Skip to main content
Top
Published in:

Open Access 01-11-2024 | Regulation Therapy | Research

Young adult Latino testicular cancer survivors: a pilot study of Goal-focused Emotion regulation Therapy (GET)

Authors: Michael A. Hoyt, Belinda Campos, Jose G. Lechuga, Michelle A. Fortier, Karen Llave, Marcie Haydon, Michael Daneshvar, Christian J. Nelson, Baolin Wu

Published in: Supportive Care in Cancer | Issue 11/2024

Login to get access

Abstract

Purpose

Young adult Latino testicular cancer survivors experience adverse impacts after treatment. We developed Goal-focused Emotion regulation Therapy (GET) to improve distress symptoms, goal navigation skills, and emotion regulation. This open pilot trial extended GET to Latino young adult survivors of testicular cancer and assessed feasibility and tolerability as well as changes in anxiety and depressive symptoms. Secondary outcomes included goal navigation, emotion regulation, and components of hope-related goal processes (i.e., agency and pathway mapping). To assess the extent to which GET is culturally congruent or in need of adaptation, the influence of simpatía and acculturative stress were also examined.

Methods

Thirty-five eligible young adult (age 18–39) survivors treated with chemotherapy were enrolled and assessed at baseline. Study acceptability, tolerability, and therapeutic alliance were examined. Preliminary efficacy was evaluated for changes in anxiety and depressive symptoms as well as psychological processes (goal navigation, agency, goal pathway skill, and emotion regulation) from baseline to immediate post- and 3-month post-intervention.

Results

Among the 35 men assessed at baseline, 54% initiated intervention sessions. Among these, 94.7% completed all study procedures. Helpfulness ratings of intervention components and therapeutic alliance scores were strong. Repeated measures ANOVA revealed significant reductions in anxiety and depressive symptoms from pre- to post-intervention with sustained change at the 3-month follow-up. Favorable patterns of change were also observed in GET-related psychological processes. Simpatía was associated with less depressive symptoms at post-intervention, but not change in anxiety. Acculturative stress was associated with increased anxiety and depressive symptoms over time.

