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An evaluation of the effectiveness of ‘Time to Adjust’ a group-based cognitive-behavioural-therapy (CBT) programme for patients recovering from cancer

Published online by Cambridge University Press:  12 May 2016

N. Likely  and
V. Switzer
N. Likely
Affiliation:
Psychologist in Clinical Training, University of Limerick, Limerick, Ireland
V. Switzer*
Affiliation:
Senior Clinical Psychologist, Department of Liaison Psychiatry & Psychological Medicine, University Hospital Limerick, Dooradoyle, Limerick, Ireland
*
*Address for correspondence: Dr V. Switzer, Reg. Psychol, Ps.S.I., Senior Clinical Psychologist, Department of Liaison Psychiatry & Psychological Medicine, University Hospital Limerick, Dooradoyle, Limerick, Ireland. (Email: valleri.switzer@hse.ie)
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Abstract

Objectives

‘Time to Adjust’ (TTA) is a 6-week group-based cognitive-behavioural-therapy programme for patients recovering from cancer. The TTA intervention is designed to facilitate patient’s adjustment to life after cancer by enhancing existing coping skills, developing new coping skills and drawing on peer support within the context of group delivery of the programme. The study aims to explore patient psychological adjustment and to identify features of the intervention that patients find most beneficial.

Methods

This retrospective repeated measures design study represents a clinical evaluation of a group-based intervention routinely delivered by the Cancer Psychology Service at University Hospital Limerick. TTA was open to patients with a cancer diagnosis who had completed their surgery, radiotherapy and chemotherapy treatment by the programme start date. Patients self-referred and suitability for the programme was assessed by pre-programme clinical interview. Pre- and post-intervention data from 59 participants was collected using self-report measures of stress and coping. A brief end-of-programme questionnaire provided descriptive feedback on patients’ experience of the programme.

Results

Findings revealed favourable trends in the psychological adjustment of patients. Self-reported depression, anxiety and negative adjustment was lower post-TTA.

Conclusions

This study indicates that TTA supports patients’ psychological recovery from cancer with multiple components of the programme facilitating psychological adjustment. Findings support the delivery of group-based therapeutic interventions for this patient group. Future research could use in-depth post-intervention interviews for a richer understanding of the programme benefits. Longer-term follow-up in could examine the degree to which benefits are maintained over time.

Keywords

CancerCBTpsycho-oncology
Type
Short Report
Information
Irish Journal of Psychological Medicine , Volume 33 , Issue 4 , December 2016 , pp. 235 - 246
Copyright
© College of Psychiatrists of Ireland 2016 

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