Treating anxiety and depression of cancer survivorsBehavioral activation versus acceptance and commitment therapy

  1. Sonia González-Fernández 1
  2. Concepción Fernández-Rodríguez 1
  3. María Dolores Paz-Caballero 1
  4. Marino Pérez-Álvarez 1
  1. 1 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Revista:
Psicothema

ISSN: 0214-9915

Año de publicación: 2018

Volumen: 30

Número: 1

Páginas: 14-20

Tipo: Artículo

Otras publicaciones en: Psicothema

Resumen

Antecedentes: la activación conductual (AC) y la terapia de aceptación y compromiso (ACT) se plantean como tratamientos especialmente útiles para los problemas emocionales de los supervivientes de cáncer. Se evaluó y comparó la efi cacia de ambas terapias aplicadas en formato grupal. Método: se analizaron los cambios pre-post tratamiento en el estado emocional y los patrones de activación/evitación de 52 supervivientes de cáncer con ansiedad y/o depresión que se asignaron aleatoriamente a tres grupos (AC/ACT/control de lista de espera). Resultados: ambas terapias fueron superiores al no tratamiento en todas las variables evaluadas. Se encontraron diferencias signifi cativas entre tratamientos a favor de la ACT en deterioro social y evitación/rumia. Conclusiones: la AC y la ACT, en formato grupal, son efi caces para el tratamiento de las difi cultades emocionales más prevalentes en supervivientes de cáncer. Los resultados apuntan a la activación y la evitación como mecanismos responsables de los cambios.

