Condition or cognition? Mechanism of change in fatigue in a randomized controlled trial of graded exercise therapy or cognitive behavior therapy for severe fatigue in patients with advanced cancer.
Journal
Journal of consulting and clinical psychology
ISSN: 1939-2117
Titre abrégé: J Consult Clin Psychol
Pays: United States
ID NLM: 0136553
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
pubmed:
27
8
2021
medline:
26
11
2021
entrez:
26
8
2021
Statut:
ppublish
Résumé
Fatigue remains one of the most common and distressing symptoms during treatment for advanced cancer. The TIRED trial demonstrated cognitive behavior therapy's (CBT) significant and clinically relevant effects to reduce fatigue among patients with advanced cancer, while graded exercise therapy (GET) did not prove beneficial. The present study aims to determine the mechanisms by which CBT and GET affect fatigue. The TIRED trial randomized 134 patients with advanced cancer to CBT A total of 82 of 117 patients completed all required measures. CBT reduced fatigue indirectly through its effect on self-efficacy, The effect of CBT was attributable to changes in
Identifiants
pubmed: 34435804
pii: 2021-78158-001
doi: 10.1037/ccp0000670
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
731-741Subventions
Organisme : Dutch Cancer Society
Organisme : Dana-Farber Cancer Institute