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Development of CBT for chemotherapy-related cognitive change: results of a waitlist control trial.
- Source :
-
Psycho-oncology [Psychooncology] 2012 Feb; Vol. 21 (2), pp. 176-86. Date of Electronic Publication: 2010 Dec 02. - Publication Year :
- 2012
-
Abstract
- Objective: To evaluate the efficacy of a brief cognitive-behavioral therapy (CBT) that is being developed for management of cognitive dysfunction following chemotherapy among breast cancer survivors. Memory and Attention Adaptation Training (MAAT) is a brief CBT designed to improve the quality of life and function among cancer survivors with post-chemotherapy cognitive complaints.<br />Methods: An initial, two-group (MAAT versus waitlist, no treatment control), randomized clinical trial (RCT) was conducted. Forty stage I and II female breast cancer survivors (mean age = 50; SD = 6.4) were randomized to conditions and assessed at baseline, post-treatment (8 weeks) and 2-month follow-up assessment points on measures of: (1) self-reported daily cognitive failures; (2) quality of life; and (3) neuropsychological performance. Participants were also assessed for satisfaction with MAAT.<br />Results: With education and IQ as covariates, MAAT participants made significant improvements relative to controls on the spiritual well-being subscale of the quality of life measure and on verbal memory, but statistical significance was not achieved on self-report of daily cognitive complaints. However, moderate-to-large effect sizes were observed on these outcomes. Participants gave MAAT high satisfaction ratings.<br />Conclusions: Although this initial RCT is a small study, MAAT participants appear to improve on one measure of quality of life and verbal memory performance relative to no treatment controls and rate MAAT with high satisfaction. These data are encouraging and support the continued development and evaluation of MAAT efficacy.<br /> (Copyright © 2010 John Wiley & Sons, Ltd.)
- Subjects :
- Adult
Aged
Breast Neoplasms complications
Cognition Disorders psychology
Female
Follow-Up Studies
Humans
Middle Aged
Neoplasm Staging
Neuropsychological Tests statistics & numerical data
New Hampshire
Quality of Life
Socioeconomic Factors
Surveys and Questionnaires
Survivors psychology
Treatment Outcome
Waiting Lists
Breast Neoplasms drug therapy
Breast Neoplasms psychology
Chemotherapy, Adjuvant adverse effects
Cognition Disorders chemically induced
Cognition Disorders therapy
Cognitive Behavioral Therapy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1099-1611
- Volume :
- 21
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Psycho-oncology
- Publication Type :
- Academic Journal
- Accession number :
- 22271538
- Full Text :
- https://doi.org/10.1002/pon.1878