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Emotional processing during psychotherapy among women newly diagnosed with a gynecological cancer

  • Sharon L. Manne (a1), Shannon Myers-Virtue (a1), Katie Darabos (a1), Melissa Ozga (a2), Carolyn Heckman (a3), David Kissane (a4) and David Rotter (a1)...
Abstract
Abstract Objective:

Our aim was to compare changes in emotional processing by women newly diagnosed with gynecological cancer enrolled in either a coping and communication skills intervention (CCI) or a supportive counseling (SC) intervention. We examined the association between in-session emotional processing and patient-rated therapeutic progress.

Method:

Three therapy sessions with 201 patients were rated for the depth of emotional processing (peak and mode) during emotion episodes (EEs) using the Experiencing Rating Scale (EXP). Participants completed measures of dispositional emotional expressivity, depressive symptoms, and cancer-related distress before treatment began, as well as ratings of perceived progress in therapy after each session.

Results:

Peak EXP ratings averaged between 2.7 and 3.1, indicating that women discussed events, their emotional reactions, and their private experiences in sessions. A small proportion of patients had high levels of processing, indicating deeper exploration of the meaning of their feelings and experiences. Women in SC were able to achieve a higher level of emotional processing during the middle and later sessions, and during cancer-related EEs in the later session. However, emotional processing was not significantly associated with a patient's perceived therapeutic progress with SC. In the CCI group, higher levels of emotional processing were associated with greater session progress, suggesting that it may play an important role in patient-rated treatment outcomes.

Significance of results:

Newly diagnosed gynecological cancer patients are able to attend to their emotions and personal experiences, particularly when discussing cancer-related issues during both short-term SC and prescriptive coping skills interventions.

Copyright
Corresponding author
Address correspondence and reprint requests to: Sharon Manne, Rutgers Cancer Institute of New Jersey, 195 Little Albany Street, New Brunswick, New Jersey 08903. E-mail: sharon.manne@rutgers.edu.
References
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A.T. Beck , C.H. Ward , M. Mendelson , (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561571. Available from http://counsellingresource.com/lib/wp-content/managed-media/Beck_AT_1961.pdf.

L.G. Castonguay , M.R. Goldfried , S. Wiser , (1996). Predicting the effect of cognitive therapy for depression: A study of unique and common factors. Journal of Consulting and Clinical Psychology, 64(3), 497504.

J. Epping-Jordan , B. Compas & D. Howell (1994). Predictors of cancer progression in young adults men and women: Avoidance, intrusive thoughts and psychological symptoms. Health Psychology, 13(6), 539547.

G. Feldman , R. Harley , M. Kerrigan , (2009). Change in emotional processing during a dialectical behavior therapy-based skills group for major depressive disorder. Behaviour Research and Therapy, 47(4), 316321. Epub ahead of print Jan 17.

E.T. Gendlin , J. Beebe , J. Cassens , (1968). Focusing ability in psychotherapy, personality, and creativity. In Research in psychotherapy, Vol. 3. J.M. Schlien (ed.), pp. 217241. Washington, D.C.: American Psychological Association.

L.S. Greenberg & L. Korman (1993). Assimilating emotion into psychotherapy integration. Journal of Psychotherapy Integration, 3(3), 249265.

L.S. Greenberg & J. Pascual-Leone (1995). A dialectical constructivist approach to experiential change. In Constructivism in psychotherapy. R. Neimeyer & M. Mahoney (eds.), pp. 169191. Washington, D.C.: American Psychological Association.

L.S. Greenberg & J.D. Safran (1984). Integrating affect and cognition: A perspective on the process of therapeutic change. Cognitive Therapy and Research, 8(6), 559578.

J. Hipkins , M. Whitworth , N. Tarrier , (2004). Social support, anxiety and depression after chemotherapy for ovarian cancer: A prospective study. British Journal of Health Psychology, 9(Pt. 4), 569581.

W.L. Hobbie , M. Stuber , K. Meeske , (2000). Symptoms of posttraumatic stress in young adult survivors of childhood cancer. Journal of Clinical Oncology, 18(24), 40604066.

M. Horowitz , N. Wilner & W. Alvarez (1979). Impact of the Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41(3), 209218.

M.G. Hunt (1998). The only way out is through: Emotional processing and recovery after a depressing life event. Behaviour Research and Therapy, 36(4), 361384.

K.H. Hwang , O. Cho & Y. Yoo (2016). Symptom clusters of ovarian cancer patients undergoing chemotherapy, and their emotional status and quality of life. European Journal of Oncology Nursing, 21, 215222. Epub ahead of print Nov 29, 2015.

L.A. King & R.A. Emmons (1990). Conflict over emotional expression: Psychological and physical correlates. Journal of Personality and Social Psychology, 58(5), 864877.

G.G. Kolden (1991). The generic model of psychotherapy: An empirical investigation of patterns of process and outcome relationships. Psychotherapy Research, 1(1), 6273.

L. Luborsky , M. Chandler , A.H. Auerbach , (1970). Factors influencing the outcome of psychotherapy: A review of quantitative research. Psychological Bulletin, 75(3), 145185.

S.L. Manne , G. Winkel , S. Rubin , (2008). Mediators of a coping and communication-enhancing intervention and a supportive counseling intervention among women diagnosed with gynecological cancers. Journal of Consulting and Clinical Psychology, 76(6), 10341045. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2710766/.

S. Myers Virtue , S.L. Manne , K. Darabos , (2015). Emotion episodes during psychotherapy sessions among women newly diagnosed with gynecological cancers. Psycho-Oncology, 24(9), 11891196. Epub ahead of print Dec 17, 2014. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4470875/.

T.R. Norton , S.L. Manne , S. Rubin , (2004). Prevalence and predictors of psychological distress among women with ovarian cancer. Journal of Clinical Oncology, 22(5), 919926. Available from http://jco.ascopubs.org/content/22/5/919.full.pdf+html.

A. Pascual-Leone (2009). Dynamic emotional processing in experiential therapy: Two-steps forward, one step back. Journal of Consulting and Clinical Psychology, 77, 113126.

C.A. Schag , P.A. Ganz & R.L. Heinrich (1991). Cancer Rehabilitation Evaluation System–Short Form (CARES–SF): A cancer-specific rehabilitation and quality of life instrument. Cancer, 68(6), 14061413. Available from http://onlinelibrary.wiley.com/doi/10.1002/1097-0142(19910915)68:6%3C1406::AID-CNCR2820680638%3E3.0.CO;2-2/pdf.

A.L. Stanton , S. Danoff-Burg , C.L. Cameron , (2000). Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 68(5), 875882. Available from https://www.apa.org/pubs/journals/releases/ccp685875.pdf.

D. Watson , L.A. Clark & A. Tellegen (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 10631070.

J.C. Watson & D.L. Bedard (2006). Clients' emotional processing in psychotherapy: A comparison between cognitive behavioral and process-experiential therapies. Journal of Consulting and Clinical Psychology, 74(1), 152159.

S. Watts , P. Prescott , J. Mason , (2015). Depression and anxiety in ovarian cancer: A systematic review and meta-analysis of prevalence rates. BMJ Open, 5(1), e007618. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4679843/.

S. Wiser & M.R. Goldfried (1993). Comparative study of emotional experiencing in psychodynamic interpersonal and cognitive behavioral therapies. Journal of Consulting and Clinical Psychology, 61(5), 892895.

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Palliative & Supportive Care
  • ISSN: 1478-9515
  • EISSN: 1478-9523
  • URL: /core/journals/palliative-and-supportive-care
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