Stress Management or Post-traumatic Growth Facilitation to Diminish Distress in Cancer Survivors? A Randomized Controlled Trial

Cristian Ochoa-Arnedo*, Anna Casellas-Grau, María Lleras, Joan C. Medina, Jaume Vives

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

This randomized controlled trial compared the efficacy of cognitive behavioral stress management (CBSM) and positive psychotherapy in cancer (PPC) to reduce post-traumatic stress symptoms (PTSS) and distress, and to promote post-traumatic growth (PTG) in cancer survivors. Participants were 140 adult women randomly allocated to CBSM (n = 73) or PPC (n = 67). PTSS, distress, and PTG were assessed at pre- and post-intervention, and at 3- and 12–month follow-ups. Analysis showed PPC was more effective in decreasing PTSS (b = −7.61, p <.001) and distress (b = −3.66; p <.001) than CBSM, but neither therapy significantly increased PTG (b = 0.77, p =.76). The relational veracity of PTG and its role predicting reduced PTSS was observed only in the PPC arm. In conclusion, PPC appears to be a valid therapeutic option for assimilating and accommodating the experience of cancer after treatment completion.

Original languageAmerican English
JournalJournal of Positive Psychology
DOIs
Publication statusAccepted in press - 2020

Keywords

  • Cancer
  • distress
  • post-traumatic growth
  • post-traumatic stress
  • psychotherapy

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