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505 results on '"Bower, Julienne E."'

16. Management of Fatigue in Adult Survivors of Cancer: American Society of Clinical Oncology - Society for Integrative Oncology (ASCO-SIO) Guideline Update Clinical Insights.

Author

Mustian, Karen, Lacchetti, Christina, Zick, Suzanna, and Bower, Julienne E.

Subjects
MEDICAL protocols, CANCER patient medical care, PRESUMPTIONS (Law), TREATMENT effectiveness, CANCER patients, QUALITY of life, CANCER fatigue, CANCER patient psychology, TERMINAL care, ALGORITHMS, HEALTH care teams, ADULTS
Abstract

The article provides an updated guideline for managing cancer-related fatigue in adult survivors, emphasizing the need for comprehensive screening and evidence-based interventions. Topics include recommended therapies such as exercise, cognitive behavioral therapy, and mindfulness programs, the importance of individualized treatment plans, and recommendations against the use of certain medications like wakefulness agents and antidepressants.

Published
2024
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23. Associations between emotional reactivity to stress and adolescent substance use: Differences by sex and valence.

Author

Rahal, Danny, Bower, Julienne E., Irwin, Michael R., and Fuligni, Andrew J.

Subjects
*SUBSTANCE abuse risk factors, *SUBSTANCE abuse, *EMOTION regulation, *STRESS management, *RESEARCH funding, *SEX distribution, *EMOTIONS, *LONGITUDINAL method, *PSYCHOLOGICAL stress, *ALCOHOLISM, *CANNABIS (Genus), *INTERPERSONAL relations, *MENTAL depression, *ADOLESCENCE
Abstract

Although stress is often related to substance use, it remains unclear whether substance use is related to individual differences in how adolescents respond to stress. Therefore the present study examined associations between substance use and daily emotional reactivity to stress within a year across adolescence. Adolescents (N = 330; Mage = 16.40, SD = 0.74 at study entry; n = 186 female; n = 138 Latine; n = 101 European American; n = 72 Asian American; n = 19 identifying as another ethnicity including African American and Middle Eastern) completed a longitudinal study, including three assessments between the 10th grade and 3‐years post‐high school. At each assessment, participants reported frequency of alcohol and cannabis use and the number of substances they had ever used. They also completed 15 daily checklists, in which they reported the number of daily arguments and their daily emotion. Multilevel models suggested that more frequent alcohol and cannabis use were related to attenuated positive emotional reactivity to daily stress (i.e., smaller declines in positive emotion on days when they experienced more arguments) for both male and female adolescents. Associations for negative emotional reactivity to stress varied by sex; more frequent alcohol use and use of more substances in one's lifetime were related to greater anxious emotional reactivity to stress among female adolescents, whereas more frequent alcohol and cannabis use and higher lifetime substance use were related to attenuated depressive emotional reactivity to stress among male adolescents. Taken together, substance use was related to emotional reactivity to daily stress within the same year during adolescence, although associations differed by valence and adolescent sex. [ABSTRACT FROM AUTHOR]

Published
2024
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25. Moderators of Intervention Efficacy in the Pathways to Wellness Trial of Survivorship Education and Mindfulness Meditation for Younger Breast Cancer Survivors.

Author

Tyrus Korecki, J. Richard, Ganz, Patricia A., Partridge, Ann H., Wolff, Antonio C., Petersen, Laura, Crespi, Catherine M., and Bower, Julienne E.