Referencias bibliográficas

  • Arch, J.J., & Mitchell, J.L. (2016). An Acceptance and Commitment Therapy (ACT) group intervention for cancer survivors experiencing anxiety at re-entry. Psycho-Oncology, 25(5), 610-615. http://dx.doi. org/10.1002/pon.3890
  • Armento, M.E., & Hopko, D.R. (2007). The Environmental Reward Observation Scale (EROS): Development, validity, & reliability. Behavior Therapy, 38(2), 107-119. http://dx.doi.org/10.1016/j.beth.2006.05.003
  • Barraca, J., & Pérez-Álvarez, M. (2010). Adaptación española del Environmental Reward Observation Scale (EROS) [Spanish adaptation of the Environmental Reward Observation Scale (EROS)]. Ansiedad y Estrés, 16(1), 95-107.
  • Barraca, J., Pérez-Álvarez, M., & Lozano, J.H. (2011). Avoidance and Activation as Keys to Depression: Adaptation of the Behavioral Activation for Depression Scale in a Spanish Sample. The Spanish Journal of Psychology, 14(2), 998-1009. http://dx.doi.org/10.5209/ rev_SJOP.2011.v14.n2.45
  • Berrocal, C., Rivas, T., Venditti, F., & Bernini, O. (2016). On the contribution of psychological flexibility to predict adjustment to breast cancer. Psicothema, 28(3), 266-271. doi: 10.7334/psicothema2015.271
  • Bond, F.W., Hayes, S.C., Baer, R.A., Carpenter, K.M., Guenole, N., Orcutt, H.K., et al. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676-688. http://dx.doi.org/10.1016/j.beth.2011.03.007
  • Cataldo, J.K., & Brodsky, J.L. (2013). Lung cancer stigma, anxiety, depression and symptom severity. Oncology, 85(1), 33-40. http:// dx.doi.org/10.1159/000350834
  • Fernández, C., Villoria, E., Fernández, P., González, S., & Pérez M. (in press). Effects of Behavioral Activation on the quality of life and emotional state of lung cancer and breast cancer patients during chemotherapy treatment. Behavior Modification.
  • Fernández, C., Villoria, E., Amigo, I., Padierna, C., Gracia, J.M., & Fernández, R. (2011). Terapia de activación conductual en pacientes con cáncer [Behavioral activation treatment for cancer patients]. Anales de Psicología, 27(2), 278-291.
  • González, S., Fernández, C., Padierna, C., Besteiro, J.L., & Pérez, M. (in press). Activación conductual en cáncer: revisión de tratamientos y evidencias [Behavioral activation in cancer: Review of treatments and evidences]. Revista Argentina de Clínica Psicológica.
  • González-Fernández, S., Fernández-Rodríguez, C., Mota-Alonso, M.J., GarcíaTeijido, P., Pedrosa, I., & Pérez-Álvarez, M. (2017). Emotional state and psychological flexibility in breast cancer survivors. European Journal of Oncology Nursing, 30, 75-83. http://dx.doi.org/10.1016/j.ejon.2017.08.006
  • Hayes, S.C., Strosahl, K., & Wilson K.G. (2014). Terapia de aceptación y compromiso. Proceso y práctica del cambio consciente (Mindfulness) [Acceptance and Commitment Therapy. The Process and Practice of Mindful Change]. Bilbao: Desclée de Brouwer.
  • Hopko, D.R., & Lejuez, C.W. (2007). A Cancer Patient’s Guide to Overcoming Depression & Anxiety. Getting Through Treatment & Getting Back to Your Life. Oakland: New Harbinger Publications.
  • Hopko, D.R., Bell, J.L., Armento, M., Robertson, S., Mullane, C., Wolf, N., et al. (2008). Cognitive-behavior therapy for depressed cancer patients in a medical care setting. Behavior Therapy, 39(2), 126-136. http:// dx.doi.org/10.1016/j.beth.2007.05.007
  • Hulbert-Williams, N.J., Storey, L., & Wilson, K.G. (2015). Psychological interventions for patients with cancer: psychological flexibility and the potential utility of Acceptance and Commitment Therapy. European Journal of Cancer Care, 24(1), 15-27. http://dx.doi.org/10.1111/ ecc.12223
  • Kanter, J.W., Baruch, D.E., & Gaynor, S. T. (2006). Acceptance and Commitment Therapy and Behavioral Activation for the Treatment of Depression: Description and Comparison. The Behavior Analyst, 29(2), 161-185. http://dx.doi.org/10.1007/BF03392129
  • Kanter, J.W., Mulick, P.S., Busch, A.M., Berlin, K.S., & Martell, C.R. (2007). The Behavioral Activation for Depression Scale (BADS): Psychometric properties and factor structure. Journal of Psychopathology and Behavioral Assessment, 29(3), 191-202. http:// dx.doi.org/10.1007/s10862-006-9038-5
  • Katz, M.R., Kopek, N., Waldron, J., Devins, G.M., & Tomlinson, G. (2004). Screening for depression in head and neck cancer. Psychooncology, 13(4), 269-280. http://dx.doi.org/10.1002/pon.734
  • Kuhnt, S., Brähler, E., Faller, H., Härter, M., Keller, M., Schulz, H., et al. (2016). Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients. Psychotherapy and Psychosomatics, 85(5), 289-296. http://dx.doi.org/10.1159/000446991
  • Martell, C.R., Dimidjian, S., & Herman-Dunn, R. (2013). Activación conductual para la depresión. Una guía clínica [Behavioral activation for depression: A clinician’s guide]. Bilbao: Desclée de Brouwer.
  • Mitchell, A.J., Ferguson, D.W., Gill, J., Paul, J., & Symonds, P. (2013). Depression and anxiety in long-term cancer survivors compared with spouses and healthy control: A systematic review and meta-analysis.The Lancet Oncology, 14(8), 721-732. http://dx.doi.org/10.1016/S14702045(13)70244-4
  • Nieto, E., & Barraca, J. (2017). Behavioral activation versus cognitive restructuring to reduce automatic negative thoughts in anxiety generating situations. Psicothema, 29(2), 172-177. doi: 10.7334/ psicothema2016.325
  • Rost, A.D., Wilson, K., Buchanan, E., Hildebrandt, M.J., & Mutch, D. (2012). Improving Psychological Adjustment Among Late-Stage Ovarian Cancer Patients: Examining The Role of Avoidance in Treatment. Cognitive and Behavioral Practice, 19(4), 508-517. http:// dx.doi.org/10.1016/j.cbpra.2012.01.003
  • Ruiz, F.J., Langer, A.I., Luciano, C., Cangas, A.J., & Beltrán, I. (2013). Measuring experiential avoidance and psychological inflexibility: The Spanish version of the Acceptance and Action Questionnaire II. Psicothema, 25(1), 123-129. doi: 10.7334/psicothema2011.239
  • Steel, Z., Marnane, C., Iranpour, C., Chey, T., Jackson, J.W., Patel, V., et al. (2014). The global prevalence of common mental disorders: A systematic review and meta-analysis 1980-2013. International Journal of Epidemiology, 43(2), 476-493. http://dx.doi.org/10.1093/ije/dyu038
  • Walker, J., Postma, K., McHugh, G.S., Rush, R., Coyle, B., Strong, V., et al. (2007). Performance of the Hospital Anxiety and Depression Scale as a screening tool for major depressive disorder in cancer patients. Journal of Psychosomatic Research, 63(1), 83-91. http://dx.doi. org/10.1016/j.jpsychores.2007.01.009
  • Zigmond, A.S., & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x