Cognitive-Behavior Therapy for Depressed Cancer Patients in a Medical Care Setting

Derek R. Hopko, John Bell, Maria Armento, Sarah Robertson, Christen Mullane, Nicole Wolf, Carl W. Lejuez

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Major depression is the most common psychiatric disorder among cancer patients and is associated with decreased quality of life, significant deterioration in recreational and physical activities, relationship difficulties, sleep problems, more rapidly progressing cancer symptoms, and more metastasis and pain relative to nondepressed cancer patients. Although some research has explored the utility of psychological interventions with cancer patients, only one study to date has explored the potential benefits of cognitive-behavior therapy among cancer patients with well-diagnosed depression. Addressing this gap in the literature, this study represents an open clinical trial to assess the effectiveness of a brief Cognitive-Behavioral Treatment for Depression (CBTD) among depressed cancer patients in a medical care setting. Results revealed strong treatment integrity, good patient compliance, excellent patient satisfaction with the CBTD protocol, and significant pre-post treatment gains across a breadth of outcome measures assessing depression, anxiety, quality of life, and medical outcomes. These gains also were associated with strong effect sizes and generally maintained at 3-month follow-up. Behavioral activation interventions, especially when paired with cognitive techniques, may represent a practical medical care treatment that may improve psychological outcomes and quality of life among cancer patients. Study limitations and future research directions are discussed.

Original languageEnglish (US)
Pages (from-to)126-136
Number of pages11
JournalBehavior Therapy
Volume39
Issue number2
DOIs
StatePublished - Jun 1 2008

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Cognitive Therapy
Depression
Neoplasms
Quality of Life
Psychology
Therapeutics
Patient Compliance
Clinical Protocols
Patient Satisfaction
Psychiatry
Sleep
Anxiety
Outcome Assessment (Health Care)
Clinical Trials
Exercise
Neoplasm Metastasis
Pain
Research

All Science Journal Classification (ASJC) codes

  • Clinical Psychology

Cite this

Hopko, D. R., Bell, J., Armento, M., Robertson, S., Mullane, C., Wolf, N., & Lejuez, C. W. (2008). Cognitive-Behavior Therapy for Depressed Cancer Patients in a Medical Care Setting. Behavior Therapy, 39(2), 126-136. https://doi.org/10.1016/j.beth.2007.05.007

Cognitive-Behavior Therapy for Depressed Cancer Patients in a Medical Care Setting. / Hopko, Derek R.; Bell, John; Armento, Maria; Robertson, Sarah; Mullane, Christen; Wolf, Nicole; Lejuez, Carl W.

In: Behavior Therapy, Vol. 39, No. 2, 01.06.2008, p. 126-136.

Research output: Contribution to journalArticle

Hopko, DR, Bell, J, Armento, M, Robertson, S, Mullane, C, Wolf, N & Lejuez, CW 2008, 'Cognitive-Behavior Therapy for Depressed Cancer Patients in a Medical Care Setting', Behavior Therapy, vol. 39, no. 2, pp. 126-136. https://doi.org/10.1016/j.beth.2007.05.007
Hopko, Derek R. ; Bell, John ; Armento, Maria ; Robertson, Sarah ; Mullane, Christen ; Wolf, Nicole ; Lejuez, Carl W. / Cognitive-Behavior Therapy for Depressed Cancer Patients in a Medical Care Setting. In: Behavior Therapy. 2008 ; Vol. 39, No. 2. pp. 126-136.
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