Effectiveness of Integrated TransDiagnostic Group Therapy in Reducing Symptoms of Chronic Pain, Depression, and Anxiety among Cancer Patients
Integrated transdiagnostic group therapy in cancer
Downloads
Background: Cancer is usually caused by malfunctioning of regulatory mechanisms of cell growth and division, and this malfunction itself is caused by genetic damage that is often caused by chemicals, hormones, and sometimes viruses. The purpose of this study was to assess the effectiveness of integrated transdiagnostic group therapy in reducing the symptoms of chronic pain, depression, and anxiety among cancer patients.
Methods: The present research method was semi-experimental with a pretest-posttest design, and a control group. For this purpose, 62 cancer patients were selected from the treatment centers for cancer patients according to the objectives of the research and the study inclusion criteria, and were randomly divided into two control and experimental groups. The tools used in this research were the Chronic Pain Acceptance Questionnaire (CPAQ), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) (McCracken, Vowles, & Eccleston, 2004), which was completely optional. The research data were analyzed using analysis of covariance in SPSS software at a significance level of 0.05.
Results: The results obtained from the data analysis showed that the integrated transpersonal treatment significantly reduced the symptoms of depression (F = 129.05; P < 0.01), anxiety (F = 20.94; P < 0.01), and chronic pain (F = 123.65; P < 0.01).
Conclusion: These findings indicate that the components affecting the mechanism of action in integrated transdiagnostic treatment can have a significant effect on reducing the level of chronic pain symptoms and depression and anxiety in cancer patients through the modification of emotional and cognitive systems.
Downloads
Alloy, L. B., Abramson, L. Y., Whitehouse, W. G., Hogan, M. E., Panzarella, C., & Rose, D. T. (2006). Prospective incidence of first onsets and recurrences of depression in individuals at high and low cognitive risk for depression. J Abnorm.Psychol, 115(1), 145-156. doi: 2006-02317-016 [pii];10.1037/0021-843X.115.1.145 [doi]. Retrieved from PM:16492105
Bair, M. J., Robinson, R. L., Katon, W., & Kroenke, K. (2003). Depression and pain comorbidity: a literature review. Arch Intern Med, 163(20), 2433-2445. doi:163/20/2433 [pii];10.1001/archinte.163.20.2433 [doi]. Retrieved from PM:14609780
Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35(2), 205-230. doi:10.1016/S0005-7894(04)80036-4 [doi].
Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B. et al. (2010). Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide. Oxford, UK: Oxford University Press.
Behzadi, Z. & Rahmati, S. (2016). A comparison of the prevalence of obsessive beliefs in people with rheumatoid arthritis and in healthy people. Research in Psychological Health, 10(1), 44-51.
Cunha, M., Ribeiro, A., & Andre, S. (2016). Anxiety, Depression and Stress in Patients with Rheumatoid Arthritis. Procedia Soc Behav Sci, 217, 337-343. doi:10.1016/j.sbspro.2016.02.098 [doi].
