Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention
Breast cancer is the most common cancer in women worldwide, with increases in diagnoses at all ages. Due to several age-related factors, older breast cancer patients show particular difficulties in adjusting to breast cancer and its related treatments. One consistent indicator of vulnerability to lo...
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doaj-06f2332300a44c90b5373c6a310df6862020-11-24T21:13:40ZengFrontiers Media S.A.Frontiers in Psychology1664-10782018-11-01910.3389/fpsyg.2018.02279415787Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth InterventionDaniela Villani0Chiara Cognetta1Claudia Repetto2Silvia Serino3Silvia Serino4Davide Toniolo5Francesco Scanzi6Giuseppe Riva7Giuseppe Riva8Department of Psychology, Università Cattolica del Sacro Cuore, Milan, ItalyDepartment of Medical Oncology, G.Salvini ASST Rhodense, Milan, ItalyDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, ItalyDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, ItalyApplied Technology for Neuro-Psychology Lab, Istituto Auxologico Italiano, Milan, ItalyDepartment of Medical Oncology, G.Salvini ASST Rhodense, Milan, ItalyU.O. Oncologia Medica, Ospedale S. Giuseppe-Multimedica, Milan, ItalyDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, ItalyApplied Technology for Neuro-Psychology Lab, Istituto Auxologico Italiano, Milan, ItalyBreast cancer is the most common cancer in women worldwide, with increases in diagnoses at all ages. Due to several age-related factors, older breast cancer patients show particular difficulties in adjusting to breast cancer and its related treatments. One consistent indicator of vulnerability to long-term complications is emotional distress occurring within 3 months of diagnosis. Thus, it is critical to develop early interventions specifically aimed at mitigating distress and promoting emotional wellbeing in older breast cancer patients. By taking advantage of the opportunities of online interventions, the present study aimed to test the efficacy of a 2 weeks e-health stress inoculation training (SIT) intervention on emotion regulation and cancer-related well-being, compared with a control group without such intervention. Twenty-nine women with a diagnosis of breast cancer, who had received radical surgery and who were suitable candidates for adjuvant chemotherapy with anthracyclines and taxanes (mean age = 62.76; SD = 6.19) voluntarily took part in the current study after giving written informed consent. To test intervention efficacy, self-report questionnaires were administered to all participants at baseline, at the end of the 2 weeks intervention, and 3 months after the end of the intervention. Results showed that after 2 weeks of ehealth intervention, patients did not achieve significant change, however, they significantly reduced emotional suppression and increased cancer-related emotional well-being 3 months after the end of the intervention. Furthermore, by monitoring at a distance the emotional experience during the online intervention, we found an increase in relaxation and a reduction of anxiety. Finally, patients in the experimental group reported a good level of acceptance of the ehealth intervention. To conclude, designing and developing eHealth interventions as part of the regular care path for breast cancer patients of all ages represents both a challenge and an opportunity; in particular, online interventions can be an important step in universal psychosocial care within a tiered model of care.https://www.frontiersin.org/article/10.3389/fpsyg.2018.02279/fullemotion regulatonwell-beingpositive technologyeHealthbreast cancer |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Daniela Villani Chiara Cognetta Claudia Repetto Silvia Serino Silvia Serino Davide Toniolo Francesco Scanzi Giuseppe Riva Giuseppe Riva |
spellingShingle |
Daniela Villani Chiara Cognetta Claudia Repetto Silvia Serino Silvia Serino Davide Toniolo Francesco Scanzi Giuseppe Riva Giuseppe Riva Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention Frontiers in Psychology emotion regulaton well-being positive technology eHealth breast cancer |
author_facet |
Daniela Villani Chiara Cognetta Claudia Repetto Silvia Serino Silvia Serino Davide Toniolo Francesco Scanzi Giuseppe Riva Giuseppe Riva |
author_sort |
Daniela Villani |
title |
Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention |
title_short |
Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention |
title_full |
Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention |
title_fullStr |
Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention |
title_full_unstemmed |
Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention |
title_sort |
promoting emotional well-being in older breast cancer patients: results from an ehealth intervention |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychology |
issn |
1664-1078 |
publishDate |
2018-11-01 |
description |
Breast cancer is the most common cancer in women worldwide, with increases in diagnoses at all ages. Due to several age-related factors, older breast cancer patients show particular difficulties in adjusting to breast cancer and its related treatments. One consistent indicator of vulnerability to long-term complications is emotional distress occurring within 3 months of diagnosis. Thus, it is critical to develop early interventions specifically aimed at mitigating distress and promoting emotional wellbeing in older breast cancer patients. By taking advantage of the opportunities of online interventions, the present study aimed to test the efficacy of a 2 weeks e-health stress inoculation training (SIT) intervention on emotion regulation and cancer-related well-being, compared with a control group without such intervention. Twenty-nine women with a diagnosis of breast cancer, who had received radical surgery and who were suitable candidates for adjuvant chemotherapy with anthracyclines and taxanes (mean age = 62.76; SD = 6.19) voluntarily took part in the current study after giving written informed consent. To test intervention efficacy, self-report questionnaires were administered to all participants at baseline, at the end of the 2 weeks intervention, and 3 months after the end of the intervention. Results showed that after 2 weeks of ehealth intervention, patients did not achieve significant change, however, they significantly reduced emotional suppression and increased cancer-related emotional well-being 3 months after the end of the intervention. Furthermore, by monitoring at a distance the emotional experience during the online intervention, we found an increase in relaxation and a reduction of anxiety. Finally, patients in the experimental group reported a good level of acceptance of the ehealth intervention. To conclude, designing and developing eHealth interventions as part of the regular care path for breast cancer patients of all ages represents both a challenge and an opportunity; in particular, online interventions can be an important step in universal psychosocial care within a tiered model of care. |
topic |
emotion regulaton well-being positive technology eHealth breast cancer |
url |
https://www.frontiersin.org/article/10.3389/fpsyg.2018.02279/full |
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