Subjects
PREVENTION of mental depression, RESEARCH funding, PSYCHOLOGICAL distress, PRESUMPTIONS (Law), BREAST tumors, MINDFULNESS, HEALTH, QUESTIONNAIRES, TREATMENT effectiveness, DESCRIPTIVE statistics, ANXIETY, SEVERITY of illness index, MEDITATION, ONE-way analysis of variance, CANCER patient psychology, DATA analysis software, BEHAVIOR therapy, REGRESSION analysis
Abstract

PURPOSE: Depression is associated with poor outcomes in breast cancer survivors (BCSs), with higher prevalence among younger women. The Pathways to Wellness (PTW; ClinicalTrials.gov identifier: NCT03025139) randomized controlled trial (RCT) demonstrated beneficial effects of two behavioral interventions (survivorship education [SE] and mindful awareness practices [MAPs]) on depressive symptoms in younger BCS. We conducted an exploratory secondary analysis to identify moderators of intervention effects. METHODS: Women diagnosed with stage 0 to III breast cancer at or before age 50 years who completed cancer treatment were randomly assigned to 6 weeks of SE (n = 81), MAPs (n = 85), or waitlist control (WLC; n = 81). Moderators assessed at baseline included psychological distress (depression and anxiety), intervention preference, preparedness for survivorship, and time since initial diagnosis. Linear regression models tested the modifying effects of each variable on postintervention depression in SE versus WLC and MAPs versus WLC. RESULTS: Baseline levels of depression (β = –.03, P <.01) and anxiety (β = –.64, P =.02) moderated effects of SE on depressive symptoms, as did preparedness for survivorship (β = 3.17, P =.02). Participants randomly assigned to SE who had the highest levels of depression or anxiety and who felt least prepared for survivorship showed the largest reductions in depressive symptoms from preintervention to postintervention. Similar effects were not observed for MAPs. Intervention preference and time since diagnosis did not moderate intervention effects for either SE or MAPs. CONCLUSION: Our 6-week, group-based SE program may be most beneficial for women with higher levels of psychological distress and those who feel least prepared for cancer survivorship. By contrast, a 6-week mindfulness awareness practice intervention appears to benefit younger BCS regardless of pretreatment characteristics. Several qualities influence treatment efficacy of a survivorship ed. course in younger breast cancer survivors. [ABSTRACT FROM AUTHOR]

Published
2024
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50. Associations between emotion reactivity to daily interpersonal stress and acute social‐evaluative stress during late adolescence.

Author

Rahal, Danny, Bower, Julienne E., Fuligni, Andrew J., and Chiang, Jessica J.

Subjects
*EMOTION regulation, *RESEARCH funding, *HISPANIC Americans, *PSYCHOLOGICAL stress, *INTERPERSONAL relations, *PSYCHOLOGICAL tests, *EUROPEAN Americans, *ADOLESCENCE
Abstract

Emotion reactivity refers to the intensity of changes in positive and negative emotion following a stimulus, typically studied with respect to daily stressors (e.g., arguments, demands) or laboratory stressors, including the Trier Social Stress Test (TSST). Yet, it is unclear whether emotion reactivity to daily and to laboratory stressors are related. The present study examined whether greater emotion reactivity to daily stressors (i.e., arguments, demands) is associated with greater reactivity to the TSST. Late adolescents (N = 82; Mage = 18.35, SD = 0.51, range 17–19; 56.1% female; 65.9% Latine, 34.2% European American) reported whether they experienced arguments and demands with friends, family, and individuals at school and their negative and positive emotion nightly for 15 days. They also completed the TSST, a validated paradigm for eliciting social‐evaluative threat, and reported their emotion at baseline and immediately post‐TSST. Multilevel models examined whether daily and laboratory emotion reactivity were related by testing whether the daily associations between arguments and demands with emotion differed by emotion reactivity to the TSST. Individuals with greater positive emotion reactivity (i.e., greater reductions in positive emotion) and greater negative emotion reactivity to the TSST showed greater positive emotion reactivity to daily demands. Emotion reactivity to the TSST was not significantly related to emotion reactivity to arguments. Findings provide preliminary evidence that emotion reactivity to the TSST relates to some aspects of daily emotion reactivity, with relations differing depending on type of daily stressor and valence of emotion. Results contextualise the implications of emotion reactivity to the TSST for daily stress processes. [ABSTRACT FROM AUTHOR]

Published
2024
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