Ehring, T., Tuschen-Caffier, B., Schnulle, J., Fischer, S., & Gross, J. J. (2010). Emotion regulation and vulnerability to depression: spontaneous versus instructed use of emotion suppression and reappraisal. Emotion, 10(4), 563-572. doi:2010-15709-011 [pii];10.1037/a0019010 [doi]. Retrieved from PM:20677873
Ekhtiari, Y. S., Majlessi, F., Foroushani, A. R., & Shakibazadeh, E. (2014). Effect of a Self-care Educational Program Based on the Health Belief Model on Reducing Low Birth Weight Among Pregnant Iranian Women. Int J Prev Med, 5(1), 76-82. doi:IJPVM-5-76 [pii]. Retrieved from PM:24554995
Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson-Hollands, J., Carl, J. R. et al. (2012). Unified protocol for transdiagnostic treatment of emotional disorders: a randomized controlled trial. Behav Ther, 43(3), 666-678. doi:S0005-7894(12)00002-0 [pii];10.1016/j.beth.2012.01.001 [doi]. Retrieved from PM:22697453
Garcia-Escalera, J., Valiente, R. M., Sandin, B., Ehrenreich-May, J., Prieto, A., & Chorot, P. (2020). The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) Adapted as a School-Based Anxiety and Depression Prevention Program: An Initial Cluster Randomized Wait-List-Controlled Trial. Behav Ther, 51(3), 461-473. doi:S0005-7894(19)30099-1 [pii];10.1016/j.beth.2019.08.003 [doi]. Retrieved from PM:32402261
Gormsen, L., Rosenberg, R., Bach, F. W., & Jensen, T. S. (2010). Depression, anxiety, health-related quality of life and pain in patients with chronic fibromyalgia and neuropathic pain. Eur.J Pain, 14(2), 127-128. doi:S1090-3801(09)00075-5 [pii];10.1016/j.ejpain.2009.03.010 [doi]. Retrieved from PM:19473857
Hamilton, J. B., & Sandelowski, M. (2004). Types of social support in African Americans with cancer. Oncol.Nurs Forum, 31 (4), 792-800. doi:10.1188/04.ONF.792-800 [doi]. Retrieved from PM:15252433
Hooman, F., Mehrabizadeh Honarmand, M., Zargar, Y., & Davodi, I. (2015). The effectiveness of transdiagnostic therapy on anxiety, depression, cognitive strategies of emotional regulation, and general performance in women with comorbid anxiety and depression. Journal of Advanced Biomedical Sciences, 5(4), 551-563.
Hosogoshi, H., Takebayashi, Y., Ito, M., Fujisato, H., Kato, N., Nakajima, S. et al. (2020). Expressive suppression of emotion is a moderator of anxiety in a unified protocol for transdiagnostic treatment of anxiety and depressive disorders: A secondary analysis. J Affect.Disord., 277, 1-4. doi:S0165-0327(20)32585-4 [pii];10.1016/j.jad.2020.07.132 [doi]. Retrieved from PM:32777602
Kessler, R. C., Stang, P. E., Wittchen, H. U., Ustun, T. B., Roy-Burne, P. P., & Walters, E. E. (1998). Lifetime panic-depression comorbidity in the National Comorbidity Survey. Arch Gen.Psychiatry, 55 (9), 801-808. doi:10.1001/archpsyc.55.9.801 [doi]. Retrieved from PM:9736006
Khakpoor, S., Saed, O., & Armani, K. A. (2019). Emotion regulation as the mediator of reductions in anxiety and depression in the Unified Protocol (UP) for transdiagnostic treatment of emotional disorders: double-blind randomized clinical trial. Trends.Psychiatry Psychother., 41(3), 227-236. doi:S2237-60892019000300227 [pii];10.1590/2237-6089-2018-0074 [doi]. Retrieved from PM:31644691
Knaster, P., Karlsson, H., Estlander, A. M., & Kalso, E. (2012). Psychiatric disorders as assessed with SCID in chronic pain patients: the anxiety disorders precede the onset of pain. Gen.Hosp.Psychiatry, 34(1), 46-52. doi:S0163-8343(11)00293-3 [pii];10.1016/j.genhosppsych.2011.09.004 [doi]. Retrieved from PM:22001549
Lawrence, R. C., Felson, D. T., Helmick, C. G., Arnold, L. M., Choi, H., Deyo, R. A. et al. (2008). Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis.Rheum., 58(1), 26-35. doi:10.1002/art.23176 [doi]. Retrieved from PM:18163497
McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: component analysis and a revised assessment method. Pain, 107(1-2), 159-166. doi:S0304395903004299 [pii];10.1016/j.pain.2003.10.012 [doi]. Retrieved from PM:14715402
McLaughlin, K. A., & Nolen-Hoeksema, S. (2011). Rumination as a transdiagnostic factor in depression and anxiety. Behav Res Ther, 49(3), 186-193. doi:S0005-7967(10)00255-X [pii];10.1016/j.brat.2010.12.006 [doi]. Retrieved from PM:21238951
Mugglin, C., Estill, J., Wandeler, G., Bender, N., Egger, M., Gsponer, T. et al. (2012). Loss to programme between HIV diagnosis and initiation of antiretroviral therapy in sub-Saharan Africa: systematic review and meta-analysis. Trop.Med Int Health, 17(12), 1509-1520. doi:10.1111/j.1365-3156.2012.03089.x [doi]. Retrieved from PM:22994151
Murphy, L. B., Sacks, J. J., Brady, T. J., Hootman, J. M., & Chapman, D. P. (2012). Anxiety and depression among US adults with arthritis: prevalence and correlates. Arthritis.Care Res (Hoboken), 64(7), 968-976. doi:10.1002/acr.21685 [doi]. Retrieved from PM:22550055
Norton, P. J., & Barrera, T. L. (2012). Transdiagnostic versus diagnosis-specific cbt for anxiety disorders: a preliminary randomized controlled noninferiority trial. Depress.Anxiety., 29(10), 874-882. doi:10.1002/da.21974 [doi]. Retrieved from PM:22767410
Otared, N., Mikaeili, N., Mohajeri, N., & Vojoudi, B. (2017). The effect of unified transdiagnostic treatment on anxiety disorders and comorbid depression: Single-case design. Journal of Health Chimes, 4(4), 54-62.
