Evidence map›Paper›PMID 40846861›Full record

Trial reportPsycho-oncology2025

Brief Post-Surgical Stress Management Intervention Effects on Positive Psychological Well-Being and Self-Efficacy in Women Being Treated With Adjuvant Endocrine Therapy for Hormone-Receptor Positive Breast Cancer.

Molly Ream, Chloe J Taub, Hermioni L Amonoo, Emily A Walsh, Paula Popok, Rachel Plotke, Jamie M Jacobs, Lisa M Gudenkauf, Frank J Penedo, Daniel O'Neil and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Caregiver perception of quality of dying of cancer patients is associated with patient-reported quality of life during the last month of life.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Molly ReamDepartment of Psychology, University of Miami, Coral Gables, Florida, USA.ORCID 0000-0002-6400-9739
Chloe J TaubDivision of General Internal Medicine and Population Science, Department of Medicine, University of Alabama at Birmingham at Birmingham Heersink School of Medicine, Birmingham, Alabama, USA.
Hermioni L AmonooDepartment of Supportive Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Emily A WalshMassachussetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-0874-2645
Paula PopokDepartment of Psychology, University of Miami, Coral Gables, Florida, USA.ORCID 0000-0003-2691-1761
Rachel PlotkeDepartment of Psychology, University of Miami, Coral Gables, Florida, USA.
Jamie M JacobsMassachussetts General Hospital, Boston, Massachusetts, USA.
Lisa M GudenkaufDepartment of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Frank J PenedoDepartment of Psychology, University of Miami, Coral Gables, Florida, USA.
Daniel O'NeilYale University, School of Medicine, New Haven, Connecticut, USA.
Gail IronsonDepartment of Psychology, University of Miami, Coral Gables, Florida, USA.
Steven A SafrenDepartment of Psychology, University of Miami, Coral Gables, Florida, USA.
Michael H AntoniDepartment of Psychology, University of Miami, Coral Gables, Florida, USA.

Funding

Addressing psychosocial comorbidities in HIV treatment and preventionK24DA040489 · NIDA · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2016 to 2020
$931k
Long-term endocrine therapy adherence following stress management for breast cancerF31CA254148 · NCI · UNIVERSITY OF MIAMI CORAL GABLES · PI REAM, MOLLY ELISE · 2020 to 2022
$88k
NCI NIH HHS 2R01-CA-064710NCI NIH HHS 9K24DA040489NCI NIH HHS F31 CA254148NCI NIH HHS F31CA254148-01NIDA NIH HHS K24 DA040489
6 · The paper itself

Abstract

backgroundWomen prescribed adjuvant endocrine therapy (AET) for nonmetastatic breast cancer may experience a decline in positive psychological well-being (PPWB) and self-efficacy. Brief cognitive behavioral therapy (CBT) and relaxation training (RT) interventions have shown short-term efficacy in reducing distress, but their impact on PPWB and self-efficacy over longer periods among women prescribed AET is unknown.

aimsWe aimed to investigate longitudinal effects of CBT and RT on PPWB and self-efficacy among women prescribed AET.

methodsThis secondary analysis of a randomized controlled trial comparing 5-session CBT versus RT versus a time-matched health education (HE) control for women with nonmetastatic breast cancer examined PPWB (positive affect, benefit finding, positive states of mind, optimism), coping self-efficacy, and relaxation self-efficacy at four timepoints over the first-year post-diagnosis and at median 8-year follow-up. Piecewise hierarchical linear modeling tested intervention effects on longitudinal trajectories among women prescribed AET from the parent study (N = 135).

resultsOver the first-year post-surgery, positive affect and relaxation self-efficacy increased across all conditions (ps < 0.03). Women in CBT reported enhanced positive states of mind compared to those in HE (p = 0.044) and enhanced coping self-efficacy versus those in RT (p = 0.029). Women in HE reported enhanced coping self-efficacy versus those in RT (p = 0.043). All intervention effects persisted at 8-year follow-up. There were no significant effects on optimism or benefit finding.

conclusionsBrief interventions may bolster aspects of PPWB and self-efficacy in women prescribed AET. Testing is warranted to determine whether more PPWB components can be incorporated into these interventions to further enhance outcomes.

Indexed as

Breast NeoplasmsCognitive Behavioral TherapyRelaxation TherapySelf EfficacyStress, PsychologicalAdaptation, PsychologicalAdultAgedAntineoplastic Agents, HormonalChemotherapy, AdjuvantFemaleHumansMiddle AgedPsychological Well-BeingAntineoplastic Agents, Hormonaladjuvant endocrine therapybreast cancercancercognitive behavioral therapyoncologypositive psychological well‐beingrelaxation trainingself‐efficacy

Identifiers

PMID40846861
PMCPMC12373568

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.