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  1. Article ; Online: Daily stressor forecasting and anticipatory coping: Within-Person processes in age differences in positive emotional reactivity.

    Diachina, Allison K / Neupert, Shevaun D

    Aging & mental health

    2021  Volume 26, Issue 12, Page(s) 2407–2415

    Abstract: Objectives: ...

    Abstract Objectives:
    MeSH term(s) Humans ; Aged ; Affect ; Stress, Psychological/psychology ; Aging/psychology ; Adaptation, Psychological ; Emotions
    Language English
    Publishing date 2021-11-12
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1474804-6
    ISSN 1364-6915 ; 1360-7863
    ISSN (online) 1364-6915
    ISSN 1360-7863
    DOI 10.1080/13607863.2021.1998353
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Effect of Pain Coping Skills Training on Pain and Pain Medication Use for Women With Breast Cancer.

    Fisher, Hannah M / Hyland, Kelly A / Winger, Joseph G / Miller, Shannon N / Amaden, Grace H / Diachina, Allison K / Kelleher, Sarah A / Somers, Tamara J

    Journal of pain and symptom management

    2023  Volume 66, Issue 1, Page(s) 70–79

    Abstract: Context: Pain is distressing for women with breast cancer. Pain medication may not provide full relief and can have negative side-effects. Cognitive-behavioral pain intervention protocols reduce pain severity and improve self-efficacy for pain ... ...

    Abstract Context: Pain is distressing for women with breast cancer. Pain medication may not provide full relief and can have negative side-effects. Cognitive-behavioral pain intervention protocols reduce pain severity and improve self-efficacy for pain management. These interventions' impact on pain medication use is less clear. Intervention length and coping skills use might play a role in pain outcomes.
    Objectives: Secondary analysis to examine differences in pain severity, pain medication use, pain self-efficacy, and coping skill use after five- and one-session cognitive-behavioral pain intervention protocols. Pain self-efficacy and coping skills use were assessed as mediators of intervention effects on pain and pain medication use.
    Methods: Women (N = 327) with stage I-III breast cancer were enrolled in a randomized trial comparing individually-delivered, five- and one-session pain coping skills training (PCST). Pain severity, pain medication use, pain self-efficacy, and coping skills use were assessed preintervention and five to eight weeks later (postintervention).
    Results: Pain and pain medication use significantly decreased, while pain self-efficacy increased pre-post for women randomized to both conditions (P's <.05). Five-session PCST participants demonstrated less pain (P =.03) and pain medication use (P =.04), and more pain self-efficacy (P =.02) and coping skills use (P =.04) at postintervention compared to one-session PCST participants. Pain self-efficacy mediated the relationship of intervention condition with pain and pain medication use.
    Conclusion: Both conditions led to improvements in pain, pain medication use, pain self-efficacy, and coping skills use, and 5-session PCST showed the greatest benefits. Brief cognitive-behavioral pain intervention improve pain outcomes, and pain self-efficacy may play a role in these effects.
    MeSH term(s) Humans ; Female ; Breast Neoplasms/complications ; Pain/drug therapy ; Pain/etiology ; Adaptation, Psychological ; Pain Management/methods ; Cognitive Behavioral Therapy
    Language English
    Publishing date 2023-04-06
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 639142-4
    ISSN 1873-6513 ; 0885-3924
    ISSN (online) 1873-6513
    ISSN 0885-3924
    DOI 10.1016/j.jpainsymman.2023.03.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: mHealth Coping Skills Training for Symptom Management (mCOPE) for colorectal cancer patients in early to mid-adulthood: Study protocol for a randomized controlled trial.

    Hyland, Kelly A / Amaden, Grace H / Diachina, Allison K / Miller, Shannon N / Dorfman, Caroline S / Berchuck, Samuel I / Winger, Joseph G / Somers, Tamara J / Keefe, Francis J / Uronis, Hope E / Kelleher, Sarah A

    Contemporary clinical trials communications

    2023  Volume 33, Page(s) 101126

    Abstract: Background: Colorectal cancer (CRC) patients in early to mid-adulthood (≤50 years) are challenged by high symptom burden (i.e., pain, fatigue, distress) and age-related stressors (e.g., managing family, work). Cognitive behavioral theory (CBT)-based ... ...

    Abstract Background: Colorectal cancer (CRC) patients in early to mid-adulthood (≤50 years) are challenged by high symptom burden (i.e., pain, fatigue, distress) and age-related stressors (e.g., managing family, work). Cognitive behavioral theory (CBT)-based coping skills training interventions reduce symptoms and improve quality of life in cancer patients. However, traditional CBT-based interventions are not accessible to these patients (e.g., in-person sessions, during work day), nor designed to address symptoms within the context of this stage of life. We developed a mobile health (mHealth) coping skills training program for pain, fatigue and distress (mCOPE) for CRC patients in early to mid-adulthood. We utilize a randomized controlled trial to test the extent to which mCOPE reduces pain, fatigue and distress (multiple primary outcomes) and improves quality of life and symptom self-efficacy (secondary outcomes).
    Methods/design: Patients (N = 160) ≤50 years with CRC endorsing pain, fatigue and/or distress are randomized 1:1 to mCOPE or standard care. mCOPE is a five-session CBT-based coping skills training program (e.g., relaxation, activity pacing, cognitive restructuring) that was adapted for CRC patients in early to mid-adulthood. mCOPE utilizes mHealth technology (e.g., videoconference, mobile app) to deliver coping skills training, capture symptom and skills use data, and provide personalized support and feedback. Self-report assessments are completed at baseline, post-treatment (5-8 weeks post-baseline; primary endpoint), and 3- and 6-months later.
    Conclusions: mCOPE is innovative and potentially impactful for CRC patients in early to mid-adulthood. Hypothesis confirmation would demonstrate initial efficacy of a mHealth cognitive behavioral intervention to reduce symptom burden in younger CRC patients.
    Language English
    Publishing date 2023-04-05
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2451-8654
    ISSN (online) 2451-8654
    DOI 10.1016/j.conctc.2023.101126
    Database MEDical Literature Analysis and Retrieval System OnLINE

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