Adolescent and young adult (AYA—between ages 15 and 39) cancer patients face unique psychosocial challenges due to their developmental stage and complex health problems. Research indicates psychotherapy and group support can be beneficial to AYAs. Group therapy offers an opportunity for connection among peers who are enduring similar struggles while also utilizing effective therapeutic intervention. The current project describes a model for an AYA cognitive behavioral therapy (CBT) group. The model was informed by existing CBT literature and was successfully implemented. Future research may evaluate the efficacy of the proposed group structure and content for reducing distress in AYA cancer patients.
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References
1.
KesslerRC, ChiuWT, DemlerO, WaltersEE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry. 2005; 62(6):617–27.
2.
LangMJ, DavidV, Giese-DavisJ. The age conundrum: a scoping review of younger age or adolescent and young adult as a risk factor for clinical distress, depression, or anxiety in cancer. J Adolesc Young Adult Oncol. 2015; 4(4):157–73.
3.
BellizziKM, SmithA, SchmidtS, et al.Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult. Cancer. 2012; 118(20):5155–62.
4.
SmithAW, BellizziKM, KeeganTH, et al.Health-related quality of life of adolescent and young adult patients with cancer in the United States: the adolescent and young adult health outcomes and patient experience study. J Clin Oncol. 2013; 31(17):2136–45.
5.
UstaYY. Importance of social support in cancer patients. Asian Pac J Cancer Prev. 2012; 13(8):3569–72.
6.
ZarrettN, EcclesJ. The passage to adulthood: challenges of late adolescence. New Dir Youth Dev. 2006; 2006(111):13–28.
7.
FallerH, SchulerM, RichardM, et al.Effects of psycho-oncologic interventions on emotional distress and quality of life in adult patients with cancer: systematic review and meta-analysis. J Clin Oncol. 2013; 31(6):782–93.
8.
AntoniMH, WimberlySR, LechnerSC, et al.Reduction of cancer-specific thought intrusions and anxiety symptoms with a stress management intervention among women undergoing treatment for breast cancer. Am J Psychiatry. 2006; 163(10):1791–7.
9.
GroarkeA, CurtisR, KerinM. Cognitive-behavioural stress management enhances adjustment in women with breast cancer. Br J Health Psychol. 2013; 18:623–41.
10.
HunterMS, CoventryS, HamedH, et al.Evaluation of a group cognitive behavioral intervention for women suffering from menopausal symptoms following breast cancer treatment. Psychooncology. 2009; 18(5):560–3.
11.
RobertsCS, PiperL, DennyJ, CuddebackG. A support group intervention to facilitate young adults' adjustment to cancer. Health Soc Work. 1997; 22(2):133–41.
12.
LoveB, CrookB, ThompsonCM, et al.Exploring psychosocial support online: a content analysis of messages in an adolescent and young adult cancer community. Cyberpsychol Behav Soc Netw. 2012; 15(10):555–9.
13.
McGillBC, Sansom-DalyUM, WakefieldCE, et al.Therapeutic alliance and group cohesion in an online support program for adolescent and young adult cancer survivors: lessons from “Recapture Life.”. J Adolesc Young Adult Oncol. 2017; 6(4):568–72.
14.
Sansom-DalyUM, WakefieldCE, McGillBC, PattersonP. Ethical and clinical challenges delivering group-based cognitive-behavioural therapy to adolescents and young adults with cancer using videoconferencing technology. Aust Psychol. 2015; 50(4):271–8.
15.
Sansom-DalyUM, WakefieldCE, BryantRA, et al.Feasibility, acceptability, and safety of the Recapture Life videoconferencing intervention for adolescent and young adult cancer survivors. Psychooncology. 2019; 28(2):284–92.
16.
MausbachBT, MooreR, RoeschS, et al.The relationship between homework compliance and therapy outcomes: an updated meta-analysis. Cognit Ther Res. 2010; 34(5):429–38.
17.
MillarB, PattersonP, DesilleN. Emerging adulthood and cancer: how unmet needs vary with time-since-treatment. Palliat Support Care. 2010; 8(2):151–8.
18.
DolbeaultS, CayrouS, BredartA, et al.The effectiveness of a psycho-educational group after early-stage breast cancer treatment: results of a randomized French study. Psychooncology. 2009; 18(6):647–56.
19.
EdelmanS, CraigA, KidmanAD. Group interventions with cancer patients: efficacy with cancer patients. J Psychosoc Oncol. 2008; 18(3):67–85.
20.
RybaMM, LejuezCW, HopkoDR. Behavioral activation for depressed breast cancer patients: the impact of therapeutic compliance and quantity of activities completed on symptom reduction. J Consult Clin Psychol. 2014; 82(2):325–35.
21.
DamiralpM, OflazF, KomurcuS. Effects of relaxation training on sleep quality and fatigue in patients with breast cancer undergoing adjuvant chemotherapy. J Clin Nurs. 2010; 19(7–8):1073–83.
22.
GreerJA, TraegerL, BemisH, et al.A pilot randomized controlled trial of brief cognitive-behavioral therapy for anxiety in patients with terminal cancer. Oncologist. 2012; 17(10):1337–45.
23.
FortmannJ, FisherA, HoughR, et al.Sleep quality, fatigue, and quality of life among teenage and young adult cancer survivors. J Adolesc Young Adult Oncol. 2018; 7(4):465–71.
24.
FlemingL, RandellK, HarveyC, EspieCA. Does cognitive behavior therapy for insomnia reduce clinical levels of fatigue, anxiety, and depression in cancer patients?. Psychooncology. 2014; 23(6):679–84.
25.
ZebrackBJ, BlockR, BrandonH, et al.Psychosocial service use and unmet need among recently diagnosed adolescent and young adult cancer patients. Cancer. 2013; 119(1):201–14.
