Internet-delivered mindfulness-based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial

Internet-delivered mindfulness-based cognitive therapy for anxiety and depression in cancer survivors : A randomized controlled trial

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.

O'Connor, MajaAarhus Univ, Denmark (author)
Kaldo, ViktorLinnéuniversitetet,Institutionen för psykologi (PSY),Karolinska Institutet, Sweden;Stockholm Health Care Services, Sweden,DISA(Swepub:lnu)vikaaa (author)
Hojris, IngerAarhus Univ Hosp, Denmark (author)
Borre, MichaelAarhus Univ Hosp, Denmark (author)
Zachariae, RobertAarhus Univ, Denmark;Aarhus Univ Hosp, Denmark (author)
Mehlsen, MimiAarhus Univ, Denmark (author)
Aarhus Univ, DenmarkInstitutionen för psykologi (PSY) (creator_code:org_t)

By the author/editor: Nissen, Eva Rame ...; O'Connor, Maja; Kaldo, Viktor; Hojris, Inger; Borre, Michael; Zachariae, Rober ...; show more...; Mehlsen, Mimi; show less...

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