Conclusion

GET is a feasible and acceptable intervention for reducing adverse outcomes after testicular cancer for young adult Latino men. Results should be considered preliminary but suggest meaningful changes in emotional and psychological outcomes.
Literature
7.
go back to reference Moreno PI, Ramirez AG, San Miguel-Majors SL, Fox RS, Castillo L, Gallion KJ, Munoz E, Estabrook R, Perez A, Lad T, Hollowell C, Penedo FJ (2018) Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors. Cancer 124:1770–1779. https://doi.org/10.1002/cncr.31263CrossRefPubMed Moreno PI, Ramirez AG, San Miguel-Majors SL, Fox RS, Castillo L, Gallion KJ, Munoz E, Estabrook R, Perez A, Lad T, Hollowell C, Penedo FJ (2018) Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors. Cancer 124:1770–1779. https://​doi.​org/​10.​1002/​cncr.​31263CrossRefPubMed
13.
go back to reference Krupski TL, Sonn G, Kwan L, Maliski S, Fink A, Litwin MS (2005) Ethnic variation in health-related quality of life among low-income men with prostate cancer. Ethn Dis 15:461–468PubMed Krupski TL, Sonn G, Kwan L, Maliski S, Fink A, Litwin MS (2005) Ethnic variation in health-related quality of life among low-income men with prostate cancer. Ethn Dis 15:461–468PubMed
16.
go back to reference Woldu SL, Aydin AM, Rao AV, Hutchinson RC, Singla N, Clinton TN, Krabbe L-M, Passoni NM, Raj GV, Miller DS, Amatruda JF, Sagalowsky AI, Lotan Y, Arriaga Y, Margulis V, Bagrodia A (2018) Differences at presentation and treatment of testicular cancer in Hispanic men: institutional and national hospital-based analyses. Urol 112:103–111. https://doi.org/10.1016/j.urology.2017.08.059CrossRefPubMed Woldu SL, Aydin AM, Rao AV, Hutchinson RC, Singla N, Clinton TN, Krabbe L-M, Passoni NM, Raj GV, Miller DS, Amatruda JF, Sagalowsky AI, Lotan Y, Arriaga Y, Margulis V, Bagrodia A (2018) Differences at presentation and treatment of testicular cancer in Hispanic men: institutional and national hospital-based analyses. Urol 112:103–111. https://​doi.​org/​10.​1016/​j.​urology.​2017.​08.​059CrossRefPubMed
19.
go back to reference Martinez Tyson D, Ruiz EL (2023) Supportive care needs and coping strategies used by Latino men cancer survivors. In: Ramirez AG, Trapido EJ (eds.) Advancing the science of cancer in Latinos: building collaboration for action Springer International Publishing, pp 57–65. https://doi.org/10.1007/978-3-031-14436-3_5 Martinez Tyson D, Ruiz EL (2023) Supportive care needs and coping strategies used by Latino men cancer survivors. In: Ramirez AG, Trapido EJ (eds.) Advancing the science of cancer in Latinos: building collaboration for action Springer International Publishing, pp 57–65. https://​doi.​org/​10.​1007/​978-3-031-14436-3_​5
23.
36.
go back to reference Smith AB, Butow P, Olver I, Luckett T, Grimison P, Toner GC, Stockler MR, Hovey E, Stubbs J, Turner S, Hruby G, Gurney H, Alam M, Cox K, King MT (2016) The prevalence, severity, and correlates of psychological distress and impaired health-related quality of life following treatment for testicular cancer: a survivorship study. J Cancer Surviv 10:223–233. https://doi.org/10.1007/s11764-015-0468-5CrossRefPubMed Smith AB, Butow P, Olver I, Luckett T, Grimison P, Toner GC, Stockler MR, Hovey E, Stubbs J, Turner S, Hruby G, Gurney H, Alam M, Cox K, King MT (2016) The prevalence, severity, and correlates of psychological distress and impaired health-related quality of life following treatment for testicular cancer: a survivorship study. J Cancer Surviv 10:223–233. https://​doi.​org/​10.​1007/​s11764-015-0468-5CrossRefPubMed
37.
38.
go back to reference Skoogh J, Steineck G, Cavallin-Ståhl E, Wilderäng U, Håkansson UK, Johansson B, Stierner U, SWENOTECA (Swedish Norwegian Testicular Cancer group) (2011) Feelings of loss and uneasiness or shame after removal of a testicle by orchiectomy: a population‐based long‐term follow‐up of testicular cancer survivors. Int J Androl 34:183-192. https://doi.org/10.1111/j.1365-2605.2010.01073.x Skoogh J, Steineck G, Cavallin-Ståhl E, Wilderäng U, Håkansson UK, Johansson B, Stierner U, SWENOTECA (Swedish Norwegian Testicular Cancer group) (2011) Feelings of loss and uneasiness or shame after removal of a testicle by orchiectomy: a population‐based long‐term follow‐up of testicular cancer survivors. Int J Androl 34:183-192. https://​doi.​org/​10.​1111/​j.​1365-2605.​2010.​01073.​x
40.
go back to reference Smith AB, King M, Butow P, Luckett T, Grimison P, Toner GC, Stockler M, Hovey E, Stubbs J, Hruby G, Gurney H, Turner S, Alam M, Cox K, Olver I (2013) The prevalence and correlates of supportive care needs in testicular cancer survivors: a cross-sectional survey. Psychooncology 22:2557–2564. https://doi.org/10.1002/pon.3323CrossRefPubMed Smith AB, King M, Butow P, Luckett T, Grimison P, Toner GC, Stockler M, Hovey E, Stubbs J, Hruby G, Gurney H, Turner S, Alam M, Cox K, Olver I (2013) The prevalence and correlates of supportive care needs in testicular cancer survivors: a cross-sectional survey. Psychooncology 22:2557–2564. https://​doi.​org/​10.​1002/​pon.​3323CrossRefPubMed
49.
52.
go back to reference Penedo FJ, Traeger L, Dahn J, Molton I, Gonzalez JS, Schneiderman N, Antoni MH (2007) Cognitive behavioral stress management intervention improves quality of life in Spanish monolingual Hispanic men treated for localized prostate cancer: results of a randomized controlled trial. Int J Behav Med 14:164–172. https://doi.org/10.1007/BF03000188CrossRefPubMed Penedo FJ, Traeger L, Dahn J, Molton I, Gonzalez JS, Schneiderman N, Antoni MH (2007) Cognitive behavioral stress management intervention improves quality of life in Spanish monolingual Hispanic men treated for localized prostate cancer: results of a randomized controlled trial. Int J Behav Med 14:164–172. https://​doi.​org/​10.​1007/​BF03000188CrossRefPubMed
67.
go back to reference Ferrari A, Stark D, Peccatori FA, Fern L, Laurence V, Gaspar N, Bozovic-Spasojevic I, Smith O, De Munter J, Derwich K, Hjorth L, van der Graaf WTA, Soanes L, Jezdic S, Blondeel A, Bielack A, Douillard J-Y, Mountzios G, Saloustros E (2021) Adolescents and young adults (AYA) with cancer: a position paper from the AYA working group of the European society for medical oncology (ESMO) and the European society for paediatric oncology (SIOPE). ESMO Open 6:100096. https://doi.org/10.1016/j.esmoop.2021.100096CrossRefPubMedPubMedCentral Ferrari A, Stark D, Peccatori FA, Fern L, Laurence V, Gaspar N, Bozovic-Spasojevic I, Smith O, De Munter J, Derwich K, Hjorth L, van der Graaf WTA, Soanes L, Jezdic S, Blondeel A, Bielack A, Douillard J-Y, Mountzios G, Saloustros E (2021) Adolescents and young adults (AYA) with cancer: a position paper from the AYA working group of the European society for medical oncology (ESMO) and the European society for paediatric oncology (SIOPE). ESMO Open 6:100096. https://​doi.​org/​10.​1016/​j.​esmoop.​2021.​100096CrossRefPubMedPubMedCentral
Metadata
Title
Young adult Latino testicular cancer survivors: a pilot study of Goal-focused Emotion regulation Therapy (GET)
Authors
Michael A. Hoyt
Belinda Campos
Jose G. Lechuga
Michelle A. Fortier
Karen Llave
Marcie Haydon
Michael Daneshvar
Christian J. Nelson
Baolin Wu
Publication date
01-11-2024
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 11/2024
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-024-08960-y

Other articles of this Issue 11/2024

Supportive Care in Cancer 11/2024 Go to the issue
SPONSORED

Recent advances in the use of CAR T-cell therapies in relapsed/refractory diffuse large B-cell lymphoma and follicular lymphoma

  • Webinar | 01-10-2024 | 12:30 (CEST)

In this webinar, Professor Martin Dreyling and an esteemed international panel of CAR T-cell therapy experts discuss the latest data on the safety, efficacy, and clinical impact of CAR T-cell therapies in the treatment of r/r DLBCL and r/r FL.

Please note, this webinar is not intended for healthcare professionals based in the US and UK.

Sponsored by:
  • Novartis Pharma AG
Chaired by: Prof. Martin Dreyling
Developed by: Springer Healthcare
Get a reminder for the on-demand version