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The effects of psychotherapy on psychological well-being and diurnal cortisol patterns in breast cancer survivors.
Psychother Psychosom. 2012; 81(3):173-82.PP

Abstract

BACKGROUND

Neuroendocrine dysregulation influenced by psychosocial stress is related to breast cancer recurrence. Very few studies examine the impacts of psychotherapy on diurnal cortisol patterns among breast cancer survivors.

METHODS

Forty-eight breast cancer patients who completed active cancer treatment were randomly assigned to receive either 8 weekly body-mind-spirit (BMS) group therapy sessions or 1 educational (EDU) session. Self-report measures included the Beck Depression Inventory-II (BDI-II), and the Meaning in Life questionnaire (MLQ) including two subscales: MLQ-Presence and MLQ-Search. Salivary cortisol levels were collected by the subjects in their homes at the time of awakening, 30 and 45 min after awakening, and at 12.00, 17.00, and 21.00 h. Measurement time points include baseline, the 2nd month (completion of BMS therapy), the 5th month, and the 8th month.

RESULTS

There were no significant differences in BDI-II scores (p>0.05) and MLQ-Presence scores (p >0.05) between BMS and EDU groups at baseline or across the three follow-ups. Nevertheless, greater MLQ-Search scores were found in the BMS group compared to the EDU group during the 5th month of follow-up (p <0.01). The higher level of cortisol at 21.00 h (p < 0.01) and a flatter diurnal cortisol pattern were more likely to occur in EDU than in BMS participants (p < 0.05) at the 8th month of follow-up.

CONCLUSION

BMS group therapy likely contributed to enhancing an active search for meaning in life toward more opportunities for personal growth and to maintaining stable cortisol responses to everyday life stress for breast cancer survivors.

Authors+Show Affiliations

Department of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22399076

Citation

Hsiao, Fei-Hsiu, et al. "The Effects of Psychotherapy On Psychological Well-being and Diurnal Cortisol Patterns in Breast Cancer Survivors." Psychotherapy and Psychosomatics, vol. 81, no. 3, 2012, pp. 173-82.
Hsiao FH, Jow GM, Kuo WH, et al. The effects of psychotherapy on psychological well-being and diurnal cortisol patterns in breast cancer survivors. Psychother Psychosom. 2012;81(3):173-82.
Hsiao, F. H., Jow, G. M., Kuo, W. H., Chang, K. J., Liu, Y. F., Ho, R. T., Ng, S. M., Chan, C. L., Lai, Y. M., & Chen, Y. T. (2012). The effects of psychotherapy on psychological well-being and diurnal cortisol patterns in breast cancer survivors. Psychotherapy and Psychosomatics, 81(3), 173-82. https://doi.org/10.1159/000329178
Hsiao FH, et al. The Effects of Psychotherapy On Psychological Well-being and Diurnal Cortisol Patterns in Breast Cancer Survivors. Psychother Psychosom. 2012;81(3):173-82. PubMed PMID: 22399076.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of psychotherapy on psychological well-being and diurnal cortisol patterns in breast cancer survivors. AU - Hsiao,Fei-Hsiu, AU - Jow,Guey-Mei, AU - Kuo,Wen-Hung, AU - Chang,King-Jen, AU - Liu,Yu-Fen, AU - Ho,Rainbow T H, AU - Ng,Siu-Man, AU - Chan,Cecilia L W, AU - Lai,Yu-Ming, AU - Chen,Yu-Ting, Y1 - 2012/03/03/ PY - 2010/11/08/received PY - 2011/05/09/accepted PY - 2012/3/9/entrez PY - 2012/3/9/pubmed PY - 2012/7/6/medline SP - 173 EP - 82 JF - Psychotherapy and psychosomatics JO - Psychother Psychosom VL - 81 IS - 3 N2 - BACKGROUND: Neuroendocrine dysregulation influenced by psychosocial stress is related to breast cancer recurrence. Very few studies examine the impacts of psychotherapy on diurnal cortisol patterns among breast cancer survivors. METHODS: Forty-eight breast cancer patients who completed active cancer treatment were randomly assigned to receive either 8 weekly body-mind-spirit (BMS) group therapy sessions or 1 educational (EDU) session. Self-report measures included the Beck Depression Inventory-II (BDI-II), and the Meaning in Life questionnaire (MLQ) including two subscales: MLQ-Presence and MLQ-Search. Salivary cortisol levels were collected by the subjects in their homes at the time of awakening, 30 and 45 min after awakening, and at 12.00, 17.00, and 21.00 h. Measurement time points include baseline, the 2nd month (completion of BMS therapy), the 5th month, and the 8th month. RESULTS: There were no significant differences in BDI-II scores (p>0.05) and MLQ-Presence scores (p >0.05) between BMS and EDU groups at baseline or across the three follow-ups. Nevertheless, greater MLQ-Search scores were found in the BMS group compared to the EDU group during the 5th month of follow-up (p <0.01). The higher level of cortisol at 21.00 h (p < 0.01) and a flatter diurnal cortisol pattern were more likely to occur in EDU than in BMS participants (p < 0.05) at the 8th month of follow-up. CONCLUSION: BMS group therapy likely contributed to enhancing an active search for meaning in life toward more opportunities for personal growth and to maintaining stable cortisol responses to everyday life stress for breast cancer survivors. SN - 1423-0348 UR - https://www.unboundmedicine.com/medline/citation/22399076/The_effects_of_psychotherapy_on_psychological_well_being_and_diurnal_cortisol_patterns_in_breast_cancer_survivors_ DB - PRIME DP - Unbound Medicine ER -