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Self-administered stress management training in patients undergoing radiotherapy
Mindy M Krischer1, Ping Xu, Cathy D Meade
1Department of Pediatrics, University of South Florida and the Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA.
Stress management training improved quality of life for cancer patients undergoing radiotherapy, but only those with initially high psychological distress. Further research should target these patients.
Area of Science:
- Oncology
- Psychosocial Oncology
- Clinical Psychology
Background:
- Psychosocial interventions are crucial for cancer patients undergoing radiation therapy.
- Previous single-center studies showed positive effects of stress management on chemotherapy patients.
Purpose of the Study:
- To evaluate the effectiveness of a stress management intervention in improving quality of life and reducing psychological distress in radiotherapy patients.
- To replicate findings from prior research in a multi-center setting.
Main Methods:
- 310 patients beginning radiotherapy were randomized to usual care or self-administered stress management training.
- Quality of life was assessed at baseline and for three weeks post-treatment initiation.
Main Results:
- Overall, stress management did not significantly reduce psychological distress compared to usual care.
- Patients with higher baseline distress (SF-36 MCS score ≤ 50) showed significant distress reduction with the intervention.
Conclusions:
- Self-administered stress management is effective for radiotherapy patients with initially high psychological distress.
- Future research should focus on targeted stress management for distressed patients.
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