Effects of cancer rehabilitation on problem-solving, anxiety and depression: A RCT comparing physical and cognitive-behavioural training versus physical training

Irene Korstjens; Ilse Mesters; Anne M. May; Ellen van Weert; Johanna H. C. van den Hout; Wynand Ros; Josette E. H. M. Hoekstra-Weebers; Cees P. van der Schans; Bart van den Borne

doi:10.1080/08870441003611569

Effects of cancer rehabilitation on problem-solving, anxiety and depression: A RCT comparing physical and cognitive-behavioural training versus physical training

Irene Korstjens^*, Ilse Mesters, Anne M. May, Ellen van Weert, Johanna H. C. van den Hout, Wynand Ros, Josette E. H. M. Hoekstra-Weebers, Cees P. van der Schans, Bart van den Borne

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

14 Citations (Web of Science)

Abstract

We tested the effects on problem-solving, anxiety and depression of 12-week group-based self-management cancer rehabilitation, combining comprehensive physical training (PT) and cognitive-behavioural problem-solving training (CBT), compared with PT. We expected that PT+CBT would outperform PT in improvements in problem-solving (Social Problem-Solving Inventory-Revised (SPSI-R)), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), and that more anxious and/or depressed participants would benefit most from adding CBT to PT. Cancer survivors (aged 48.8 +/- 10.9 years, all cancer types, medical treatment completed) were randomly assigned to PT+CBT (n=76) or PT (n=71). Measurement occasions were: before and post-rehabilitation (12 weeks), 3- and 9-month follow-up. A non-randomised usual care comparison group (UCC) (n=62) was measured at baseline and after 12 weeks. Longitudinal intention-to-treat analyses showed no differential pattern in change between PT+CBT and PT. Post-rehabilitation, participants in PT and PT+CBT reported within-group improvements in problem-solving (negative problem orientation; p

Original language	English
Pages (from-to)	63-82
Journal	Psychology & Health
Volume	26
DOIs	https://doi.org/10.1080/08870441003611569
Publication status	Published - 1 May 2011

Keywords

cancer
distress
oncology
problem-solving
rehabilitation

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10.1080/08870441003611569

Cite this

Korstjens, I., Mesters, I., May, A. M., van Weert, E., van den Hout, J. H. C., Ros, W., Hoekstra-Weebers, J. E. H. M., van der Schans, C. P., & van den Borne, B. (2011). Effects of cancer rehabilitation on problem-solving, anxiety and depression: A RCT comparing physical and cognitive-behavioural training versus physical training. Psychology & Health, 26, 63-82. https://doi.org/10.1080/08870441003611569

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abstract = "We tested the effects on problem-solving, anxiety and depression of 12-week group-based self-management cancer rehabilitation, combining comprehensive physical training (PT) and cognitive-behavioural problem-solving training (CBT), compared with PT. We expected that PT+CBT would outperform PT in improvements in problem-solving (Social Problem-Solving Inventory-Revised (SPSI-R)), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), and that more anxious and/or depressed participants would benefit most from adding CBT to PT. Cancer survivors (aged 48.8 +/- 10.9 years, all cancer types, medical treatment completed) were randomly assigned to PT+CBT (n=76) or PT (n=71). Measurement occasions were: before and post-rehabilitation (12 weeks), 3- and 9-month follow-up. A non-randomised usual care comparison group (UCC) (n=62) was measured at baseline and after 12 weeks. Longitudinal intention-to-treat analyses showed no differential pattern in change between PT+CBT and PT. Post-rehabilitation, participants in PT and PT+CBT reported within-group improvements in problem-solving (negative problem orientation; p",

keywords = "cancer, distress, oncology, problem-solving, rehabilitation",

author = "Irene Korstjens and Ilse Mesters and May, {Anne M.} and {van Weert}, Ellen and {van den Hout}, {Johanna H. C.} and Wynand Ros and Hoekstra-Weebers, {Josette E. H. M.} and {van der Schans}, {Cees P.} and {van den Borne}, Bart",

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Korstjens, I, Mesters, I, May, AM, van Weert, E, van den Hout, JHC, Ros, W, Hoekstra-Weebers, JEHM, van der Schans, CP & van den Borne, B 2011, 'Effects of cancer rehabilitation on problem-solving, anxiety and depression: A RCT comparing physical and cognitive-behavioural training versus physical training', Psychology & Health, vol. 26, pp. 63-82. https://doi.org/10.1080/08870441003611569

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AU - Korstjens, Irene

AU - Mesters, Ilse

AU - May, Anne M.

AU - van Weert, Ellen

AU - van den Hout, Johanna H. C.

AU - Ros, Wynand

AU - Hoekstra-Weebers, Josette E. H. M.

AU - van der Schans, Cees P.

AU - van den Borne, Bart

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N2 - We tested the effects on problem-solving, anxiety and depression of 12-week group-based self-management cancer rehabilitation, combining comprehensive physical training (PT) and cognitive-behavioural problem-solving training (CBT), compared with PT. We expected that PT+CBT would outperform PT in improvements in problem-solving (Social Problem-Solving Inventory-Revised (SPSI-R)), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), and that more anxious and/or depressed participants would benefit most from adding CBT to PT. Cancer survivors (aged 48.8 +/- 10.9 years, all cancer types, medical treatment completed) were randomly assigned to PT+CBT (n=76) or PT (n=71). Measurement occasions were: before and post-rehabilitation (12 weeks), 3- and 9-month follow-up. A non-randomised usual care comparison group (UCC) (n=62) was measured at baseline and after 12 weeks. Longitudinal intention-to-treat analyses showed no differential pattern in change between PT+CBT and PT. Post-rehabilitation, participants in PT and PT+CBT reported within-group improvements in problem-solving (negative problem orientation; p

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