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Internet-delivered mindfulness-based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial
Aarhus Univ, Denmark.ORCID iD: 0000-0002-9773-6772
Aarhus Univ, Denmark.
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology. Karolinska Institutet, Sweden;Stockholm Health Care Services, Sweden.ORCID iD: 0000-0002-6443-5279
Aarhus Univ Hosp, Denmark.
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2020 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 29, no 1, p. 68-75Article in journal (Refereed) Published
Abstract [en]

Objective Internet-delivered interventions may alleviate distress in cancer survivors with limited access to psychological face-to-face treatment. In collaboration with a group of cancer survivors, we developed and tested the efficacy of a therapist-assisted internet-delivered mindfulness-based cognitive therapy (iMBCT) program for anxiety and depression in cancer survivors. Methods A total of 1282 cancer survivors were screened for anxiety and depression during their routine oncology follow-up; eligible breast (n = 137) and prostate cancer (n = 13) survivors were randomized to iMBCT or care-as-usual (CAU) wait-list. Primary outcomes of anxiety and depression were assessed at baseline, 5 weeks, 10 weeks (post intervention), and 6 months. Results Significant effects were found for both anxiety (Cohen's d = 0.45; P = .017) and depressive symptoms (d = 0.42; P = .024) post intervention. The effects were maintained at follow-up for anxiety (d = 0.40; P = .029), but not for depressive symptoms (d = 0.28; P = .131). Conclusions Our preliminary findings suggest iMBCT to be a helpful intervention for cancer survivors suffering from symptoms of anxiety. Further studies on the efficacy for symptoms of depression are needed.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020. Vol. 29, no 1, p. 68-75
Keywords [en]
anxiety, breast cancer, cancer, cancer survivors, cognitive therapy, depressive symptoms, internet, mindfulness, oncology, prostate cancer
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-90073DOI: 10.1002/pon.5237ISI: 000493467900001PubMedID: 31600414OAI: oai:DiVA.org:lnu-90073DiVA, id: diva2:1371167
Available from: 2019-11-19 Created: 2019-11-19 Last updated: 2020-03-11Bibliographically approved

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Kaldo, Viktor

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