Perveen, S. (2015). Relationship between negative cognitive style and depression among medical students. Journal of New Horizons in Education, 5(4), 74-83.
Poorhejazi, M., Khalatbari, J., Ghorban-Shiroudi, S., Khodabakhshi-Koolaee, A. (2021). The Effectiveness of the Education Package of Meta-diagnostic Treatment Based on the McMaster Model with Focus on Compassion, Awareness on Emotional Divorce and Marital Boredom among Women with Marital Conflict: A Pilot Study. Community Health. 8(1): 78-90. doi:doi.org/10.22037/ch.v8i1.31297 [doi].
Sajadian, A., Dokanei Fard, F., & Behboodi, M. (2016). HER3 gene expression study by RT-PCR in patient with breast cancer. Iran J Breast Dis, 9(2), 43-51.
Sari, G. M., Amin, M., & Hidayati, L. (2020). Acceptance and commitment therapy on depression of pulmonary tuberculosis patient: an intervention based on the health belief model. Indonesian Nursing Journal of Education and Clinic, 5(2), 107-115. doi:10.24990/injec.v5i2.290 [doi].
Sherman, J. A., Tonarely, N. A., & Ehrenreich-May, J. (2018). Targeting comorbid anxiety and depression using the unified protocol for transdiagnostic treatment of emotional disorders in adolescents. Clinical Case Studies, 17(2), 59-76. doi:10.1177/1534650117753671 [doi].
Shultz, C. J., Rahtz, D. R., & Sirgy, M. J. (2017). Distinguishing Flourishing from Distressed Communities: Vulnerability, Resilience and a Systemic Framework to Facilitate Well-Being. In R. Phillips & C. Wong (Eds.), Handbook of Community Well-Being Research (pp. 403-421). Dordrecht, Netherlands: Springer Netherlands.
Szpunar, K. K. (2010). Episodic Future Thought: An Emerging Concept. Perspect.Psychol Sci, 5(2), 142-162. doi:5/2/142 [pii];10.1177/1745691610362350 [doi]. Retrieved from PM:26162121
Wilson, K. G., Mikail, S. F., D'Eon, J. L., & Minns, J. E. (2001). Alternative diagnostic criteria for major depressive disorder in patients with chronic pain. Pain, 91(3), 227-234. doi:00006396-200104000-00005 [pii];10.1016/S0304-3959(00)00440-1 [doi]. Retrieved from PM:11275378
Zemestani, M., & Imani, M. (2016). Effectiveness of transdiagnostic treatment on depression/anxiety symptoms and emotion regulation. Contemporary psychology, 11(1), 21-32.
Zhu, L. J., Li, T. Y., Luo, C. X., Jiang, N., Chang, L., Lin, Y. H. et al. (2014). CAPON-nNOS coupling can serve as a target for developing new anxiolytics. Nat.Med, 20(9), 1050-1054. doi:nm.3644 [pii];10.1038/nm.3644 [doi]. Retrieved from PM:25129479
Copyright (c) 2023 International Journal of Body, Mind and Culture

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.