. ,grunewald k. ,butow p. ,turner j. ,fardell j. e. ,smith a. b. ,girgis a. ,gilchrist j. ,beith j. ,conquerfear authorship group
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منبع
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journal of cancer survivorship - 2019 - دوره : 13 - شماره : 5 - صفحه:695 -702
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چکیده
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Conquerfear is an efficacious intervention for fear of cancer recurrence (fcr) that demonstrated greater improvements than an attention control (relaxation training) in a randomized controlled trial. this study aimed to determine mediators and moderators of the relative treatment efficacy of conquerfear versus relaxation. one hundred and fifty-two cancer survivors completed 5 therapy sessions and outcome measures before and after intervention and at 6 months’ follow-up. we examined theoretically relevant variables as potential mediators and moderators of treatment outcome. we hypothesized that metacognitions and intrusions would moderate and mediate the relationship between treatment group and fcr level at follow-up. only total fcr score at baseline moderated treatment outcome. participants with higher levels of fcr benefited more from conquerfear relative to relaxation on the primary outcome. changes in metacognitions and intrusive thoughts about cancer during treatment partially mediated the relationship between treatment group and fcr. these results show that conquerfear is relatively more effective than relaxation for those with overall higher levels of fcr. the mediation analyses confirmed that the most likely mechanism of treatment efficacy was the reduction in unhelpful metacognitions and intrusive thoughts during treatment, consistent with the theoretical framework underpinning conquerfear. conquerfear is a brief, effective treatment for fcr in cancer survivors with early-stage disease. the treatment works by reducing intrusive thoughts about cancer and changing beliefs about worry and is particularly helpful for people with moderate to severe fcr.
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کلیدواژه
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oncology ,cancer ,psychotherapy ,fear of recurrence ,metacognitive therapy ,acceptance commitment therapy ,metacognitions ,intrusive thoughts
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آدرس
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university of sydney, school of psychology, australia, university of sydney, school of psychology, australia. radboud university medical centre, department medical psychology, netherlands, university of sydney, school of psychology, australia, university of sydney, school of psychology, australia, university of sydney, school of psychology, australia, university of sydney, school of psychology, psycho-oncology co-operative research group (pocog), australia, university of queensland, mental health centre, faculty of medicine, australia, university of new south wales, kids cancer centre, sydney children’s hospital and school of women’s and children’s health, faculty of medicine, australia, university of new south wales, centre for oncology education and research translation (concert), ingham institute for applied medical research, south western sydney clinical school, australia, university of new south wales, centre for oncology education and research translation (concert), ingham institute for applied medical research, south western sydney clinical school, australia, westmead hospital, crown princess mary cancer centre, breast cancer institute, australia, university of sydney, psycho-oncology co-operative research group (pocog), australia. department of medical oncology, australia, conquerfear authorship group
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Authors
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