Abstract
Patients with advanced cancer often experience debilitating anxiety symptoms that interfere with quality of life and relate to worse medical outcomes. Although cognitive-behavioral therapy (CBT) is an empirically validated, first-line treatment for anxiety disorders, clinical trials of CBT for anxiety typically exclude patients with medical comorbidities in general, and those with terminal illnesses, such as advanced cancer, in particular. Moreover, CBT has generally targeted unrealistic fears and worries in otherwise healthy individuals with clinically significant anxiety symptoms. Consequently, traditional CBT does not sufficiently address the cognitive components of anxiety in patients with cancer, especially negative thought patterns that are rational but nonetheless intrusive and distressing, such as concerns about pain, disability, and death, as well as management of multiple stressors, changes in functional status, and burdensome medical treatments. In this article, we describe a treatment approach for tailoring CBT to the needs of this population. Three case examples of patients diagnosed with terminal lung cancer are presented to demonstrate the treatment methods along with outcome measures for anxiety and quality of life.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 294-313 |
| Number of pages | 20 |
| Journal | Journal of Cognitive Psychotherapy |
| Volume | 24 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2010 |
| Externally published | Yes |
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Keywords
- Anxiety
- Cancer
- Cognitive-behavioral therapy
- Quality of life
ASJC Scopus subject areas
- Psychiatry and Mental health
- Experimental and Cognitive Psychology
- Clinical Psychology
Cite this
Tailoring cognitive-behavioral therapy to treat anxiety comorbid with advanced cancer. / Greer, Joseph A.; Park, Elyse R.; Prigerson, Holly G.; Safren, Steven.
In: Journal of Cognitive Psychotherapy, Vol. 24, No. 4, 2010, p. 294-313.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Tailoring cognitive-behavioral therapy to treat anxiety comorbid with advanced cancer
AU - Greer, Joseph A.
AU - Park, Elyse R.
AU - Prigerson, Holly G.
AU - Safren, Steven
PY - 2010
Y1 - 2010
N2 - Patients with advanced cancer often experience debilitating anxiety symptoms that interfere with quality of life and relate to worse medical outcomes. Although cognitive-behavioral therapy (CBT) is an empirically validated, first-line treatment for anxiety disorders, clinical trials of CBT for anxiety typically exclude patients with medical comorbidities in general, and those with terminal illnesses, such as advanced cancer, in particular. Moreover, CBT has generally targeted unrealistic fears and worries in otherwise healthy individuals with clinically significant anxiety symptoms. Consequently, traditional CBT does not sufficiently address the cognitive components of anxiety in patients with cancer, especially negative thought patterns that are rational but nonetheless intrusive and distressing, such as concerns about pain, disability, and death, as well as management of multiple stressors, changes in functional status, and burdensome medical treatments. In this article, we describe a treatment approach for tailoring CBT to the needs of this population. Three case examples of patients diagnosed with terminal lung cancer are presented to demonstrate the treatment methods along with outcome measures for anxiety and quality of life.
AB - Patients with advanced cancer often experience debilitating anxiety symptoms that interfere with quality of life and relate to worse medical outcomes. Although cognitive-behavioral therapy (CBT) is an empirically validated, first-line treatment for anxiety disorders, clinical trials of CBT for anxiety typically exclude patients with medical comorbidities in general, and those with terminal illnesses, such as advanced cancer, in particular. Moreover, CBT has generally targeted unrealistic fears and worries in otherwise healthy individuals with clinically significant anxiety symptoms. Consequently, traditional CBT does not sufficiently address the cognitive components of anxiety in patients with cancer, especially negative thought patterns that are rational but nonetheless intrusive and distressing, such as concerns about pain, disability, and death, as well as management of multiple stressors, changes in functional status, and burdensome medical treatments. In this article, we describe a treatment approach for tailoring CBT to the needs of this population. Three case examples of patients diagnosed with terminal lung cancer are presented to demonstrate the treatment methods along with outcome measures for anxiety and quality of life.
KW - Anxiety
KW - Cancer
KW - Cognitive-behavioral therapy
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=77957881376&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77957881376&partnerID=8YFLogxK
U2 - 10.1891/0889-8391.24.4.294
DO - 10.1891/0889-8391.24.4.294
M3 - Article
AN - SCOPUS:77957881376
VL - 24
SP - 294
EP - 313
JO - Journal of Cognitive Psychotherapy: An International Quarterly
JF - Journal of Cognitive Psychotherapy: An International Quarterly
SN - 0889-8391
IS - 4
ER -